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  • Penetrating Neck Trauma

    The fellow should be able to:

      • Demonstrate an understanding of the special anatomical concerns associated with penetrating trauma to the neck
      • Describe the role of the classic “zones” of the neck and recognize the limitations associated with this approach
      • Identify the clinical signs/symptoms that necessitate immediate operative management in neck trauma
      • Describe the role for non-operative management of penetrating injuries to the neck
      • Describe treatment options for vascular injuries to the neck including open and endovascular techniques
      • Describe treatment options for cervical esophageal injuries
      • Describe treatment options for tracheal injuries and role of tracheostomy in these patients

      Resources

      • Topic Summary
      • AAST Education Module - Traumatic Esophageal Injury
      • AAST Education Module - Penetrating Cervical Vascular Injuries
      • AAST Education Module - The Difficult Airway
      • Meet the Mentors - Management of Esophageal Injuries
      • Meet the Mentors - Trauma Airway Management
      • Overview Article
        • Hamilton JM, Chan TG, Moore CE. Penetrating Head and Neck Trauma: A Narrative Review of Evidence-Based Evaluation and Treatment Protocols. Otolaryngol Clin North Am. 2023 Jun 21:S0030-6665(23)00084-1. doi: 10.1016/j.otc.2023.05.006. Epub ahead of print. PMID: 37353366.
      • Additional Resources
        • Piaseczny M, La J, Chaplin T, Evans C. Protect That Neck! Management of Blunt and Penetrating Neck Trauma. Emerg Med Clin North Am. 2023 Feb;41(1):35-49. doi: 10.1016/j.emc.2022.09.005. PMID: 36424043
        • Chandrananth ML, Zhang A, Voutier CR, Skandarajah A, Thomson BNJ, Shakerian R, Read DJ. 'No zone' approach to the management of stable penetrating neck injuries: a systematic review. ANZ J Surg. 2021 Jun;91(6):1083-1090. doi: 10.1111/ans.16600. Epub 2021 Jan 22. PMID: 33480177.
        • Amico F, Bendinelli C, Balogh ZJ. Penetrating neck trauma: No zone, no problem? ANZ J Surg. 2021 Jun;91(6):1051-1052. doi: 10.1111/ans.16930. PMID: 34121290.
        • Stafforini NA, Singh N. Management of Vascular Injuries in Penetrating Trauma. Surg Clin North Am. 2023 Aug;103(4):801-825. doi: 10.1016/j.suc.2023.04.018. Epub 2023 May 23. PMID: 37455038.
        • Jason L. Sperry, MD, MPH; Ernest E. Moore, MD, et al. Western Trauma Association critical decisions in trauma: penetrating neck trauma. J Trauma Acute Care Surg 2013.

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