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5 - The 12th international scientific conference of Al-Nahrain University
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Penetrating neck injuries (PNI) pose significant clinical challenges due to the involvement of vital structures. Timely management is crucial for favorable outcomes.

The aim of this study was to investigate the occurrence, etiological factors, intervention, and outcomes of PNI in patients treated at a tertiary center in Iraq.

A retrospective and prospective study spanning three years was conducted at Al-Immamian Al-Kadhimain Hospital. Data were collected from hospital records, and patient demographics, injury details, treatment approaches, and outcomes were analyzed.

The study included 50 patients, predominantly male (86%), with a mean age of 42.5 years, in whom gunshot wounds were the leading cause of injury (44%), followed by shrapnel. The mortality rate was 8%. While survivors had a mean hospital stay of 8 days, the stay of deceased patients was significantly shorter at 2 days. Soft tissue injuries were universal, with arterial injuries being more common in deceased patients. The common carotid artery was the most commonly injured vessel among the deceased, and ligation was the predominant surgical intervention in this group. Postoperative complications, including wound infections and neurological deficits, were notable among survivors. The associated injuries to critical anatomical regions such as the head, face, and abdomen highlighted the severity and complexity of the trauma experienced.

In summary, penetrating neck injuries demand prompt and comprehensive management to mitigate potential complications. By integrating evidence-based diagnostic and therapeutic strategies, clinicians can improve outcomes and reduce morbidity and mortality associated with these injuries. The findings of this study highlight the importance of individualized care and the need for further research to enhance the understanding and treatment of penetrating neck injuries.

© 2024 Hammadi, Fayadh, Al-Anbari, licensee HBKU Press.
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2024-11-07
2025-01-10
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/content/journals/10.5339/jemtac.2024.iscncm.4
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Exploring penetrating neck trauma zones I–III at a tertiary center: Analysis of a cohort of 50 cases
Journal of Emergency Medicine, Trauma and Acute Care 2024, 4 (2024); https://doi.org/10.5339/jemtac.2024.iscncm.4
/content/journals/10.5339/jemtac.2024.iscncm.4
/content/journals/10.5339/jemtac.2024.iscncm.4
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Keyword(s): airway, neck zones, penetrating neck injuries, tracheostomy and vascular trauma

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