PERFORATING VOUNDS OF NECK PRODUCED BY LOW VELOCITY PROJECTILES-REPORT OF TWO CASES

• Main Authors: Ivica Vuckovic, Slavoljub Surdilovic, Zoran Pesic
• Format: Article
• Language: English
• Published: University in Nis, Faculty of Medicine 2004-01-01
• Series: Acta Medica Medianae
• Subjects: neck; wounds; firearms
• Online Access: http://publisher.medfak.ni.ac.rs/2004-html/1-%20broj/Acta%2010.pdf

Neck injuries produced by projectiles with low velocity in peace conditions are usually consequence of befall one injuring or like consequence of brutal violence. Firearms injure neck region, as a body part, in 4%. With no concern of presence of numerous important anatomical structures in small space, it is possible for projectile to perforate trough neck, without causing death or injuring important anatomical structures.The aim of this work is to present performed therapeutical accesses in treatment of two cases with perforating wounds of neck by projectiles with low velocity, and to compare it with experience of other authors.The clinical picture in one case showed rear symptom of hyperestesia in deltopectoral region and half of the neck with an entrance wound.In both cases injury canal passes from one to another side of the neck, whereas vital structures were spared. In both cases exploration and drainage of wound canal were performed.Exploration of wound canal, with sufficient drainage, followed by adequate antibiotic therapy present basic therapeutically principle in treatment of this injuries, which results in reducing of infection presence, since complication of this injuries can have fatal end.The correct surgical debridement and drainage of complete wound canal, with preventive antibiotic therapy present main reasons for the absence of infection as most often complication in cases of these injuries.