Document Detail

Penetrating vascular injuries of the face and neck: clinical and angiographic correlation.
MedLine Citation:
PMID:  3490169     Owner:  NLM     Status:  MEDLINE    
A retrospective review was made of 139 clinically stable patients who had sustained penetrating trauma to the face and neck. The study was done to learn more about the indications for angiography and the impact of angiography upon patient management. Some relationship between the physical examination and the angiographic findings was found. In the presence of any one of four physical signs or symptoms (absent pulse, bruit, hematoma, or alteration of neurologic status) there was a 30% incidence of vascular injury. However, it is unlikely that a clinically significant traumatic vascular lesion will be missed if angiography is not obtained when these clinical signs and symptoms are not present. In the group of 78 patients who presented with only a wound penetrating the platysma and no other findings or symptoms, just two had vascular injuries on angiograms; one of these lesions was minor and the other did not affect the patient's management. There was a substantially higher rate (50%) of vascular injury in patients with trauma cephalad to the angle of the mandible compared with 11% of patients who had neck trauma. Gunshot wounds were associated with vascular damage more frequently than were stab wounds.
C M North; J Ahmadi; H D Segall; C S Zee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  147     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1986 Nov 
Date Detail:
Created Date:  1986-11-18     Completed Date:  1986-11-18     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  995-9     Citation Subset:  AIM; IM    
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MeSH Terms
Blood Vessels / injuries*
Facial Injuries / radiography*
Hematoma / radiography
Neck Injuries*
Retrospective Studies
Wounds, Penetrating / radiography*

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