Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 4 Issue 11

Penetrating Trauma in Zone II of the Neck

Carrasco Gustavo A1*, Staneff Juan2, Carrasco Díaz María L3 and Carrasco Díaz María E3

1General Surgeon, Emergency and Trauma, Emergency Services, Intensive Care Physician, Intensive Therapy Service, Hospital J.C. Perrando, Resistencia City, Chaco, Argentina
2General Surgeon, Head of the Surgery Service, Hospital A.I. de Llano, Corrientes City, Corrientes, Argentina
3School of Medicine, Northeast National University, Corrientes City, Corrientes, Argentina

*Corresponding Author: Carrasco Gustavo A, General Surgeon, Emergency and Trauma, Emergency Services, Intensive Care Physician, Intensive Therapy Service, Hospital J.C. Perrando, Resistencia City, Chaco, Argentina.

Received: October 06, 2021; Published: October 21, 2021



The neck is a narrow anatomical region with a vast number of vital structures. Depending on the injury mechanism of the trauma, it can be classified as blunt or penetrating. Zone II is the largest and central part of the neck, which affected more than two other zones in neck trauma due to more exposure. In the management of neck trauma, two aspects must be considered: the injury mechanism and the region that is affected. Penetrating neck trauma is the injury that crosses the cutaneous muscle of the neck. The patients who did not have clear signs of visceral or vascular damage (soft signs) use complementary diagnostic methods. Those who present clinical evidence of a vital organ injury (hard signs) should undergo surgery.

Keywords: Self-Injury; Roon and Christensen Neck Zones; Penetrating Neck Injury; Neck Zone II



  1. Roon AJ and Christensen N. “Evaluation and treatment of penetrating cervical injuries”. Journal of Trauma6 (1979): 391-397.
  2. Wilson RF and Diebel L. “Injuries to the neck”. In: Wilson RF, Walt AJ, Ed’s management of trauma: Pitfalls and. 2nd ed. Baltimore, MD: Williams and Wilkins (1996): 270-287.
  3. Wood J., et al. “Penetrating neck injuries: Recommendations for selective management”. Journal of Trauma 29 (1989): 602-605.
  4. Castellón C., et al. “Resultados del tratamiento de las perforaciones esofágicas no tumorales”. Cirugia Española 62 (1997): 295-299
  5. Stroud W H and Yarbrough D R. “3rd. Penetrating neck wounds”. American Journal of Surgery 140 (1980): 323-326.
  6. Sheely C H., et al. “Current concepts in the management of penetrating neck trauma”. Journal of Trauma-Injury Infection and Critical Care 15 (1975): 895-900.
  7. Ayuyao A M., et al. “Penetrating neck wounds. Mandatory versus selective exploration”. Annals of Surgery 202 (1985): 563-567.
  8. Thal E R. “Injury to the neck”. En: Feliciano D, Moore E E, Mattok K; Trauma 3º Ed, Appleton and Lange, Boston 23 (1996): 329-343.
  9. Traumatismos cervicales.
  10. “Programa avanzado vital en trauma para médicos, Comité de Trauma del Colegio Americano de Cirujanos”. Apendice 3 (2008): 329-351.
  11. Narrod J A and Moore E E. “Initial management of penetrating neck wound selective approach”. Journal of Emergency Medicine 2 (1984): 17-22.
  12. Golueke P., et al. “Routine versus selective exploration of penetrating neck injuries: A randomized prospective study”. Journal of Trauma 24 (1984): 101-104.
  13. Bagheri S., et al. “Penetrating neck injuries”. Oral and Maxillofacial Surgery Clinics of North America 20 (2008): 393-414.
  14. Tisminetzky G and Moyano S. “Lesiones Vasculares en los traumatismos de cuello”. En: San Roman E, Neira J A, Tisminetzky G, Trauma Prioridades 1º Ed, Editorial Medica Panamericana, Buenos Aires, 9-1 (2002): 201-203.
  15. Asencio J., et al. “Management of penetrating Neck injuries: the controversy surrounding zone II”. Surgical Clinics of North America 71 (1991): 267-296.
  16. Flores Nicolini F and Badra R. “Traumatismo penetrante de cuello”. En: Perera S G, Garcia H A, Cirugia de Urgencia 2º Ed, Editorial Medica Panamericana, Buenos Aires 15 (2006): 186-187.
  17. Gomez M A and Neira J. “Atención Prehospitalaria del paciente Traumatizado”. En: Gomez M A, Neira J, Atención Inicial de Pacientes Traumatizados 1º Ed, Fundación Pedro Luis Rivero, Buenos Aires 1 (1992): 57-59.
  18. Fogelman M and Stewart R. “Penetrating wounds of the neck”. American Journal of Surgery 91 (1956): 581-596.
  19. Almskog B A., et al. “Penetrating of the neck. Experience from a Swedish hospital”. Acta Chirurgica Scandinavica 151 (1985): 419-442.
  20. Noyes L D., et al. “Panendoscopy with arteriography versus mandatory exploration of penetrating wounds of the neck”. Annals of Surgery 204 (1986): 21-31.
  21. Herrera F., et al. “Management of penetrating neck injuries Zone II”. Journal of Surgical Education 64 (2007): 75-78.
  22. Jarvik J G., et al. “Penetrating neck trauma: Sensitivity of Clinical examination and cost- effectiveness of angiography”. Ajnr: American Journal of Neuroradiology 16 (1995): 647-654.
  23. Shekharan J., et al. “Continued experience with physical examination alone for evaluation and management of penetrating zone II neck injuries: Results of 145 cases”. Journal of Vascular Surgery 32 (2000): 483-489.
  24. Azuaje R E., et al. “Reliability of physical examination as a predictor of vascular injury after penetrating neck trauma”. American Surgeon 60 (2003): 804-807.
  25. Trauma cervical.
  26. Gonzalez R P., et al. “Penetrating Zone II neck injury: Does dynamic computed tomographic scan contribute to the diagnostic sensivility of physical examination for surgically significant injury? A prospective blinded study. [see comment]”. Journal of Trauma Injury Infection and Critical Care 54 (2003): 61-64; discussion 64-65.
  27. Demetriades D., et al. “Carotid artery injuries: Experience with 124 cases”. Journal of Trauma 29 (1989): 91-94.
  28. Weaver F., et al. “The role of arterial reconstruction in penetrating carotid injuries”. Archives of Surgery 123 (1988): 116-116.
  29. Bonetto E A J. “Traumatismos específicos, sistemática diagnóstica y terapéutica, Traumatismos vasculares del cuello”. En: Bonetto E A J, et al. Traumatismo Cardiovascular Manual de procedimiento 1º Ed, Editorial Universidad Católica de Córdoba, Ciudad de Córdoba 6 (2004): 90-99.
  30. Yee L., et al. “Extraluminal, Transluminal and observational treatment for vertebral artery injuries”. Journal of Trauma 39 (1995): 480-486.
  31. Shockley W and Ball S. “Laryngeal trauma”. Current Opinion in Otolaryngology and Head and Neck Surgery 8 (2000): 497-502.


Citation: Carrasco Gustavo A., et al. “Penetrating Trauma in Zone II of the Neck”. Acta Scientific Gastrointestinal Disorders 4.11 (2021): 16-21.


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