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Abstract

Penetrating Vascular Injuries of the Face and Neck: Clinical and Angiographic Correlation

Charles M. North, Jamshid Ahmadi, Hervey D. Segall and Chi-Shing Zee
American Journal of Neuroradiology September 1986, 7 (5) 855-859;
Charles M. North
Department of Radiology, Section of Neuroradiology, University of Southern California School of Medicine, Los Angeles, CA 90033. Address reprint requests to J. Ahmadi, 1200 N. State St. , Box 2, Los Angeles, CA 90033
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Jamshid Ahmadi
Department of Radiology, Section of Neuroradiology, University of Southern California School of Medicine, Los Angeles, CA 90033. Address reprint requests to J. Ahmadi, 1200 N. State St. , Box 2, Los Angeles, CA 90033
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Hervey D. Segall
Department of Radiology, Section of Neuroradiology, University of Southern California School of Medicine, Los Angeles, CA 90033. Address reprint requests to J. Ahmadi, 1200 N. State St. , Box 2, Los Angeles, CA 90033
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Chi-Shing Zee
Department of Radiology, Section of Neuroradiology, University of Southern California School of Medicine, Los Angeles, CA 90033. Address reprint requests to J. Ahmadi, 1200 N. State St. , Box 2, Los Angeles, CA 90033
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Abstract

A retrospective review was made of 139 clinically stable patients who had sustained penetrating trauma to the face and neck. The study was done to learn more about the indications for angiography and the impact of angiography upon patient management. Some relationship between the physical examination and the angiographic findings was found. In the presence of anyone of four physical signs or symptoms (absent pulse, bruit, hematoma, or alteration of neurologic status) there was a 30% incidence of vascular injury. However, it is unlikely that a clinically significant traumatic vascular lesion will be missed if angiography is not obtained when these clinical signs and symptoms are not present. In the group of 78 patients who presented with only a wound penetrating the platysma and no other findings or symptoms, just two had vascular injuries on angiograms; one of these lesions was minor and the other did not affect the patient's management. There was a substantially higher rate (50%) of vascular injury in patients with trauma cephalad to the angle of the mandible compared with 11% of patients who had neck trauma. Gunshot wounds were associated with vascular damage more frequently than were stab wounds.

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American Journal of Neuroradiology
Vol. 7, Issue 5
1 Sep 1986
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Charles M. North, Jamshid Ahmadi, Hervey D. Segall, Chi-Shing Zee
Penetrating Vascular Injuries of the Face and Neck: Clinical and Angiographic Correlation
American Journal of Neuroradiology Sep 1986, 7 (5) 855-859;

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Penetrating Vascular Injuries of the Face and Neck: Clinical and Angiographic Correlation
Charles M. North, Jamshid Ahmadi, Hervey D. Segall, Chi-Shing Zee
American Journal of Neuroradiology Sep 1986, 7 (5) 855-859;
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