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[Penetrating injuries in the face and neck region. Diagnosis and treatment]
- Source :
- HNO. 59(8)
- Publication Year :
- 2011
-
Abstract
- Penetrating head and neck injuries often present with vascular lesions and airway compromise and may be life-threatening. Thus controlling bleeding and airway stabilisation take priority in emergency treatment. High-velocity projectiles, fragmentations from improvised explosive devices (IEDs) and shrapnel can cause severe tissue injury, representing a challenge for the head and neck surgeon. Since several organ structures, such as the eyes, midface, pharynx, larynx, trachea, esophagus, nerves, vessels and vertebral spine can be injured at the same time, patients should be referred to a specialized trauma center for interdisciplinary treatment following emergency treatment. High-speed ballistic injuries were once confined to the battle field and have been uncommon in Europe since World War II. For this reason, experience among civilian head and neck surgeons is at present limited. With the increased incidence of terrorism and the use of IEDs as the preferred weapon in terrorism it has become important for civilian head and neck surgeons to understand the role of ballistic injuries in mass casualty events. The present paper discusses current viewpoints in the diagnosis and treatment of penetrating head and neck injuries.
- Subjects :
- Emergency Medical Services
Soft Tissue Injuries
Jaw Fractures
Resuscitation
Hemorrhage
Plastic Surgery Procedures
Prognosis
Neck Injuries
Imaging, Three-Dimensional
Blast Injuries
Image Processing, Computer-Assisted
Craniocerebral Trauma
First Aid
Humans
Interdisciplinary Communication
Wounds, Gunshot
Cooperative Behavior
Tomography, X-Ray Computed
Facial Injuries
Subjects
Details
- Language :
- German
- ISSN :
- 14330458
- Volume :
- 59
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- HNO
- Accession number :
- edsair.pmid..........723f4cadde0c2672722ad2eab437bddc