Abstract
Objective: To compare intraoperative findings and/or angiography with color-flow duplex scan. Design: This prospective double-blind study was performed on all stable patients with zone 1, 2, or 3 penetrating neck trauma. Results of angiographic or intraoperative findings were compared with the results of duplex ultrasonographic scans. Main Outcome Measures: Fifty- five patients were studied over a 2-year period in which the distribution of injuries included 23 stab wounds (42%), 30 gunshot wounds (54%), and 2 motor vehicular lacerations (4%). There were 42 patients (76%) with normal ultrasonographic results and 13 patients (24%) with abnormal ultrasonographic results. The true-negative rate was 100%; however, there were 2 false positives resulting in 100% sensitivity and 85% specificity. Conclusions: Duplex ultrasonography provides an excellent diagnostic modality with cost- saving, patient-friendly characteristics and a low rate of morbidity. It should be instituted as the primary diagnostic procedure of choice for penetrating neck trauma.
| Original language | English |
|---|---|
| Pages (from-to) | 691-693 |
| Number of pages | 3 |
| Journal | Archives of Surgery |
| Volume | 131 |
| Issue number | 7 |
| State | Published - Aug 2 1996 |
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ASJC Scopus subject areas
- Surgery
Cite this
The use of duplex ultrasonography in penetrating neck trauma. / Ginzburg, Enrique; Montalvo, Berta; LeBlang, Susan; Nunez, Diego; Martin, Larry.
In: Archives of Surgery, Vol. 131, No. 7, 02.08.1996, p. 691-693.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The use of duplex ultrasonography in penetrating neck trauma
AU - Ginzburg, Enrique
AU - Montalvo, Berta
AU - LeBlang, Susan
AU - Nunez, Diego
AU - Martin, Larry
PY - 1996/8/2
Y1 - 1996/8/2
N2 - Objective: To compare intraoperative findings and/or angiography with color-flow duplex scan. Design: This prospective double-blind study was performed on all stable patients with zone 1, 2, or 3 penetrating neck trauma. Results of angiographic or intraoperative findings were compared with the results of duplex ultrasonographic scans. Main Outcome Measures: Fifty- five patients were studied over a 2-year period in which the distribution of injuries included 23 stab wounds (42%), 30 gunshot wounds (54%), and 2 motor vehicular lacerations (4%). There were 42 patients (76%) with normal ultrasonographic results and 13 patients (24%) with abnormal ultrasonographic results. The true-negative rate was 100%; however, there were 2 false positives resulting in 100% sensitivity and 85% specificity. Conclusions: Duplex ultrasonography provides an excellent diagnostic modality with cost- saving, patient-friendly characteristics and a low rate of morbidity. It should be instituted as the primary diagnostic procedure of choice for penetrating neck trauma.
AB - Objective: To compare intraoperative findings and/or angiography with color-flow duplex scan. Design: This prospective double-blind study was performed on all stable patients with zone 1, 2, or 3 penetrating neck trauma. Results of angiographic or intraoperative findings were compared with the results of duplex ultrasonographic scans. Main Outcome Measures: Fifty- five patients were studied over a 2-year period in which the distribution of injuries included 23 stab wounds (42%), 30 gunshot wounds (54%), and 2 motor vehicular lacerations (4%). There were 42 patients (76%) with normal ultrasonographic results and 13 patients (24%) with abnormal ultrasonographic results. The true-negative rate was 100%; however, there were 2 false positives resulting in 100% sensitivity and 85% specificity. Conclusions: Duplex ultrasonography provides an excellent diagnostic modality with cost- saving, patient-friendly characteristics and a low rate of morbidity. It should be instituted as the primary diagnostic procedure of choice for penetrating neck trauma.
UR - http://www.scopus.com/inward/record.url?scp=0029982854&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029982854&partnerID=8YFLogxK
M3 - Article
C2 - 8678764
AN - SCOPUS:0029982854
VL - 131
SP - 691
EP - 693
JO - JAMA Surgery
JF - JAMA Surgery
SN - 2168-6254
IS - 7
ER -