Citation

Diouf R, Ndiaye M, Ndiaye IC, Diop EM. Dakar Med. 1993; 38(1): 101-104.

Vernacular Title

Les traumatismes du cou en pratique civile: une experience de 16 ans.

Affiliation

Clinique O.R.L. du CHU de Dakar.

Copyright

(Copyright © 1993, Societe Medicale D Afrique Noire De Langue Francaise)

DOI

unavailable

PMID

7882841

Abstract

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.

Language: fr