TITLE

CT angiography in penetrating neck trauma reduces the need for operative neck exploration

AUTHOR(S)
Woo, Karen; Magner, David P.; Wilson, Matthew T.; Margulies, Daniel R.
PUB. DATE
September 2005
SOURCE
American Surgeon;Sep2005, Vol. 71 Issue 9, p754
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
The evaluation of penetrating neck injury has evolved dramatically from mandatory operative exploration of Zone II injuries that penetrate the platysma to selective management based on physical examination and adjunctive studies. More recently, CT angiography has emerged as an efficient, noninvasive method of evaluating penetrating neck injury. We retrospectively reviewed our experience over 10 years with the management of penetrating neck injury. One hundred thirty cases were reviewed with 34 undergoing CT angiogram (Group CTA) and 96 with no CT angiogram (Group nCTA). Group CTA had significantly fewer neck explorations, 1 (3%) versus 32 (33%), P < 0.001. Negative explorations were significantly higher in nCTA as well, with a rate of 22 per cent versus 0 in CTA (P < 0.01). The use of angiogram and esophagram was also significantly lower in CTA versus nCTA (P = 0.02 and P = 0.04). Of the 34 patients in CTA, 4 (12%) also underwent angiography and 4 (12%) received a contrast esophagram. Of the 64 patients in nCTA who did not undergo a neck exploration, 19 (29%) underwent angiography, and 17 (26%) received a contrast esophagram. The use of CT angiogram increased over time with a concomitant decrease in the rate of neck explorations.
ACCESSION #
18385303

 

Related Articles

  • Value of Lateral Neck Radiography for Ingested Foreign Bodies Using the Likelihood Ratio. Iuan-Sheng Wu; Tzu-Lung Ho; Cheng-Chaun Chang; Hong-Shan Lee; Mu-Kuan Chen // Journal of Otolaryngology -- Head & Neck Surgery;Apr2008, Vol. 37 Issue 2, p292 

    Objective: To determine the diagnostic accuracy of lateral neck radiography and its value in related radiographic findings in the detection of foreign bodies using the likelihood ratio. Patients and Methods: This retrospective study comprised 114 patients who had neck radiography followed by...

  • Using Abbreviated Injury Scale (AIS) codes to classify Computed Tomography (CT) features in the Marshall System. Lesko, Mehdi M.; Woodford, Maralyn; White, Laura; O'Brien, Sarah J.; Childs, Charmaine; Lecky, Fiona E. // BMC Medical Research Methodology;2010, Vol. 10, p72 

    Background: The purpose of Abbreviated Injury Scale (AIS) is to code various types of Traumatic Brain Injuries (TBI) based on their anatomical location and severity. The Marshall CT Classification is used to identify those subgroups of brain injured patients at higher risk of deterioration or...

  • Diagnostic yield of elective coronary angiography. Kuritzky, Louis // Neurology Alert;May2010 Pharmacology, p10 

    The article discusses research done on the diagnostic yield of elective coronary angiography, referencing a study by M. R. Patel et al, published in a 2010 issue of "New England Journal of Medicine."

  • Synchrotron Transvenous Angiography Holds Promise in Coronary Studies.  // JAMA: Journal of the American Medical Association;3/10/89, Vol. 261 Issue 10, p1387 

    Focuses on the imaging technique called synchrotron transvenous angiography. Characteristics of the technique; Comparison with coronary angiography; Procedural risk of the method; Potential uses of the technique in coronary studies.

  • Schematic interpretation of lateral neck radiographs of adults in the emergency department: a pictorial review. Chawla, Ashish; Shenoy, Jagadish; Lim, Tze; Singh, Dinesh; Lim, Tze Chwan // Emergency Radiology;Feb2016, Vol. 23 Issue 1, p79 

    The lateral neck radiograph is widely utilized for the evaluation of common neck conditions in the emergency department. The anatomy of the neck is complex and it can be difficult to differentiate between soft tissue structures on a lateral radiograph. We suggest a schematic pattern of...

  • recurrent migraine aura triggered by coronary angiography. Hankey, Graeme J. // Practical Neurology;Oct2004, Vol. 4 Issue 5, p308 

    Discusses a case of recurrent migraine aura triggered by coronary angiography. Details of the case; Symptoms and treatment; Implications on neurology.

  • IMAGE QUALITY IN EXTENDED ARC FILTERED DIGITAL TOMOSYNTHESIS. Badea, C.; Kolitsi, Z.; Pallikarakis, N. // Acta Radiologica;Mar2001, Vol. 42 Issue 2, p244 

    Abstract Purpose: To study image quality in filtered digital tomosynthesis (FDTS) tomograms as a function of their reconstruction arc, using isocentrically acquired, fluoroscopic projection data. Material and Methods: Both digital tomosynthesis (DTS) and cone beam CT (CBCT) reconstruction...

  • Cardiac care service provision for angina is not equitable.  // Nursing Standard;6/11/2008, Vol. 22 Issue 40, p18 

    The article reports on the ineffective use of coronary angiography in the treatment of certain groups including older people and women. It mentions the research done in London which showed that sixty-nine percent of patients suitable for angiography did not receive it. An overview of the...

  • Giant Vertebral Artery Pseudoaneurysm Presenting as Neck Mass. Kasliwal, Manish K.; Sharma, Bhawani S. // Pediatric Neurosurgery;Mar2010, Vol. 45 Issue 6, p479 

    The article describes the case of a five-year old male patient who had a two-month history of a swelled neck. It states that the child's neck had swelled for two months with no indication of fever or neck trauma. Images and results of the magnetic resonance imaging (MRI) which revealed vertebral...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics