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At least 235 records · Page 13Linked to original sources

Golf club shaft impalement: case report of a zone III neck injury.

Impalement occurs when a portion of the body is penetrated by a rigid object. These injuries incorporate aspects of both blunt and penetrating type injuries in that the object or the body at time of impact is traveling at relatively low velocity and the energy is dissipated over a short distance. Impalement injuries have been described for most body cavities. Evaluation of these injuries can be uniquely challenging. We present a case of impalement of the neck from an object previously unreported in the literature, a golf club shaft.

Adult↗

Gunshot wound to the mandible with secondary neck injuries.

Four consecutive patients were initially seen with witnessed, low-velocity gunshot wounds to the mandible with deflection of the bullet into the neck, causing a life-threatening situation. The mechanics of injury were similar in all four patients who were shot at close range with a moderately heavy caliber handgun and sustained comminuted fractures from the parasymphyseal area to the ascending ramus of the jaw. Severe vascular injuries were seen in three cases and lacerations of the pharynx and cervical esophagus in one. Aggressive management of these injuries is recommended, with neck exploration after endoscopy playing a major role. Management of the mandibular fracture at the time of the initial surgery is favored. However, if roentgenograms are unavailable, reduction and fixation may need to be deferred.

Adult↗

Neck injuries.

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Accidents, Traffic↗

Bilateral occlusion of the extracranial internal carotid artery secondary to closed neck injury. Case report and review of the literature.

The authors report a case of traumatic bilateral internal carotid artery occlusion following blunt neck trauma in order to point out the significance of repeated angiography at a time when CT scanning has become the primary method for cervico-cranial traumas. Here angiography yields 1. a precise diagnosis and 2. evidence of a possible spontaneous recanalisation.

Adult↗