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  • Title: A unique case of penetrating neck and cervical spine trauma resulting in vertebral artery transection and internal carotid artery laceration.
    Author: Marston AP, Montenegro MM, Oldenburg MS, Thom JT, Driscoll CL.
    Journal: Am J Otolaryngol; 2016; 37(3):199-201. PubMed ID: 27178507.
    Abstract:
    OBJECTIVES: Describe the presentation and treatment of a patient who suffered a penetrating cervical trauma resulting in occlusion of the vertebral and internal carotid arteries. METHODS: The electronic medical record was used to collect information pertaining to the patient's clinical history. RESULTS: A 20-year-old male suffered a unique penetrating neck injury resulting in simultaneous injuries to the internal carotid and vertebral arteries as demonstrated by pre-operative angiography. Combined endovascular and open surgical approaches were utilized to successfully manage the vascular injuries prior to foreign body extraction. CONCLUSION: Complex penetrating cervical trauma is best managed with a multidisciplinary and multimodality approach. In appropriately selected patients, pre-operative angiography is a critical diagnostic modality that can prevent life-threatening hemorrhage following foreign body extraction.
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