J Trauma Inj.
2022 Sep;35(3):168-172. 10.20408/jti.2021.0056.
Outcomes of open neck injuries
- Affiliations
-
- 1Department of Thoracic and Cardiovascular Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea
- KMID: 2540355
- DOI: http://doi.org/10.20408/jti.2021.0056
Abstract
- Purpose
The neck is a particularly critical region for penetrating injuries due to the close proximity of the trachea, esophagus, blood vessels, and the spinal cord. An open neck injury has the potential for serious morbidity and mortality. The purpose of this study is to evaluate the assessment and management of open neck injuries.
Methods
In this retrospective study, open neck injury patients who were admitted to NAME University Hospital Trauma Center between December 2015 and December 2017 were analyzed for epidemiology, the mechanism of trauma, the injured organ, complications, and mortality.
Results
Thirty-two patients presented with open neck injuries. All patients underwent computed tomographic angiography to evaluate their injuries once their vital signs stabilized. Among these patients, 27 required surgical treatment. The most commonly injured organ was the airway. There were five deaths, and the main cause of death was bleeding. Mortality was associated with the initial systolic blood pressure at the hospital and Glasgow Coma Scale.
Conclusions
Mortality from open neck injuries was associated with initial systolic blood pressure at the hospital and Glasgow Coma Scale.
