[Rehabilitation problems following lateral cervical lymphadenectomy].
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Adult↗
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Results for “Neck Injuries”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
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Management of radiation-induced soft-tissue injury to the head and neck.
Although the beneficial effects of radiotherapy are related to total dose, so is toxicity. The clinical relevance of the toxicity of radiotherapy is obvious. The surgeon must recognize its importance in the various settings in which it is employed. This article outlines the management of the complications of radiotherapy in the head and neck.
Craniocerebral Trauma↗
[Case of gunshot injury of the head and neck].
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Adult↗
[Coniotomy: surgical airway management in trauma before hospitalization].
To assess the efficacy of prehospital coniotomy (cricothyrotomy), information regarding all coniotomies performed by military physicians during the last 3.5 years was analyzed. 26 were performed between October 1991 and May 1995, of which 23 were successful (88.4%). Failures were due to poor anatomic identification of the cricothyroid membrane. Most patients suffered head or neck injuries (in 61.5% and 19%, respectively). The main indications were anatomical distortion of the pharynx and larynx and failure to intubate. Intubation was attempted in 22 patients prior to coniotomy (multiple attempts in 17). Since coniotomy is a life-saving procedure, it should be part of the armamentarium of any physicians. Coniotomy in the field is associated with a high success rate. The procedure is recommended in trauma victims who need airway establishment and cannot be intubated or in whom intubation has failed.
Airway Obstruction↗
Symptoms of neck artery compromise: case presentations of risk estimate for treatment.
OBJECTIVE: To discuss the use of magnetic resonance angiography (MRA) imaging as a definitive means to assess vascular patency and the relative value of various vertebral artery screening maneuvers. CLINICAL FEATURES: Two female patients suffered head and neck trauma with possible vertebral artery insufficiency. Positive vertebral artery screening tests with consistent symptoms were present in both cases. One patient had a congenitally narrowed vertebral artery, whereas the second had no evidence of vascular anomaly. INTERVENTION AND OUTCOME: Conservative chiropractic management using manipulation and rehabilitation led to favorable outcome in both cases. The patient with vascular compromise received a treatment plan avoiding neck manipulation. The second case received manipulation per clinical indications from neck findings. CONCLUSION: MRA imaging may be more important to critical decision making than are the various vertebral artery screening tests in patients with positional vertigo on combined neck extension and rotation.
Adult↗
Child abuse and dentistry--what you should know.
Dentistry must become more aware of its moral, legal and ethical responsibilities in recognizing and reporting child abuse and neglect. All dental professionals must be aware of the seriousness of the problems of child maltreatment, and understand that children do not just get hurt in abuse and neglect, they often die as a direct result of their maltreatment. It has been said that victims of child abuse and neglect fall into only two categories--those who lived through it and those who did not.
Attitude of Health Personnel↗
Eagle's syndrome: a clinical report and review of the literature.
A case of elongated stylohyoid ligament complex produced neck pain and dysphagia. The ossification of the stylohyoid complex and symptoms occurred after an automobile accident and were caused by cervicopharyngeal trauma. The patient was diagnosed with Eagle's syndrome based on clinical and radiographic examination. A stylohyoidectomy was performed, which led to the complete resolution of symptoms.
Adult↗
[Neck trauma with injury of the trachea].
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Accidental Falls↗
[5 cases of neck trauma with injuries of the trachea and larynx].
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Adult↗
Helical CT of cervical spine and soft tissue injuries of the neck.
Helical CT of the neck has revolutionized the diagnostic evaluation of trauma and emergency room patients. This comprehensive examination, with high resolution and fast acquisition times, allows the radiologist to make expeditious diagnoses concerning cervical spine fractures, vascular injuries, and aero-digestive tract lesions. This allows for the more rapid triaging and treatment of various injuries resulting in improved patient priate radiographic examination for each clinical scenario.
Blood Vessels↗
[Morphologic patterns in suicidal stab injuries of the neck].
Stabs into the neck are seen very seldom in connection with suicide. If there are features typical of suicide, the medico-legal analysis of the pathomorphological findings essentially may contribute to the differentiation from homicidal injuries. On the basis of the observations already published and three own cases an attempt is made to derive criteria of self-infliction for differential diagnosis from the autopsy findings. Concomitant injuries and combination with another method of suicide have turned out to be important indications of self-infliction.
