[Neck trauma in civil practice: a 16-year experience].
In spite of their seriousness, neck traumatism still are an unknown pathology. In a 16 years old hospital practice we have recorded 27 cases of neck traumatism. They concern, mainly, male adult. Accidental circumstances deal only with civil practice. The vulnerant agent is white weapon in 63% of the cases either in a suicide or aggression purpose. Because it occurs, mainly, with white weapons, penetrating wounds are more frequent (85%). Exploration cervicotomy has been indicated for 23 patients. But it was effective for only 22 patients. In 83% of cases surgery occurred in the first 48 hours delay. It permitted to find out a 78% score of aero-digestive tracks, and about 22% of vascular injury. We have recorded two death cases. One of them was noticed after surgery. These 27 cases do not, indeed, reflect the reality. Many people who died immediately after their accident may have undergone unseen neck traumatisms. By the same way, numbers of "closed" internal neck traumatisms have been misknown in the hospital. We, thus, suggest a reorganisation of surgical and medical emergencies in Senegal.
Diouf
R
R
Clinique O.R.L. du CHU de Dakar.
Ndiaye
M
M
Ndiaye
I C
IC
Diop
E M
EM
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019838:Neck Injuries; D014947:Wounds and Injuries / Q000453:epidemiology
Les traumatismes du cou en pratique civile: une expérience de 16 ans.