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The management of penetrating neck injuries remains controversial, as evidence by the number of acceptable management option. Surgical exploration of all wounds penetrating the platysma muscle was suggested as a method to avoid missing asymptomatic injuries. However, a high rate of negative exploration findings plagued this approach. Attemting to reduce this rate, proximity arteriography was suggested for all patients with neck injuries and no signs of arteryal injuri. Concern for neurologic sequelae maintained support for creening angiography in these patients, although simple observation of patients with penetrating neck wounds without signs or symptoms was offered as another management option. Recently, proximity arteriography for asymptomatic penetrating wounds to the extremities has been abandoned because of the low yield of arterial injuries. This change in the use of angiography is asymptomatic patients and continued evolution of care options for patients with penetrating wounds to the neck prompted us to revaluate our management methods. We undertook a retrospective review of patients with penetrating wounds to the neck treated at Parkland Memorial Hospital, Dallas, Texas. Our goal was to define the correlation of physical examination, arteriography, and the presence of arterial injury in patients with zone 11 neck injuries.

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2004-08-02   |   1,626 visitas   |   Evalua este artículo 0 valoraciones

Vol. 16 Núm.1. Enero-Diciembre 2000 Pags. 11-13 Med Hoy 2000; 16(1)