@article{ref1,
title="A multidisciplinary approach to penetrating neck trauma in a patient with self-inflicted gunshot injuries to zones 1-3 of the neck",
journal="American surgeon",
year="2020",
author="Chung, Timothy R. and Mishler, Meredith and Aukerman, William and Nannapaneni, Siddhartha and Urias, Daniel and Shayesteh, Kamran",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Penetrating neck trauma comprises 5%-10% of all traumatic injuries in adults and carries up to a 10% mortality rate for those affected. Management of penetrating  neck trauma can be challenging and often requires a multidisciplinary approach. A  case of penetrating neck trauma via self-inflicted gunshot wound to zones 1-3 of the  neck in an intoxicated, suicidal 60-year-old man is presented. Immediately after  stabilization by the trauma surgery team, surgical reconstruction using a pectoralis  major pedicled myocutaneous flap was completed by the plastic and reconstructive  surgery team. The patient's hospital course was complicated by injury to the left  phrenic nerve, oropharyngeal swallowing dysfunction, and left diaphragmatic  dysfunction. The trauma team initiated prompt multidisciplinary responses to each of  these complications as they arose by involving the plastic and reconstructive  surgery, otolaryngology, gastroenterology, and speech language pathology teams. Early involvement of the physical medicine and rehabilitation, psychiatry, dietary,  and pharmacy teams allowed for early optimization and monitoring of the patient's  mobility, psychological, and nutritional statuses. The timely initiation of  multidisciplinary care in this patient's case allowed for the patient to not only to  survive a potentially fatal penetrating neck trauma, but to be discharged to a  rehabilitation facility with an independent level of function. Given the  complications due to severe penetrating neck trauma of zones 1-3 in this case, it is  essential for early involvement of the appropriate subspecialty teams in order to  achieve the best possible outcome for the patient.<p /> <p>Language: en</p>",
language="en",
issn="0003-1348",
doi="10.1177/0003134820973357",
url="http://dx.doi.org/10.1177/0003134820973357"
}