No pudimos identificar si hubiera o no una lesión en función de las características clínicas. No obtuvimos diferencias entre grupos para signos duros y signos blandos. Destacamos la importancia de no realizar exploraciones de cuello en todos los pacientes que presentan una lesión penetrante. Nuestra prevalencia de exploración quirúrgica de cuello sin lesión vascular fue ligeramente superior (49 vs. Reportamos la mortalidad de 2 pacientes (3%). El análisis estadístico mostró que solo el tiempo quirúrgico (252 ± 199,5 vs. Treinta pacientes (43%) tenían al menos un signo duro, 42 pacientes (60%) mostraron al menos un signo blando. Se revisaron un total de 70 casos de exploración de cuello, 34 pacientes (49%) no presentaron ninguna lesión. MétodosĮstudio retrospectivo, unicéntrico y descriptivo que incluyó a todos los pacientes sometidos a cirugía de exploración de cuello. El propósito de este estudio fue determinar las características epidemiológicas y clínicas del trauma penetrante de cuello. Las lesiones penetrantes de cuello representan entre el 5-10% de todas las lesiones traumáticas, estas traen consigo una alta tasa de morbimortalidad por estructuras vitales que podrían lesionarse en esta área. Imaging studies should be performed to avoid unnecessary neck explorations however, depending on the clinical scenario some surgery cannot be avoided. We were not able to identify whether or not there would be an injury based on clinical characteristics. We did not obtain differences between groups for hard signs and soft signs. We highlight the importance of not performing neck explorations in all patients who present a penetrating injury. Our prevalence of neck surgical exploration without vascular injury was slightly higher (49% vs. We report a mortality of 2 (3%) patients. 0.4 ± 0.856 p = 0.013) were statistically significant. Statistical analysis showed only surgical time (252 ± 199.5 vs. Thirty (43%) had at least one hard sign, 42 (60%) patients showed at least one soft sign.

ResultsĪ total of 70 neck exploration cases were reviewed, 34 (49%) didn’t had any injury. This was a retrospective, unicentric and descriptive study that included all patients who underwent neck exploration surgery. The aim of this study was to determine the epidemiological and clinical characteristics of penetrating neck injuries. Penetrating neck injuries represent 5–10% of all traumatic injuries, these bring with them a high rate of morbidity and mortality due to vital structures that could be injured in this area.

Hard soft signs neck trauma