Ajiya Abdulrazak, Shuaibu Iliyasu Yunusa, Anka Hamza Manir
Department of Otorhinolaryngology, Faculty of Clinical Sciences, College of Health Sciences, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Kano State, Nigeria.
Department of Surgery, Division of Otorhinolaryngology, Faculty of Clinical Sciences, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Niger J Surg. 2021 Jan-Jun;27(1):48-54. doi: 10.4103/njs.NJS_63_20. Epub 2021 Mar 9.
Penetrating neck injury is a major trauma mechanism present in about 5%-10% of trauma patients with an estimated mortality of 3%-10%. The management of these injuries is dependent on the anatomical level of injury.
The objective of the study was to document the clinical and operative findings as well as the treatment outcome among our patients who underwent neck exploration for penetrating neck injuries.
A retrospective review of patients who had neck exploration for penetrating neck injury between January 2012 and December 2018 was done.
Thirty-five patients all of whom had surgical neck exploration were included. The age ranged from 15 to 62 years with a male: female of 7.8:1. The mean age was 30.7 years with standard deviation of ± 12.5 years and the peak age of occurrence of 20-29 years. The mechanism of injury was commonly arrow injury in 9 (25.7%) and suicidal cutthroat in 7 (20%) patients. Thirty-two (91.4%) patients presented with stable vital signs. Zone II neck injuries were most prevalent, seen in 23 (65.7%) patients. Laryngeal injury in 7 (20%) and soft-tissue injury in 7 (20%) of the patients were the most common intraoperative findings. The complication rate of 17.1% with a mortality rate of 2.9% was recorded. There was a statistically significant association between the presence of vascular injury and the development of complications after exploration (Chi-square = 5.666, = 0.017). It was also a significant positive predictor of complication following neck exploration (odds ratio = 0.017, = 0.048).
Male young adults were most involved, commonly from arrow and stab injuries. Although laryngeal and soft-tissue injuries were predominant, vascular injuries were most associated with postoperative complications.
穿透性颈部损伤是一种主要的创伤机制，约占创伤患者的5%-10%，估计死亡率为3%-10%。这些损伤的处理取决于损伤的解剖部位。
本研究的目的是记录因穿透性颈部损伤接受颈部探查的患者的临床和手术发现以及治疗结果。
对2012年1月至2018年12月期间因穿透性颈部损伤接受颈部探查的患者进行回顾性研究。
纳入35例均接受颈部手术探查的患者。年龄范围为15至62岁，男女比例为7.8:1。平均年龄为30.7岁，标准差为±12.5岁，发病高峰年龄为20-29岁。损伤机制常见于9例（25.7%）箭伤和7例（20%）自杀割喉伤。32例（91.4%）患者生命体征稳定。II区颈部损伤最为常见，见于23例（65.7%）患者。术中最常见的发现是7例（20%）患者有喉部损伤和7例（20%）患者有软组织损伤。记录的并发症发生率为17.1%，死亡率为2.9%。探查后血管损伤的存在与并发症的发生之间存在统计学显著关联（卡方=5.666，P=0.017）。它也是颈部探查后并发症的显著阳性预测指标（比值比=0.017，P=0.048）。
男性青年最常受累，常见于箭伤和刺伤。虽然喉部和软组织损伤最为常见，但血管损伤与术后并发症最相关。
