Kose Snehal Ishwar
Department of Radiodiagnosis, Grant Government Medical College and JJ Hospital, Mumbai, India.
JJ Hospital, JJ Marg, Mathar Pakahdi road, Nagpada-Mumbai Central, Mumbai, 400008, India.
Emerg Radiol. 2025 Apr 25. doi: 10.1007/s10140-025-02345-2.
The neck is a close compartment wherein many vital structures like carotid and vertebral vessels, larynx, trachea, pharynx, oesophagus and spinal cord are packed closely. As a result penetrating neck injury with either sharp objects like knife or projectile injury can result in significant morbidity and mortality. There have been considerable changes in management strategies of penetrating neck injuries time to time with most of injuries managed conservatively in hemodynamically stable patients. CT angiography plays an important role in detecting injuries to structure which require immediate surgery/ endovascular intervention and helps to avoid unnecessary surgical exploration in stable patients. This article intends to familiarize radiologists with imaging features of injuries to various structures of neck which shouldn't be missed and highlight stepwise approach for evaluation of neck structures in penetrating injury.
颈部是一个紧密的腔隙，许多重要结构如颈动脉和椎动脉、喉、气管、咽、食管和脊髓紧密排列其中。因此，刀等锐器所致的颈部穿透伤或投射物伤可导致严重的发病率和死亡率。随着时间的推移，颈部穿透伤的治疗策略发生了相当大的变化，大多数血流动力学稳定患者的损伤采用保守治疗。CT血管造影在检测需要立即手术/血管内介入的结构损伤方面发挥着重要作用，并有助于避免对稳定患者进行不必要的手术探查。本文旨在使放射科医生熟悉颈部各种结构损伤的影像学特征，这些特征不应被遗漏，并强调穿透伤中颈部结构评估的逐步方法。
