An Interesting Case of Penetrating Injury Neck and Face

  • Thalagavara Sadasivappa Venkatachalapath Mail Department of General Surgery, Indira Gandhi Govt, General Hospital and PGI, Puducherry, India.
Coconut leaf stem, Neck hematoma, Penetrating injury


Penetrating neck trauma is an important area of trauma care that has undergone evolution in the recent past. A remarkable number of changes have occurred in the treatment paradigm as new technologies have developed and as surgeons have explored the outcomes from different treatment protocols. Therapy has evolved from no treatment (before effective anesthesia and instrumentation), to non operative management, to routine exploration, to selective exploration and adjunctive invasive or noninvasive assessment. Penetrating neck injuries remain challenging, as there are a number of important structures in a small area and injury to any of these structures may not be readily apparent.


Sarkar D, Demma A, Stulz D. Expect the unexpected: two cases of penetrating head and neck trauma from operation iraqi freedom. Ear Nose Throat 2009;88(9):E19-21.

Ramasamy A, Midwinter M, Mahoney P. Learning the lessons from conflict:pre hospital cervical stabilization following ballistic neck trauma. Injury 2009.

Carter LM, Wales CJ, Varley I, Telfer MR. Penetrating facial injury from angle grinder use: management and prevention. Head Face Medicine 2008;4:1.

Mazolewski PJ, Curry JD, Browder T, Fildes J. CT scan can be used for surgical decision making in Zone 2 penetrating neck injury. The Journal of Trauma 2001;51(2);315-9.

Sekharan J, Dennis JW, Veldenz HC, Miranda F, Frykberg ER. Sekharan J, Dennis JW, Veldenz HC, Miranda F, Frykberg ER. Continued experience with physical examination alone for evaluation and management of penetrating zone 2 neck injury. J of Vascular Surgery 2000;32,483-9.

Biffl WL, Moore EE, Rehse DH, Offner PJ, Franciose RJ, Burch JM. Selective management of penetrating neck trauma based on level of cervical injury. Am J Surgery 1997;174(6),678-82.

How to Cite
Venkatachalapath TS. An Interesting Case of Penetrating Injury Neck and Face. Acta Med Iran. 51(3):199-200.