Öz
Aim of the study is assessment of the face and neck region trauma patients whom we diagnosed and treated. Fifteen patients who were treated by Ankara Atatürk Training and Research Hospital between 2005-2006 years were included in this study. Diagnostic and therapeutic approaches were evaluated. Four of the patients were knife injury, 3 were gun shot injury, 5 were industrial accident, 2 were traffic accident, and one was home accident. Eight of the patient’s injuries were face injury and the rest 7 were neck injury. Six of the patients were operated under general anesthesia and 7 patients were under local anesthesia. Two patients were treated conservatively. Tricky clinic of the face and head neck penetrating traumas should not be forgotten. Sometimes urgent neck exploration can be life saving at especially penetrating neck region traumas.
Anahtar Kelimeler
Kaynakça
- 1. Byron V. Bailey: Head and Neck Surgery-Ot-laryngology 2nd Ed. Philedelphia: Lippincott. Ravel 1998 p. 1032-42.
- 2. Fox CJ, Gillespie DL, Weber MA, Cox MW, Hawksworth JS, Cryer CM, Rich NM, O’Donnell SD. Delayed evaluation of combat-related penetrating neck trauma J Vase Surg 2006;44:86-93.
- 3. Cooper A, Barlow B, Niemirska M, Gandhi R: Fifteen years experience with penetrating trauma to head and neck in children: J Pediatr Surg. 1987 ;22:24-7
- 4. Martin WS, Gussack GS: Pediatric penetrating head and neck trauma Laryngoscope. 1990;100:1288-9.
- 5. Gussack GS, Jurkovich GJ: Penetrating facial trauma a management plan South Med J. 1988;81:297-302.
- 6. Stockmann P, Vairaktaris E, Fener M, Tudor C, Neukam FW, Nkenke E. Conventional radiographs: are they stil the standart in localization of projectiles? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 ; 104:e71-5.
- 7. Nason RW, Assuras GN, Gray PR, Lipschitz J, Burns CM. Penetrating neck injuries: Analysis of experience from a Canadian trauma center: Can J Surg 2001 ;44: 122-6.
- 8. Woo K, Magner DP, Wilson MT, Margulies DR. CT angiography in penetrating neck trauma reduces the need for operative neck exploration. Am Surg 2005 ;71:754-8.
- 9. Bell RB, Osborn T, Dierks EJ, Potter BE, Long WB. Management of penetrating neck injuries: a new paradigm for civilian trauma. J Oral Maxillofac Surg 2007; 65:691-705.
- 10. Chen AY, Stewart MG, Raup G Penetrating Injuries of the Face: Otolaryngol Head Neck Surg. 1996; 155:464-70.
- 11. Agrillo A, Sassano P, Mustazza MC, Filliaci F. Complex-type penetrating injuries of cran-iomaxillofacial region. J Craniofac Surg. 2006;17:442-6.
Öz
Bu çalışmada Kliniğimizde tanı ve tedavisini yaptığımız yüz ve baş-boyun bölgesi penetran travmalarını değerlendirmek amaçlandı. 2005-2006 yılları arasında (toplam iki yıl) Ankara Atatürk Eğitim Araştırma Hastanesi Kulak Burun Boğaz kliniğinde tedavisi yapılan 15 hasta çalışmaya alındı. Tanı için yapılan incelemeler ve tedavi yaklaşımımız değerlendirildi. Hastaların 4 u bıçak, 3 u ateşli silah, 5’i iş kazası, 2’si trafik kazası ve Ti ev kazası nedenli penetran yaralanmalardır. Vakaların 8’i yüz, geriye kalan 7’si ise boyun yaralanmasıydı. Altı vakaya genel, yedi vakaya lokal anestezi altında müdahale edildi. iki vaka ise konservatif yollarla tedavi edildi. Yüz ve baş-boyun penetran yaralanmalarının aldatıcı kliniği hiçbir zaman unutulmamalıdır. Özellikle boyun bölgesi penetran yaralanmalarda bazen hastanın direkt boyun eksplorasyonuna alınması hayat kurtarıcı olabilir.
Anahtar Kelimeler
Kaynakça
- 1. Byron V. Bailey: Head and Neck Surgery-Ot-laryngology 2nd Ed. Philedelphia: Lippincott. Ravel 1998 p. 1032-42.
- 2. Fox CJ, Gillespie DL, Weber MA, Cox MW, Hawksworth JS, Cryer CM, Rich NM, O’Donnell SD. Delayed evaluation of combat-related penetrating neck trauma J Vase Surg 2006;44:86-93.
- 3. Cooper A, Barlow B, Niemirska M, Gandhi R: Fifteen years experience with penetrating trauma to head and neck in children: J Pediatr Surg. 1987 ;22:24-7
- 4. Martin WS, Gussack GS: Pediatric penetrating head and neck trauma Laryngoscope. 1990;100:1288-9.
- 5. Gussack GS, Jurkovich GJ: Penetrating facial trauma a management plan South Med J. 1988;81:297-302.
- 6. Stockmann P, Vairaktaris E, Fener M, Tudor C, Neukam FW, Nkenke E. Conventional radiographs: are they stil the standart in localization of projectiles? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 ; 104:e71-5.
- 7. Nason RW, Assuras GN, Gray PR, Lipschitz J, Burns CM. Penetrating neck injuries: Analysis of experience from a Canadian trauma center: Can J Surg 2001 ;44: 122-6.
- 8. Woo K, Magner DP, Wilson MT, Margulies DR. CT angiography in penetrating neck trauma reduces the need for operative neck exploration. Am Surg 2005 ;71:754-8.
- 9. Bell RB, Osborn T, Dierks EJ, Potter BE, Long WB. Management of penetrating neck injuries: a new paradigm for civilian trauma. J Oral Maxillofac Surg 2007; 65:691-705.
- 10. Chen AY, Stewart MG, Raup G Penetrating Injuries of the Face: Otolaryngol Head Neck Surg. 1996; 155:464-70.
- 11. Agrillo A, Sassano P, Mustazza MC, Filliaci F. Complex-type penetrating injuries of cran-iomaxillofacial region. J Craniofac Surg. 2006;17:442-6.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Kulak Burun Boğaz, Radyoloji ve Organ Görüntüleme |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 23 Mart 2008 |
| Yayımlandığı Sayı | Yıl 2008 Cilt: 2 Sayı: 1 |
