ABSTRACT
The neck has been an area that has spawned much debate and research in trauma over the past several decades. This chapter focuses on a few of the most commonly asked questions regarding the evaluation and treatment of aerodigestive and vascular injuries in the neck. To decrease the number of negative neck explorations, more emphasis has been placed on the physical exam, new imaging technology, and close observation. As our technology has improved, so has the incidence of occult injuries, raising questions about treatment. Physical exam is adequate to rule out significant airway and vascular injuries in the case of penetrating trauma. There is no appreciable difference in outcomes when comparing endovascular stents to medical therapy, including those with grade II and III injuries. Stenting should be reserved for large pseudoaneurysms and vessel narrowing secondary to dissection.
