[Penetrating neck injuries].
The frequency of penetrating neck injuries has increased in recent years. In 16 patients with such injuries treated during the past 2 years, neck exploration was performed immediately. In 4 there was destruction of the throat or trachea, in 3 a tear in the esophagus, in 1 a tear in the hypopharynx and in 1 a tear in the submandibular region penetrating the floor of the mouth. In 8 there was no damage to the neck organs. Of the 16, 1 died on the operating table from hemorrhage from multiple tears of the hypopharynx, the esophagus and the thyroid gland. 2 different approaches are used in dealing with penetrating neck injuries: immediate exploration, or the use of imaging methods to diagnose the degree of damage, followed by close supervision. In the light of our experience we advocate immediate neck exploration.
Nageris
B
B
Dept. of Otolaryngology, Hadassah - University Hospital, Jerusalem.
Rivkind
A
A
Feinmesser
R
R
D006801:Humans; D019838:Neck Injuries; D014950:Wounds, Penetrating / Q000175:diagnosis* / Q000601:surgery