chapter  38
Neck trauma
ByAndrew J. Nicol, Johannes J. Fagan
Pages 10

INTRODUCTION The issue dominating discussion on the management of penetrating neck trauma for the past few decades is whether penetrating neck injuries require mandatory exploration. There has been a distinctive paradigm shift from mandatory exploration towards more selective, conservative management based on clinical evaluation and specialized investigations. Introduction of diagnostic tools such as flexible endoscopy, oesophagography, high-resolution computed tomography (CT), and duplex doppler have improved non-operative evaluation of aerodigestive and vascular injuries. The realization that certain injuries may be treated non-operatively and the management of selected arterial injuries by endovascular techniques have further promoted the concept of selective exploration of the neck.