Penetrating Injuries to the Neck: Operation, Observation or Angiointervention

  • J. DuBose
  • D. Demetriades


Penetrating neck injuries (PNI) are notoriously difficult to evaluate and manage because of the complex anatomy and the dense concentration of numerous vital structures in a small anatomical area. The clinical evaluation can challenge the skills of the less experienced physicians and significant injuries may easily be missed. The radiological evaluation of these injuries has undergone major changes in the last fewyears and shifted from invasive diagnostic procedures to noninvasive methods, but the selection of the most appropriate investigation remains a controversial issue. New advances in interventional radiology have revolutionized the management of some complex vascular injuries. The concept of selective nonoperative management in selected patients has gained considerable acceptance. This chapter discusses these issues in detail and provides practical guidelines and algorithms for the safe evaluation and initial management of PNI.


Vascular Injury Subcutaneous Emphysema Stab Wound Significant Injury Orotracheal Intubation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • J. DuBose
    • 1
  • D. Demetriades
    • 1
  1. 1.Division of Trauma and Surgical Critical Care, Department of SurgeryUniversity of Southern CaliforniaLos AngelesUSA

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