Outcomes of open neck injuries

Purpose The neck is a particularly critical region for penetrating injuries due to the close proximity of the trachea, esophagus, blood vessels, and the spinal cord. An open neck injury has the potential for serious morbidity and mortality. The purpose of this study is to evaluate the assessment and...

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Main Authors: Dongsub Noh, Jin Ho Choi
Format: Article
Language:English
Published: Korean Society of Traumatology 2022-09-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2021-0056.pdf
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author Dongsub Noh
Jin Ho Choi
author_facet Dongsub Noh
Jin Ho Choi
author_sort Dongsub Noh
collection DOAJ
description Purpose The neck is a particularly critical region for penetrating injuries due to the close proximity of the trachea, esophagus, blood vessels, and the spinal cord. An open neck injury has the potential for serious morbidity and mortality. The purpose of this study is to evaluate the assessment and management of open neck injuries. Methods In this retrospective study, open neck injury patients who were admitted to the Trauma Center of Daejeon Eulji Medical Center, Eulji University between December 2015 and December 2017 were analyzed for epidemiology, the mechanism of trauma, the injured organ, complications, and mortality. Results Thirty-two patients presented with open neck injuries. All patients underwent computed tomographic angiography to evaluate their injuries once their vital signs stabilized. Among these patients, 27 required surgical treatment. The most commonly injured organ was the airway. There were five deaths, and the main cause of death was bleeding. Mortality was associated with the initial systolic blood pressure at the hospital and Glasgow Coma Scale. Conclusions Mortality from open neck injuries was associated with initial systolic blood pressure at the hospital and Glasgow Coma Scale.
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spelling doaj-art-a30e8854ca5a42d9acc58e376b7d886b2025-01-16T04:54:41ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-09-0135316817210.20408/jti.2021.00561191Outcomes of open neck injuriesDongsub Noh0Jin Ho Choi1 Department of Thoracic and Cardiovascular Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea Department of Thoracic and Cardiovascular Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, KoreaPurpose The neck is a particularly critical region for penetrating injuries due to the close proximity of the trachea, esophagus, blood vessels, and the spinal cord. An open neck injury has the potential for serious morbidity and mortality. The purpose of this study is to evaluate the assessment and management of open neck injuries. Methods In this retrospective study, open neck injury patients who were admitted to the Trauma Center of Daejeon Eulji Medical Center, Eulji University between December 2015 and December 2017 were analyzed for epidemiology, the mechanism of trauma, the injured organ, complications, and mortality. Results Thirty-two patients presented with open neck injuries. All patients underwent computed tomographic angiography to evaluate their injuries once their vital signs stabilized. Among these patients, 27 required surgical treatment. The most commonly injured organ was the airway. There were five deaths, and the main cause of death was bleeding. Mortality was associated with the initial systolic blood pressure at the hospital and Glasgow Coma Scale. Conclusions Mortality from open neck injuries was associated with initial systolic blood pressure at the hospital and Glasgow Coma Scale.http://jtraumainj.org/upload/pdf/jti-2021-0056.pdfneckpenetrating wound
spellingShingle Dongsub Noh
Jin Ho Choi
Outcomes of open neck injuries
Journal of Trauma and Injury
neck
penetrating wound
title Outcomes of open neck injuries
title_full Outcomes of open neck injuries
title_fullStr Outcomes of open neck injuries
title_full_unstemmed Outcomes of open neck injuries
title_short Outcomes of open neck injuries
title_sort outcomes of open neck injuries
topic neck
penetrating wound
url http://jtraumainj.org/upload/pdf/jti-2021-0056.pdf
work_keys_str_mv AT dongsubnoh outcomesofopenneckinjuries
AT jinhochoi outcomesofopenneckinjuries