Autopsy↗
Neurological deficit and injuries involving the neck arteries.
The management of 85 patients with penetrating injuries involving the external (n = 19), internal (n = 6) and common carotid (n = 46), vertebral (n = 10) and brachiocephalic (n = 4) arteries over a 5-year period in one hospital is reviewed. Sixty-three patients had no peroperative neurological deficit; 22 presented with localizing neurological signs. Where there was no deficit, the external carotid (n = 19) and vertebral (n = 10) arteries were ligated without adverse sequelae. Arterial reconstruction was performed of the internal carotid (n = 2) which resulted in a temporary neurological deficit in 7 patients and death in 3. Among the 22 patients with a preoperative neurological deficit, arterial reconstruction was performed in 18, which involved the common carotid in 17 patients and the internal, carotid in 1 patient. There was complete neurological recovery in 11 patients and 2 patients died. Four comatose patients had cerebral revascularization performed without fatality and with complete recovery in 3 of them. CT head scanning was not routinely employed for logistic reasons but has proved of limited value. No intraluminal arterial shunts were used in this series. It would seem that arterial reconstruction is not harmful and may well be beneficial to the young patient with extracranial cerebral arterial injury associated with a neurological deficit. Shunts are probably unnecessary for routine use.
Adolescent↗
[Blunt injury to the neck caused by a seat belt. Stenosis of the internal carotid and vertebral arteries].
A 37-year-old woman sustained blunt trauma to the neck from a seat-belt in a car accident, which resulted in marked long-segment narrowing of the internal carotid artery with secondary occlusion of a main branch of the median cerebral artery as well as circumscribed circular stenosis of the right vertebral artery. Serial angiograms documented the course until there was almost complete recanalization of all affected vessels.
Adult↗
Importance of partitioning membranes of the brain and the influence of the neck in head injury modelling.
A head injury model consisting of the skull, the CSF, the brain and its partitioning membranes and the neck region is simulated by considering its near actual geometry. Three-dimensional finite-element analysis is carried out to investigate the influence of the partitioning membranes of the brain and the neck in head injury analysis through free-vibration analysis and transient analysis. In free-vibration analysis, the first five modal frequencies are calculated, and in transient analysis intracranial pressure and maximum shear stress in the brain are determined for a given occipital impact load.
Biomechanical Phenomena↗
The deadly broomstick: an unusual missile injury to the neck.
A 51-year-old man was struck by the tip of a broomstick weighing 1000 g at the left side of the neck, upon which he collapsed. Intense but delayed cardiopulmonary resuscitation restored the circulation roughly 30 minutes after the incident. Upon admittance to a nearby hospital, an extensive hypoxic cerebral damage was diagnosed. Death due to the severe cerebral damage occurred 5 hours after the incident. An autopsy demonstrated a severe subcutaneous traumatization of the left side of the neck, with a hemorrhage compressing the carotid bifurcation. A prolonged excitation due to this ongoing compression of the baroreceptors in the carotid sinus was assumed to have led to a cardiac arrest. In this case report, the authors discuss the underlying pathophysiology of this potentially lethal and rare reflexogenic incident also known as the Hering reflex and discuss possible therapeutic measures.
Autopsy↗
Unusual penetrating injury of face and neck.
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Adolescent↗
Two unusual stab injuries to the neck: homicide or self-infliction?
A 31-year-old woman was found dead by her daughter, lying in the living room which showed a large pool of blood, secondary droplets and stains from arterial blood spatter, dropping and contact. This bloody scene and two puncture wounds at the anterior aspect of the neck, one of them transecting the left common carotid artery leading to exsanguination, arose suspicion of homicide. However, the wound morphology including notches and a parallel skin incision as well as microradiography demonstrated that the two puncture wounds had been produced by glass. At the scene, a broken wine glass with two dagger-like tips had been standing on a table in front of a sofa where the woman had been sitting, and she most likely sustained the injury when she suddenly moved her head downwards, thus moving into the protruding tips. This self-inflicted accident demonstrates that inspection of the scene and synthesis of autopsy and scene findings can be crucial for a successful medico-legal reconstruction. The mechanism of producing the accidental injury is very extraordinary, in that the woman actively moved into a shattered wine glass instead of falling into an intact architectural glass surface.
Accidents, Home↗