What is a Zone 2 neck injury?

What is a Zone 2 neck injury?

Zone 2: This area has easier surgical access and poses a low risk for adverse sequelae from exploration. The decision for surgical exploration depends on the symptoms. Symptomatic penetrating zone 2 injuries should undergo neck exploration.

What are neck zones?

The neck is classically divided into three zones. Zone I: Clavicles/sternum to the cricoid cartilage. Zone II: Cricoid cartilage to the angle of the mandible. Zone III: Superior to the angle of the mandible to skull area Zones of the Neck (Rosen’s)

Do you apply pressure to a neck wound?

Direct pressure will usually suffice for bleeding neck wounds. Wounds of the neck aren’t generally packed because of the risk for airway compromise.

What is blunt neck trauma?

Neck trauma is usually divided into two categories, blunt and penetrating trauma. Blunt Trauma-may result in crushed larynx, tracheal disruption, expanding hematoma, esophageal leak. Penetrating trauma-may result in injury to major vascular structures, pharynx, larynx, trachea, esophagus.

What is a Zone 2 injury?

Zone II is the most exposed zone, and is consequently the most likely to be injured. However, Zone II injuries also have the best prognosis because there’s a larger areas of exposure, allowing for easier proximal and distal control.

How do you know if you have a neck injury?

Common neck injury symptoms

  1. Difficulty turning the neck.
  2. Headaches.
  3. Muscle spasms in neck and shoulders.
  4. Neck pain.
  5. Stiffness in the neck.
  6. Weakness in the legs, arms, hands or fingers.

When should you go to the ER for a neck injury?

When to Go to the ER for a Neck Injury You should call 911 or go to the nearest emergency room for a neck injury with these symptoms: Paralysis. Unconsciousness or unresponsiveness, even for a brief period of time. Loss of bladder or bowel control.

What kind of injuries occur in Zone 2?

Injuries mostly (~80%) occur in zone 2. ~10% of injuries involve two zones 5 . Assessment of neck injuries has been aided by the use of CT angiography. Types of injury include vascular injury, esophageal perforation, laryngeal trauma and neurological injury.

Do you need surgery for a Zone 2 neck injury?

Previously, zone 2 injuries penetrating the platysma were thought to require immediate surgical exploration. One current study suggests that thorough clinical examination can prevent unnecessary surgical exploration of zone 2 neck injuries. Clinical criteria which would indicate surgical intervention/exploration include:

What are the three zones of neck injury?

The neck has been divided into threes zones. Zone I, including the thoracic inlet, up to the level of the cricothyroid membrane, is treated as an upper thoracic injury. Zone III, above the angle of the mandible, is treated as a head injury. Zone II, between zones I and III, is the area of controversy.

What is the management of a neck injury?

The management of injuries to the neck that penetrate the platysma is dependent on the anatomic level of injury. The neck has been divided into threes zones. Zone I, including the thoracic inlet, up to the level of the cricothyroid membrane, is treated as an upper thoracic injury.