Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-28T18:42:22.487Z Has data issue: false hasContentIssue false

Chapter 12 - Neck Trauma

Published online by Cambridge University Press:  23 August 2019

Alex Koyfman
Affiliation:
University of Texas Southwestern Medical Center
Brit Long
Affiliation:
San Antonio Military Medical Center
Get access

Summary

Injury to the neck can have significant consequences. Given the number of vital structures confined to a relatively small space, it is not surprising that trauma to the neck accounts for some of the highest rates of mortality in trauma patients.1 The three categories of neck trauma include blunt, penetrating, and strangulation or hanging, each with different associated injuries.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Rodriques-Luna, MR, Guarneros-Zarate, JE, Hernandez-Mendez, JR, et al. Defining Zone I of penetrating neck trauma: a surgical controversy in the light of clinical anatomy. J Trauma Acute Care Surg. 2016;80(4):670–73.Google Scholar
Shiroff, AM, Gale, SC, Martin, ND, et al. Penetrating neck trauma: a review of management strategies and discussion of the ‘no zone’ approach. Amer Surg. 2013;79(1):2329.CrossRefGoogle ScholarPubMed
Inaba, K, Branco, BC, Menaker, J, et al. Evaluation of multidetector computed tomography for penetrating neck injury: a prospective multicenter study. J Trauma. 2012;72(3):576–84.Google Scholar
Bush, L, Brookshire, R, Roche, B, et al. Evaluation of cervical spine clearance by computed tomographic scan alone in intoxicated patients with blunt trauma. JAMA Surg. 2016;151(9):807–13.CrossRefGoogle ScholarPubMed
Vanguri, P, Young, AJ, Weber, WF, et al. Computed tomographic scan: it’s not just about the fracture. J Trauma Acute Care Surg. 2014;77(4):604–7.CrossRefGoogle Scholar
Hoffman, JR, Mower, WR, Wolfson, AB, et al. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. N Engl J Med. 2000;343:9497.Google Scholar
Stiell, IG, Wells, GA, Vandemheen, KL, et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA. 2001;286:1841–48.CrossRefGoogle ScholarPubMed
Munera, F, Rivas, LA, Nunez, DB Jr, Quencer, RM. Imaging evaluation of adult spinal injuries: emphasis on multidetector CT in cervical spine trauma. Radiology. 2012;263(3):645–60.CrossRefGoogle ScholarPubMed
Holmes, JF, Akkinepalli, R. Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis. J Trauma. 2005;58(5):902–5.CrossRefGoogle ScholarPubMed
Griffen, MM, Frykberg, ER, Kerwin, AJ, et al. Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan? J Trauma. 2003;55(2):222–26.CrossRefGoogle ScholarPubMed
Mathen, R, Inaba, K, Munera, F, et al. Prospective evaluation of multislice computed tomography versus plain radiographic cervical spine clearance in trauma patients. J Trauma. 2007;62(6):1427–31.Google Scholar
Inaba, K, Byerly, S, Bush, LD, et al. Cervical spinal clearance: a prospective Western Trauma Association multi-institutional trial. J Trauma Acute Care Surg. 2016;81(6):1122–30.Google Scholar
Vanguri, P, Young, AJ, Weber, WF, et al. Computed tomographic scan: it’s not just about the fracture. J Trauma Acute Care Surg. 2014;77:604–7.CrossRefGoogle Scholar
Ben-Galim, P, Dreiangle, N, Mattox, KL, et al. Extrication collars can result in abnormal separation between vertebrae in the presence of a dissociative injury. J Trauma. 2010;69(2):447–50.Google Scholar
Prasam, ML, Conrad, B, Del Rossi, G, et al. Motion generated in the unstable cervical spine during the application and removal of cervical immobilization collars. J Trauma Acute Care Surg. 2012;72(6):1609–13.Google Scholar
Horodyski, M, DiPaola, CP, Conrad, BP, Rechtine, GR 2nd. Cervical collars are insufficient for immobilizing an unstable cervical spine injury. J Emerg Med. 2011;41(5):513–19.Google Scholar
Engsberg, JR, Standeven, JW, Shurtleff, TL, et al. Cervical spine motion during extrication. J Emerg Med. 2013;44(1):122–27.Google Scholar
Dixon, M, O’Halloren, A, Hannigan, A, et al. Confirmation of suboptimal protocols in spinal immobilization. Emerg Med J. 2015;32(12):939–45.CrossRefGoogle Scholar
Ham, WH, Schoonhoven, L, Schuurmans, MJ, Leenen, LP. Pressure ulcers, indentation marks and pain from cervical spine immobilization with extrication collars and head blocks: an observational study. Injury. 2016;47(9):1924–31.CrossRefGoogle Scholar
