Neck Trauma, Penetrating, Anterior
Basics
Description
Description
- Wound severity gauged by violation of platysma muscle
- Neck is divided into 3 zones:
- Zone I: Between clavicles and cricoid cartilage:
- Involves vessels, lungs, trachea, esophagus, thyroid
- Penetrating trauma in this zone carries highest mortality owing to injury to thoracic structures
- Zone II: Between cricoid cartilage and angle of mandible:
- Involves vessels, trachea, esophagus, C-spine, and spinal cord
- Injuries are most common in this zone due to it being most exposed region
- Zone III: Above angle of mandible to base of skull:
- Injuries are difficult to access surgically
- Zone I: Between clavicles and cricoid cartilage:
- Newer literature supports an alternate “no-zone” approach:
- External wound often does NOT correspond to the internal injury
Pediatric Considerations
Larynx is located higher in neck and receives better protection from mandible and hyoid bone
Etiology
Etiology
- Gunshot wounds
- Stab wounds
- Miscellaneous (e.g., glass shards, metal fragments, animal bites)
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Citation
Schaider, Jeffrey J., et al., editors. "Neck Trauma, Penetrating, Anterior." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307534/all/Neck_Trauma__Penetrating__Anterior.
Neck Trauma, Penetrating, Anterior. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307534/all/Neck_Trauma__Penetrating__Anterior. Accessed December 9, 2024.
Neck Trauma, Penetrating, Anterior. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307534/all/Neck_Trauma__Penetrating__Anterior
Neck Trauma, Penetrating, Anterior [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 December 09]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307534/all/Neck_Trauma__Penetrating__Anterior.
* Article titles in AMA citation format should be in sentence-case
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T1 - Neck Trauma, Penetrating, Anterior
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ED - Barkin,Adam Z,
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ED - Rosen,Peter,
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ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307534/all/Neck_Trauma__Penetrating__Anterior
PB - Lippincott Williams & Wilkins
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DB - Emergency Central
DP - Unbound Medicine
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