eMedicine Specialties > Trauma > Head and Neck Trauma
Penetrating Neck Trauma: Multimedia
Updated: Nov 19, 2009
Multimedia
![]() | Media file 1: A Zone II penetrating neck injury in a young boy. This child fortunately had no other documented injuries. |
![]() | Media file 2: Tribal violence in Kenya resulted in this zone II arrow injury. |
![]() | Media file 3: Same patient as in Media file 2. Note the entry point and the palpable tip of the arrow in the posterior triangle. |
![]() | Media file 4: Same patient as in Media file 2. The arrow has been removed after negative neck exploration. |
More on Penetrating Neck Trauma |
| Overview: Penetrating Neck Trauma |
| Workup: Penetrating Neck Trauma |
| Treatment: Penetrating Neck Trauma |
| Follow-up: Penetrating Neck Trauma |
Multimedia: Penetrating Neck Trauma |
| References |
| Further Reading |
| « Previous Page |
References
Sarkar D, Demma A, Stulz D, Hsue G. Expect the unexpected: two cases of penetrating head and neck trauma from Operation Iraqi Freedom. Ear Nose Throat J. Sep 2009;88(9):E19-21. [Medline].
Ramasamy A, Midwinter M, Mahoney P, Clasper J. Learning the lessons from conflict: Pre-hospital cervical spine stabilisation following ballistic neck trauma. Injury. Jul 16 2009;epub ahead of print. [Medline].
Woo K, Magner DP, Wilson MT, Margulies DR. CT angiography in penetrating neck trauma reduces the need for operative neck exploration. Am Surg. Sep 2005;71(9):754-8. [Medline].
Ferguson E, Dennis JW, Vu JH, Frykberg ER. Redefining the role of arterial imaging in the management of penetrating zone 3 neck injuries. Vascular. May-Jun 2005;13(3):158-63. [Medline].
Schroeder JW, Baskaran V, Aygun N. Imaging of traumatic arterial injuries in the neck with an emphasis on CTA. Emerg Radiol. Oct 2 2009;epub ahead of print. [Medline].
Fox CJ, Gillespie DL, Weber MA, Cox MW, Hawksworth JS, Cryer CM, et al. Delayed evaluation of combat-related penetrating neck trauma. J Vasc Surg. Jul 2006;44(1):86-93. [Medline].
Navsaria P, Thoma M, Nicol A. Foley catheter balloon tamponade for life-threatening hemorrhage in penetrating neck trauma. World J Surg. Jul 2006;30(7):1265-8. [Medline].
Rezende-Neto J, Marques AC, Guedes LJ, Teixeira LC. Damage control principles applied to penetrating neck and mandibular injury. J Trauma. Apr 2008;64(4):1142-3. [Medline].
Ahmed A. Selective observational management of penetrating neck injury in northern Nigeria. S Afr J Surg. Aug 2009;47(3):80, 82-5. [Medline].
Demetriades D, Theodorou D, Cornwell E 3rd, et al. Penetrating injuries of the neck in patients in stable condition. Physical examination, angiography, or color flow Doppler imaging. Arch Surg. Sep 1995;130(9):971-5. [Medline].
Demetriades D, Theodorou D, Cornwell E, et al. Transcervical gunshot injuries: mandatory operation is not necessary. J Trauma. May 1996;40(5):758-60. [Medline].
Gonzalez RP, Falimirski M, Holevar MR, et al. Penetrating zone II neck injury: does dynamic computed tomographic scan contribute to the diagnostic sensitivity of physical examination for surgically significant injury? A prospective blinded study. J Trauma. Jan 2003;54(1):61-4; discussion 64-5. [Medline].
Kendall JL, Anglin D, Demetriades D. Penetrating neck trauma. Emerg Med Clin North Am. Feb 1998;16(1):85-105. [Medline].
Kuehne JP, Weaver FA, Papanicolaou G, et al. Penetrating trauma of the internal carotid artery. Arch Surg. Sep 1996;131(9):942-7; discussion 947-8. [Medline].
Mattox K, Feliciano DV, Moore EE. Penetrating and blunt neck trauma. In: Trauma. 4th ed. Appleton and Lange; 1999:437-450.
McConnell DB, Trunkey DD. Management of penetrating trauma to the neck. Adv Surg. 1994;27:97-127. [Medline].
Munera F, Cohn S, Rivas LA. Penetrating injuries of the neck: use of helical computed tomographic angiography. J Trauma. Feb 2005;58(2):413-8. [Medline].
Osborn TM, Bell RB, Qaisi W, Long WB. Computed tomographic angiography as an aid to clinical decision making in the selective management of penetrating injuries to the neck: a reduction in the need for operative exploration. J Trauma. Jun 2008;64(6):1466-71. [Medline].
Rostomily RC, Newell DW, Grady MS, et al. Gunshot wounds of the internal carotid artery at the skull base: management with vein bypass grafts and a review of the literature. J Trauma. Jan 1997;42(1):123-32. [Medline].
Sclafani SJ, Scalea TM, Wetzel W, et al. Internal carotid artery gunshot wounds. J Trauma. May 1996;40(5):751-7. [Medline].
Tisherman SA, Bokhari F, Collier B, Cumming J, Ebert J, Holevar M, et al. Clinical practice guideline: penetrating zone II neck trauma. J Trauma. May 2008;64(5):1392-405. [Medline].
Further Reading
Related eMedicine Topics
- Neck Trauma [in the Emergency Medicine section]
- Penetrating Injuries of the Neck [in the Otolaryngology and Facial Plastic Surgery section]
- Clinical practice guidelines: penetrating neck trauma. Eastern Association for the Surgery of Trauma - Professional Association. 2008. 52 pages. NGC:006544
- Early acute management in adults with spinal cord injury: a clinical practice guideline for health-care professionals. Consortium for Spinal Cord Medicine - Private Nonprofit Organization; Paralyzed Veterans of America - Private Nonprofit Organization. 2008 May. 77 pages. NGC:007157
- Guidelines for field triage of injured patients. Recommendations of the National Expert Panel on Field Triage. Centers for Disease Control and Prevention - Federal Government Agency [U.S.]. 2009 Jan 23. 35 pages. NGC:007135
Keywords
penetrating neck trauma, penetrating neck injury, neck trauma, traumatic neck injury, neck injury, blunt neck trauma, blunt neck injury, penetrating neck wounds, gunshot wounds, stab wounds, puncture wounds, impalement injuries








Multimedia: Penetrating Neck Trauma