Penetrating neck traumas.
OBJECTIVE
Aim of the study is to present our own experiences in the treatment of people suffering from penetrating neck traumas.


METHODS
In the years 1996-2012, 10 patients with penetrating neck traumas were treated, including 3 women and 7 men. The patients' age ranged from 16 to 55 (the average age being 40.7 years). In 9 cases the wound was caused by cutting or stabbing, while in one case it was inflicted by a gunshot. In 8 patients it was a single cut wound, while one patient suffered from 34 stab wounds to the neck, chest and stomach. Two cut wounds resulted from a suicide attempt. The remaining injuries were the result of a crime.


RESULTS
All patients underwent immediate surgery, which involved revision of the neck wounds in 8 cases, one longitudinal sternotomy and one left-sided thoracotomy. The indications for surgery included increased subcutaneous emphysema in 5 patients, bleeding from the wound in 3 patients, and mediastinal hematoma in 2 patients. The damage assessed intraoperatively included tracheal damage in 6 patients, damage to carotid vessels in 3 patients, larynx in 2 patients, thoracic vessels in 2 patients, oesophagus in 1 patient and thyroid gland in 1 patient. In 9 patients, the treatment yielded positive results. The patient with a gunshot wound died during the surgery due to massive bleeding from the aorta.


CONCLUSIONS
In patients with penetrating neck wounds, early and rapid diagnostics allows one to determine the indications for surgery and prevent serious fatal complications.
Department of Thoracic Surgery, Medical University of Lodz, Lodz, Poland.
Mariusz
M
Łochowski
Department of Thoracic Surgery, Medical University of Lodz, Lodz, Poland.
Jacek
J
Kaczmarski
Department of Thoracic Surgery, Medical University of Lodz, Lodz, Poland.
Daniel
D
Brzeziński
Department of Thoracic Surgery, Medical University of Lodz, Lodz, Poland.
Bartosz
B
Cieślik-Wolski
Department of Thoracic Surgery, Medical University of Lodz, Lodz, Poland.
Józef
J
Kozak
gunshot wounds; mediastinal hematoma; penetrating neck traumas; revision of neck wounds; stab wounds; subcutaneous emphysema