Abstract:Abstract:ObjectiveTo investigate the effective methods for the diagnosis and treatment of neck trauma.MethodsClinical data of 17 patients with neck trauma treated in our hospital from Jan 2012 to Dec 2015 were analyzed retrospectively. Of the 17 cases, 3 were injured by cattle, 2 got suicide by cutting across their own necks, 6 were slashed by sharp instruments, 5 got impact and crush injury by traffic accidents, and one was stabbed by foreign body in explosion. In term of injury type, 15 cases were open injury and 2 closed injury.ResultsOf all the 17 cases, 15 were rescued successfully and 2 died. The wounds healed in stage I in 14, and one patient got infected but the wound healed in stage Ⅲ with dressing. One patient with tracheotomy for bilateral recurrent laryngeal nerve injury got decannulated in 6 months after laryngoscopic arytenoidectomy and battlement tracheoplasty without pharyngeal fistula, tracheoesophageal fistula, laryngeal stenosis and other complications. Of two cases with obvious hoarseness, one showed left vocal cord fixation under electronic laryngoscope examination and got significant relieves in hoarseness, dysphagia and cough after six months’ followup, another case with blood stasis of left vocal cord was improved completely after three months. All the patients alive were cured without hemiplegia, aphasia, vision loss, diplopia and other permanent morbidities.ConclusionAccurate and rapid judgement of trauma severity, proper application of firstaid measures at early stage are critical to saving lives and reducing complications in neck trauma.
