Penetrating neck trauma in children

An urban hospital's experience

Michael K. Kim, Robert Buckman, Wasyl Szeremeta

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

OBJECTIVE: As the incidence of violent crime increases in our society, the rate of penetrating head and neck trauma in children also rises. The methods of management of pediatric penetrating neck wounds are addressed. METHODS: All clinical records of children younger than 18 years admitted with penetrating neck injuries between 1990 and 1997 were reviewed. The injuries were classified according to type and location of the neck wound. Demographic data, clinical presentation, diagnostic studies, and management techniques were evaluated. RESULTS: Thirty-five children aged 6 to 18 years old were evaluated for 31 missile wounds and 4 stab wounds. There were 30 boys and 5 girls. Fourteen percent of injuries were in zone 1, 60% in zone II, and 26% in zone III. Of the 33% of children with zone II penetrating neck traumas who underwent selective neck explorations, 86% had significant intraoperative findings. The mortality rates for zones I, II, and III were 60%, 29%, and 56%, respectively. The overall mortality rate was 40%. CONCLUSIONS: Penetrating neck trauma in children may lead to potentially life-threatening injuries. Selective management of penetrating head and neck injuries in children can be a safe and effective policy in an experienced trauma center.

Original languageEnglish (US)
Pages (from-to)439-443
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume123
Issue number4
StatePublished - 2000
Externally publishedYes

Fingerprint

Urban Hospitals
Neck
Wounds and Injuries
Penetrating Head Injuries
Neck Injuries
Penetrating Wounds
Stab Wounds
Mortality
Trauma Centers
Crime
Demography
Pediatrics
Incidence

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Penetrating neck trauma in children : An urban hospital's experience. / Kim, Michael K.; Buckman, Robert; Szeremeta, Wasyl.

In: Otolaryngology - Head and Neck Surgery, Vol. 123, No. 4, 2000, p. 439-443.

Research output: Contribution to journalArticle

@article{845a7dbf7cf048828c33da6a06dc9490,
title = "Penetrating neck trauma in children: An urban hospital's experience",
abstract = "OBJECTIVE: As the incidence of violent crime increases in our society, the rate of penetrating head and neck trauma in children also rises. The methods of management of pediatric penetrating neck wounds are addressed. METHODS: All clinical records of children younger than 18 years admitted with penetrating neck injuries between 1990 and 1997 were reviewed. The injuries were classified according to type and location of the neck wound. Demographic data, clinical presentation, diagnostic studies, and management techniques were evaluated. RESULTS: Thirty-five children aged 6 to 18 years old were evaluated for 31 missile wounds and 4 stab wounds. There were 30 boys and 5 girls. Fourteen percent of injuries were in zone 1, 60{\%} in zone II, and 26{\%} in zone III. Of the 33{\%} of children with zone II penetrating neck traumas who underwent selective neck explorations, 86{\%} had significant intraoperative findings. The mortality rates for zones I, II, and III were 60{\%}, 29{\%}, and 56{\%}, respectively. The overall mortality rate was 40{\%}. CONCLUSIONS: Penetrating neck trauma in children may lead to potentially life-threatening injuries. Selective management of penetrating head and neck injuries in children can be a safe and effective policy in an experienced trauma center.",
author = "Kim, {Michael K.} and Robert Buckman and Wasyl Szeremeta",
year = "2000",
language = "English (US)",
volume = "123",
pages = "439--443",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - Penetrating neck trauma in children

T2 - An urban hospital's experience

AU - Kim, Michael K.

AU - Buckman, Robert

AU - Szeremeta, Wasyl

PY - 2000

Y1 - 2000

N2 - OBJECTIVE: As the incidence of violent crime increases in our society, the rate of penetrating head and neck trauma in children also rises. The methods of management of pediatric penetrating neck wounds are addressed. METHODS: All clinical records of children younger than 18 years admitted with penetrating neck injuries between 1990 and 1997 were reviewed. The injuries were classified according to type and location of the neck wound. Demographic data, clinical presentation, diagnostic studies, and management techniques were evaluated. RESULTS: Thirty-five children aged 6 to 18 years old were evaluated for 31 missile wounds and 4 stab wounds. There were 30 boys and 5 girls. Fourteen percent of injuries were in zone 1, 60% in zone II, and 26% in zone III. Of the 33% of children with zone II penetrating neck traumas who underwent selective neck explorations, 86% had significant intraoperative findings. The mortality rates for zones I, II, and III were 60%, 29%, and 56%, respectively. The overall mortality rate was 40%. CONCLUSIONS: Penetrating neck trauma in children may lead to potentially life-threatening injuries. Selective management of penetrating head and neck injuries in children can be a safe and effective policy in an experienced trauma center.

AB - OBJECTIVE: As the incidence of violent crime increases in our society, the rate of penetrating head and neck trauma in children also rises. The methods of management of pediatric penetrating neck wounds are addressed. METHODS: All clinical records of children younger than 18 years admitted with penetrating neck injuries between 1990 and 1997 were reviewed. The injuries were classified according to type and location of the neck wound. Demographic data, clinical presentation, diagnostic studies, and management techniques were evaluated. RESULTS: Thirty-five children aged 6 to 18 years old were evaluated for 31 missile wounds and 4 stab wounds. There were 30 boys and 5 girls. Fourteen percent of injuries were in zone 1, 60% in zone II, and 26% in zone III. Of the 33% of children with zone II penetrating neck traumas who underwent selective neck explorations, 86% had significant intraoperative findings. The mortality rates for zones I, II, and III were 60%, 29%, and 56%, respectively. The overall mortality rate was 40%. CONCLUSIONS: Penetrating neck trauma in children may lead to potentially life-threatening injuries. Selective management of penetrating head and neck injuries in children can be a safe and effective policy in an experienced trauma center.

UR - http://www.scopus.com/inward/record.url?scp=0033776077&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033776077&partnerID=8YFLogxK

M3 - Article

VL - 123

SP - 439

EP - 443

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

SN - 0194-5998

IS - 4

ER -