A retrospective study on 77 cases of injuries in the neck in the institute of ear, nose and throat during 1970-1994 has shown that the rate of disease free among patients who early hospitalized without complication was 91.6%. The rate of sequela due to the pharyngeal cartilage rupture was 8.41%. The rate of disease free, sequela and mortality among patients who lately hospitalized with complication was 54.5%, 27.3% and 18.2% respectively
Neck ; Neck Injuries

Penetrating injuries of the neck are diagnostic and therapeutic challenges to emergency physicians or surgeons. The neck is unique in that it contains a dense concentration of vital structures in a small anatomic space. Two treatment strategies have emerged over time. First, exploration of all penetrating neck injuries, and second, selective approach based in clinical and diagnostic work-up. We present a previously unreported case in the Korean literature, a zone III neck injury caused by a metal stick penetrating through the neck.
Emergencies ; Neck Injuries* ; Neck*

Penetrating neck injuries can be a fatal event and they are difficult to manage for both surgeons and anesthesiologists. So, adequate preoperative evaluation is important to improve the patients' outcomes, but this can not be done for hemodynamically unstable or uncooperative patient. Here we present our clinical experience with a patient with a penetrating neck injury and who was hemodynamically stable, but she was uncooperative and the knife was still embedded in her neck. The surgical exploration and bronchoscopic examination were successfully done under monitored anesthesia care.
Anesthesia ; Humans ; Neck ; Neck Injuries

Six patients were operated on with Robinson Technique-Lesions are the following: disruption of cervical spine: 4 disruption associated with fracture of the vertebral body:2 Association with disc herniation: 2. Results: complete or nearly complete neurological recovery: 3. No improvement: 3. - Mortality: 0. Advantages of the technique. 1. Compression fragments, disc at the anterior part of the spinal cord demonstrated by CT scanner or MRI, can be removed. 2. Immobilisation by plates and screws at the vertebral bodies is stable, enabling early rehabilitation. 3. Good reduction and stabilisation.
Neck Pain ; Neck Injuries ; Therapeutics

Penetrating neck injuries constitute 5-10% of all trauma cases. These injuries may cause life-threatening suppurative or vascular complications, but the severity and extent of damage depends upon the inflicting object and the involved structures. If significant complications are not expected, then it is best to leave the foreign body embedded and avoid surgical risks. We present a rare case of a foreign body embedded in the neck causing tinnitus and foreign body sensation.
Foreign Bodies* ; Neck Injuries ; Neck* ; Sensation* ; Tinnitus*

Adult ; Humans ; Male ; Neck Injuries

Adult ; Humans ; Male ; Neck Injuries ; complications ; Pharynx ; injuries ; Trachea ; injuries

Although talus fractures are uncommon, proper management is important because they are often associated with severe complications. Talar neck and body fractures occupy most of the talar fractures. It remains controversial whether talar neck fractures require emergent or elective treatment. Elective definitive fixation, however, may reduce risks of wound complications. Many surgeons recommend dual surgical approaches—anteromedial and anterolateral—to allow accurate visualization and anatomic reduction. Although there are various methods of fixation, the use of plates is necessary in comminuted talar fractures. Outcomes may vary and will be dependent on the degree of the initial fracture displacement. It is necessary to restore articular congruency and axial alignment for normalizing hindfoot function. Common complications include posttraumatic arthritis, avascular necrosis, malunion, and nonunion.
Arthritis ; Neck ; Necrosis ; Surgeons ; Talus* ; Wounds and Injuries

Acute Disease ; Humans ; Neck Injuries ; therapy

The mandibular contour determines the shape of the lower part of face and thus influences the appearance of head and neck. A prominent mandibular angle produce characteristic quadriangular, coarse and muscular appearance. To correct this facial contour to oval shape, the prominent angle can be contoured. the cutaneous approach has been used, but it leaves noticeble scar and has risk of facial nerve injury. Thus the intraoral approach has been used commonly. But because of restricition of operation field, the intraoral approach disadvantages of long operation time, high risk of complications. So, we have performed mandibular contouring procedure by new approach which uses reciprocating saw through stab incision under the mandibular body to correct the 9 patients of mandibular angle protrusion who visited our clinics recently. And we found that mandibular angle contouring by this new approach is easy, and makes the operation and recovery time shorter. There were no complications and cosmetic results were quite satisfactory.
Cicatrix ; Facial Nerve Injuries ; Head ; Humans ; Neck