Management of penetrating neck injuries: The controversy surrounding zone II injuries

Juan A. Asensio, C. P. Valenziano, R. E. Falcone, J. D. Grosh

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Penetrating neck injuries present a difficult challenge in management, given the unique anatomy of the neck. Controversy surrounds the approach to zone II injuries: mandatory versus selective exploration. On the basis of an extensive literature review, the authors conclude that neither approach is obviously superior. A selective approach is safe in the asymptomatic and hemodynamically stable patient, provided that accurate invasive diagnostic means are immediately available. The mandatory approach is safe, reliable, and time tested. The greatest problem appears to be the accuracy of detection of cervical esophageal injuries: Radiologic evaluation may be inaccurate, rigid esophagoscopy carries a risk of perforation, and the injury may easily be overlooked during surgical exploration.

Original languageEnglish
Pages (from-to)267-296
Number of pages30
JournalSurgical Clinics of North America
Issue number2
Publication statusPublished - 1991
Externally publishedYes


All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Management of penetrating neck injuries : The controversy surrounding zone II injuries. / Asensio, Juan A.; Valenziano, C. P.; Falcone, R. E.; Grosh, J. D.

In: Surgical Clinics of North America, Vol. 71, No. 2, 1991, p. 267-296.

Research output: Contribution to journalArticle