Bulletin of Emergency And Trauma

Role of Physical Examination in Decision Making for Selective Exploration in Patients with Penetrating Zone II Neck Injury

Authors

Seyed Vahid Hosseini 1
Babak Sabet 2
Abbas Rezaianzadeh 3
Leila Ghahramani 1
Seyed Hossein Hosseini 4
Alireza Safarpour 1
Salar Rahimikazerooni 1

1 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Shiraz University of Medical Sciences, Shiraz, Iran.

3 Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

4 Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract
Objective: To evaluate the role of physical examination in decision making for exploring patients with penetrating zone II neck injury.Methods: This was a cross-sectional study being performed in a level I trauma center between 2006 and 2010. The present study reviewed the records of 150 patients with penetrating neck injuries. Of 46 cases with zone II deep platysma neck injuries, 3 patients died before taking any significant medical measure.Results: Thirty of 43 patients (70%) presented with hard sings while 13 (30%) did not show these sings. All patients underwent neck exploration. Two patients (4.6%) without hard sings exhibited positive findings, whereas 29 cases (67%) with hard sings reported positive on exploration.Conclusion: Briefly, we hold the view that it seems reasonable to follow an algorithmic approach by using physical examination of the patients with zone II penetrating neck injuries. This prevents unnecessary exploration for management of such patients.

Keywords

Penetrating neck injury
Platysma, Physical examination
Exploration
Bulletin of Emergency And Trauma
Volume 1, Issue 2 - Serial Number 2
2
Spring 2013
Pages 90-92

  • Receive Date 28 June 2013
  • Accept Date 09 March 2019

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