Blunt neck trauma at a level I trauma centre: six-year retrospective case note review.

Zakaria, B A and Muzaffar, J and Orr, L E and Coulson, C J and Sharma, N (2019) Blunt neck trauma at a level I trauma centre: six-year retrospective case note review. The Journal of laryngology and otology, 133. pp. 1-5. ISSN 1748-5460. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Abstract

BACKGROUND

Blunt neck trauma can cause serious morbidity and mortality rates of up to 40 per cent, but there is a paucity of literature on the topic.

METHOD

A retrospective case note review was performed for all blunt neck trauma cases managed at the Queen Elizabeth Hospital Birmingham between 1st January 2011 and 31st December 2017.

RESULTS

Seventeen cases were managed, with no mortality and limited morbidity. Most patients were male (70.6 per cent) and road traffic accidents were the most common cause of injury (41.2 per cent). The median age of patients was 40.6 years (range, 21.5-70.3 years). Multidetector computed tomography angiography of the neck was performed in 9 patients (52.9 per cent) with 'hot' reports made by on-duty radiology staff matching consultant reports in all but 1 case. Six patients underwent operative exploration yielding a negative exploration rate of 33.3 per cent. Imaging reports matched operative findings in 3 cases (60 per cent).

CONCLUSION

Blunt neck trauma is uncommon but usually presents in polytrauma. Imaging has inaccuracies when compared with operative findings, regardless of radiological experience.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WV Otorhinolaryngology. ENT medicine
Divisions: Emergency Services
Planned IP Care > Trauma and Orthopaedics
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Depositing User: Jamie Edgar
Date Deposited: 21 Oct 2019 08:11
Last Modified: 23 Oct 2019 11:52
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2504

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