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Penetrating Neck Injury

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Prospective evaluation of screening multislice helical computed tomographic angiography in the initial evaluation of penetrating neck injuries.
Inaba K, Munera F, McKenney M, Rivas L, de Moya M, Bahouth H, Cohn S.
J Trauma. 2006 Jul;61(1):144-9.

Rationale for inclusion: Prospective study describing the use of CT angiography as a single, stand-alone screening modality for penetrating neck injuries.

Citations - 94 (as of July 2017)

Penetrating esophageal injuries: multicenter study of the American Association for the Surgery of Trauma.
Asensio JA, Chahwan S, Forno W, MacKersie R, Wall M, Lake J, Minard G, Kirton O, Nagy K, Karmy-Jones R, Brundage S, Hoyt D, Winchell R, Kralovich K, Shapiro M, Falcone R, McGuire E, Ivatury R, Stoner M, Yelon J, Ledgerwood A, Luchette F, Schwab CW, Frankel H, Chang B, Coscia R, Maull K, Wang D, Hirsch E, Cue J, Schmacht D, Dunn E, Miller F, Powell M, Sherck J, Enderson B, Rue L 3rd, Warren R, Rodriquez J, West M, Weireter L, Britt LD, Dries D, Dunham CM, Malangoni M, Fallon W, Simon R, Bell R, Hanpeter D, Gambaro E, Ceballos J, Torcal J, Alo K, Ramicone E, Chan L; American Association for the Surgery of Trauma.
J Trauma. 2001 Feb;50(2):289-96.

Rationale for inclusion: Large multi-center study which correlated delay in esophageal repair with adverse outcomes.

Citations - 148 (as of July 2017)

Diagnosis of arterial injuries caused by penetrating trauma to the neck: comparison of helical CT angiography and conventional angiography.
MĂșnera F, Soto JA, Palacio D, Velez SM, Medina E.
Radiology. 2000 Aug;216(2):356-62.

Rationale for inclusion: The initial study of its kind, comparing CT angiography to conventional angiography for vascular injury detection in penetrating neck injuries.

Citations - 214 (as of July 2017)

Penetrating injuries of the neck in patients in stable condition. Physical examination, angiography, or color flow Doppler imaging.
Demetriades D, Theodorou D, Cornwell E 3rd, Weaver F, Yellin A, Velmahos G, Berne TV.
Arch Surg. 1995 Sep;130(9):971-5.

Rationale for inclusion: Prospective evaluation comparing vascular injury of the neck detection with physical examination, doppler imaging with the gold standard, arteriography.  

Citations - 119 (as of July 2017)

Mandatory vs selective exploration for penetrating neck trauma. A prospective assessment.
Meyer JP, Barrett JA, Schuler JJ, Flanigan DP.
Arch Surg. 1987 May;122(5):592-7.

Rationale for inclusion: A prospective evaluation of 113 patients who underwent areteriography/panendoscopy followed by neck exploration identified 6 major injuries that were not detected with arteriography/panendoscopy

Citations - 98 (as of July 2017)

Panendoscopy with arteriography versus mandatory exploration of penetrating wounds of the neck.
Noyes LD, McSwain NE Jr, Markowitz IP.
Ann Surg. 1986 Jul;204(1):21-31.

Rationale for inclusion: Panendoscopy with arteriography was found to be equally safe and accurate as mandatory exploration while reducing the rate of negative neck explorations.

Citations - 69 (as of July 2017)

Routine versus selective exploration of penetrating neck injuries: a randomized prospective study.
Golueke PJ, Goldstein AS, Sclafani SJ, Mitchell WG, Shaftan GW.
J Trauma. 1984 Dec;24(12):1010-4.

Rationale for inclusion: Randomized prospective study of 160 patients with penetrating neck injuries underwent either mandatory or selective exploration based on examination or imaging.  No clear benefit was demonstrated in the mandatory exploration group.

Citations - 97 (as of July 2017)

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