eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2014
vol. 11
 
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abstract:

Penetrating neck traumas

Mariusz Łochowski
,
Jacek Kaczmarski
,
Daniel Brzeziński
,
Bartosz Cieślik-Wolski
,
Józef Kozak

Kardiochirurgia i Torakochirurgia Polska 2014; 11 (1): 30-33
Online publish date: 2014/04/03
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Aim of the study is to present our own experiences in the treatment of people suffering from penetrating neck traumas.

Material and methods: In the years 1996-2012, 10 patients with penetrating neck traumas were treated, including 3 women and 7 men. The patients’ age ranged from 16 to 55 (the average age being 40.7 years). In 9 cases the wound was caused by cutting or stabbing, while in one case it was inflicted by a gunshot. In 8 patients it was a single cut wound, while one patient suffered from 34 stab wounds to the neck, chest and stomach. Two cut wounds resulted from a suicide attempt. The remaining injuries were the result of a crime.

Results: All patients underwent immediate surgery, which involved revision of the neck wounds in 8 cases, one longitudinal sternotomy and one left-sided thoracotomy. The indications for surgery included increased subcutaneous emphysema in 5 patients, bleeding from the wound in 3 patients, and mediastinal hematoma in 2 patients. The damage assessed intraoperatively included tracheal damage in 6 patients, damage to carotid vessels in 3 patients, larynx in 2 patients, thoracic vessels in 2 patients, oesophagus in 1 patient and thyroid gland in 1 patient. In 9 patients, the treatment yielded positive results. The patient with a gunshot wound died during the surgery due to massive bleeding from the aorta.

Conclusions: In patients with penetrating neck wounds, early and rapid diagnostics allows one to determine the indications for surgery and prevent serious fatal complications.
keywords:

penetrating neck traumas, stab wounds, gunshot wounds, revision of neck wounds, subcutaneous emphysema, mediastinal hematoma

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