Ham, WH, Schoonhoven, L, Schuurmans, MJ, Leenen, LP. Pressure ulcers from spinal immobilization in trauma patients: a systematic review. J Trauma Acute Care Surg. 2014;76(4):1131–41.CrossRefGoogle ScholarPubMed
Mobbs, RJ, Stoodley, MA, Fuller, J. Effect of cervical collar on intracranial pressure after head injury. ANZ J Surg. 2002;72(6):389–91.CrossRefGoogle ScholarPubMed
Sundstrom, T, Asbjomsen, H, Habiba, S, et al. Prehospital use of cervical collars in trauma patients: a critical review. J Neurotrauma. 2014;31(6):531–40.Google Scholar
Gaither, JB, Spaite, DW, Stolz, U, et al. Prevalence of difficult airway predictors in cases of failed prehospital intubation. J Emerg Med. 2014;47(3):294300.Google Scholar
Goodein, RB, Beery, PR, Dorbish, RJ, et al. Computed tomographic angiography versus conventional angiography for the diagnosis of blunt cerebrovascular injury in trauma patients. J Trauma. 2009;67(5):1046–50.Google Scholar
Bruns, BR, Tesoriero, R, Kufera, J, et al. Blunt cerebrovascular injury screening guidelines: what are we willing to miss? J Trauma Acute Care Surg. 2014;76:691–95.CrossRefGoogle ScholarPubMed
Biffl, WL, Cothren, CC, Moore, EE, et al. Western Trauma Association critical decisions in trauma: screening for and treatment of blunt cerebrovascular injuries. J Trauma. 2009;67(6):1150–53.Google Scholar
Paulus, EM, Fabian, TC, Savage, SA, et al. Blunt cerebrovascular injury screening with 64-channel multidetector computed tomography: more slices finally cut it. J Trauma Acute Care Surg. 2014;76(2):279–85.CrossRefGoogle Scholar
Cothren, CC, Biffl, WL, Moore, EE, et al. Treatment for blunt cerebrovascular injuries: equivalence of anticoagulation and antiplatelet agent. Arch Surg. 2009;144(7):685–90.CrossRefGoogle Scholar
DiCocco, JM, Fabian, TC, Emmett, KP, et al. Optimal outcomes for patients with blunt cerebrovascular injury: tailoring treatment to the lesion. J Trauma. 2011;212:549–57.Google Scholar
Parks, NA, Croce, MA. Use of computed tomography in the emergency room to evaluate blunt cerebrovascular injury. Adv Surg. 2012;46:205–17.CrossRefGoogle ScholarPubMed
Comer, BT, Gal, TJ. Recognition and management of the spectrum of acute laryngeal trauma. J Emerg Med. 2012;43(5):e289–93.CrossRefGoogle ScholarPubMed
Schaefer, SD. The acute management of external laryngeal trauma: a 27-year experience. Arch Otolaryngol Head Neck Surg. 1992;118(6):598604.CrossRefGoogle ScholarPubMed
Schaefer, SD. Management of acute blunt and penetrating external laryngeal trauma. Laryngoscope. 2014;124(1):233–44.Google Scholar
Nikolic, S, Zivkovic, V. Cervical spine injuries in suicidal hangings without a long-drop – patterns and possible underlying mechanisms of injury: an autopsy study. Forensic Sci Med Pathol. 2014;10(2):193–97.CrossRefGoogle ScholarPubMed
McClane, GE, Strack, GB, Hawley, D: A review of 300 attempted strangulation cases part II: clinical evaluation of the surviving victim. J Emerg Med. 2001;21(3):311–15.Google Scholar
US Bureau of the Census. Statistical Abstract of the United States, 129th ed. Washington DC: US Bureau of the Census; 2010.Google Scholar
Salim, A, Martin, M, Sangthong, B, et al. Near-hanging injuries: a 10-year experience. Injury. 2006;37(5):435–39.CrossRefGoogle Scholar
Sep, D, Thies, K-C. Strangulation injuries in children. Resuscitation. 2007;74(2):386–91.CrossRefGoogle ScholarPubMed
Shields, LB, Hunsaker, DM, Hunsaker, JC 3rd. Suicide: a ten-year retrospective review of Kentucky medical examiner cases. J Forensic Sci. 2005;50(3):613–17.Google Scholar
Lewis, SR, Butler, AR, Parker, J, et al. Videolaryngoscopy versus direct laryngoscopy for adults requiring tracheal intubation. Cochrane Database Systematic Review. 2016;11:CD011136.Google ScholarPubMed
Carter, E, Smally, A, Delgado, J. Trauma intubation protocol success before and after acquisition of video laryngoscopy. Ann Emerg Med. 2013;10:S77.Google Scholar
Green-Hopkins, I, Nagler, J. Endotracheal intubation in pediatric patients using video laryngoscopy: an evidence-based review. Pediatr Emerg Med Pract. 2015;12(8):122.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×