TY  - JOUR
PY  - 2000//
TI  - Penetrating injuries of the visceral compartment of the neck
JO  - American journal of otolaryngology
A1  - Bumpous, J. M.
A1  - Whitt, P. D.
A1  - Ganzel, T. M.
A1  - McClane, S. D.
SP  - 190
EP  - 194
VL  - 21
IS  - 3
N2  - Penetrating injuries of the visceral compartment of the neck are uncommon but potentially life threatening. A retrospective review of patients who sustained penetrating trauma to the laryngotracheal complex was conducted at the Level I trauma center of the University of Louisville Hospital in Kentucky. Sixteen patients were identified and their records reviewed for type of injuries, treatment, complications, and 1-year follow-up. The majority of patients were men who sustained injuries that were violent in nature. Zone II of the anterior neck was the most commonly injured area, with the trachea (69%), esophagus (38%), and larynx (31 %) the most commonly injured structures. Although 31% underwent angiograms, only 13% showed vascular injuries. Eighty-one percent of the patients had injuries involving more than 1 major structure of the neck. Neck exploration was performed in 81% of the patients and tracheotomies in 75% as well as repair of the trachea (50%), larynx (31%), and esophagus (38%). There is significant mortality associated with these injuries (13% in our study), and many of the patients have long-term sequelae such as dysphagia, hoarseness, and prolonged tracheotomy.<p /> <p>Language: en</p>
LA  - en
SN  - 0196-0709
UR  - http://dx.doi.org/
ID  - ref1
ER  -