From the Journals

Penetrating Neck Trauma Triage Shifts

CT angiography and clinical signs refine triage and management.

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A comprehensive review published in Trauma Surgery & Acute Care Open indicates a shift from the traditional zonal approach to a selective, imaging-based management of penetrating neck injuries (PNIs). These injuries account for up to 10% of trauma cases, with mortality rates reaching 10%. The study emphasizes the effectiveness of multidetector computed tomography angiography (CTA), offering high sensitivity and specificity for detecting vascular and aerodigestive injuries. It advocates for clinical assessments prioritizing hard and soft signs of injury and highlights the importance of hemorrhage control as a critical aspect of management.

Original Source(s)

Penetrating Neck Trauma Triage Shifts

  • by Kathryn Wighton

  • March 18, 2026

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