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The use of digital subtraction angiography in penetrating neck injury–a very instructive case

Published online by Cambridge University Press:  29 June 2007

M. B. Pringle  and
M. J. Charig
M. B. Pringle*
Affiliation:
Department of Otolaryngology, Wexham Park Hospital, Slough, Berkshire SL2 4HL.
M. J. Charig
Affiliation:
Department of Radiology, Wexham Park Hospital, Slough, Berkshire SL2 4HL.
*
M. B. Pringle, F.R.C.S., 40 Park Hill Court, Beeches Road, Tooting SW17 7LX.
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Abstract

This case report illustrates the value of intravenous digital subtraction angiography (DSA) in cases of penetrating neck injury. The debate continues between a policy of mandatory exploration of all penetrating neck wounds versus one of selective exploration with observation of the remainder. The argument for the former policy is that vascular trauma can occur without clinical signs. Whichever policy is followed a DSA provides invaluable information in strengthening the decision either not to operate or if operating which operation to perform and which approach to use. DSA is a quick, simple and safe investigation that can be carried out at any time of day or night.

Keywords

NeckWounds and injuriesRadiology
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 6 , June 1994 , pp. 522 - 524
Copyright
Copyright © JLO (1984) Limited 1994

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