Multidisciplinary Therapeutic Management in Complex Cervical Trauma

Author:

Severin Florentina1ORCID,Rosu Andrei-Mihail1,Tiglis Mirela2ORCID,Checherita Laura-Elisabeta1ORCID,Stegaru Gina1,Cobzeanu Mihail Dan1,Hainarosie Razvan3,Cobzeanu Bogdan Mihail1,Palade Octavian Dragos1ORCID

Affiliation:

1. Surgery Department, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania

2. Department of Anesthesia and Intensive Care, Emergency Clinical Hospital of Bucharest, 014461 Bucharest, Romania

3. Surgery Department, University of Medicine and Pharmacy “Carol Davila”, 37 Dionisie Lupu Str., 020021 Bucharest, Romania

Abstract

Background and Objectives: In the current literature, mandatory surgical exploration is a controversial topic, with some advocating for it and others against it, proposing a selective conservative management. This multidisciplinary therapeutic approach is based on clinical examination and serial paraclinical explorations associated with supportive drug treatment. Materials and Methods: The study group consisted of 103 patients with complex cervical trauma pathology produced by various mechanisms such as car or domestic accidents, aggression, ballistic trauma, self-inflicted attempts, hanging or strangulation hospitalized in the Ear, Nose and Throat (E.N.T.) Clinic, at “St. Spiridon” Iași Hospital, between 2012 and 2016. Results: The universal clinical indication for urgent surgical exploration of the patient with complex cervical trauma is the presence of the following symptoms: unstable vital signs, significant pulsatile bleeding, hematoma with a substantial increase in size, shock, airway obstruction, open airway wound, hematemesis, or hemoptysis. In this context, we considered it worthwhile to research the management of complex cervical trauma in a reference university medical center, alongside the analysis of the patient’s characteristics under different aspects (demographic, pathological aspects, therapeutic). Conclusions: Complex cervical trauma has a variety of clinical aspects, with a variable evolution, which involves multidisciplinary therapeutic management. The increasing trauma rate is one of the main public health problems, requiring epidemiological studies, and the implementation of control strategies.

Publisher

MDPI AG

Subject

General Medicine

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