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. 2021 Jun 21;26(2):213–222. doi: 10.1007/s10006-021-00980-w

Table 2.

Details of patients with specific injured major vessels or nerves in the face or neck

Patient Demographics Method and site of injury Operative findings Management
1 M 29 Knife into right side of face penetrating through right maxillary sinus Knife lodged into close proximity to the right internal carotid artery Hyper glide balloon placed across tip of knife using cerebral angiogram guide. Knife removed and no carotid artery abnormality, balloon removed
2 M 19 Glassed to left cheek Facial nerve sectioned (no further details) Facial nerve repair, toilet and suture and parotid duct exploration—no injury
3 (same as patient 2 Table 1) M 35 A 2-cm knife injury producing right pre-auricular region and small scalp incision Right external carotid, superficial temporal and maxillary arteries cut, right retromandibular vein cut Vessels tied off
4 M 35 Knife injury to right frontal region Damaged temporal branch CNVII Too anterior for repair. Cleaned & closed
5 (same as patient 9 Table 1) M 24 Glass injury to right temple Right superficial temporal artery cut Tied off
6 (same as patient 17 Table 1) M 29 Knife injury to left temple Left superficial temporal artery cut Tied off
7 M 24 Unknown weapon, 12- inch cut to left face Left superficial temporal artery cut Tied off
8 M 20 Glass injury to left cheek Buccal branch CNVII and parotid duct incised Both repaired
9 M 19 Broken glass injury to left cheek/upper lip Unspecified arterial bleed Tied off
10 (same as patient 10 Table 1) M 45 Knife injury, through and through left commissure Branches of facial artery and tributaries of facial vein in left commissure region cut Tied off/bipolar haemostasis
11 (same as patient 3 Table 1) M 27 Knife Left neck incision with brachial plexus injury (not noted at initial operation—repaired at second GA later) Brachial plexus primary repair during second GA
12 M 33 Unknown weapon, injury to left neck Submandibular gland excised, through and through to valleculae. Facial artery and external jugular vein damaged Facial artery and external jugular vein tied off
13 F 17 Knife injury to left neck Incision to submandibular gland, facial vein & marginal mandibular branch facial nerve cut Removal of left submandibular gland. Left marginal mandibular branch facial nerve repaired. Facial vein tied off
14 M 35 Unknown weapon, injury to right neck Great auricular nerve severed Cleaned and closed wound
15 (same as patient 18 in Table 1) M 28 Knife, 9 incisions to both sides face and left neck Left side—transected omohyoid, incision into thyroid gland Cleaned and closed
16 (same as patient 19 in Table 1) F 33 Multiple knife incisions to right neck Right internal jugular vein and facial artery cut, digastric separated Right internal jugular vein and facial artery tied off, digastric repaired
17 M 47 Knife injury to right neck Incision into lac into right submandibular gland, suprahyoid muscle, AJV cut Anterior jugular vein tied off
18 M 28 Unknown weapon injury to left neck Fifty percent anterior circumferential damage left internal jugular vein Internal jugular vein tied off
19 M 37 Unknown weapon injury to left neck External jugular vein cut External jugular vein tied off
20 (same as patient 11 in Table 1) M 38 Knife injury to left neck Through and through cut left common carotid and internal carotid Patch repair
21 (same as patient 1 in Table 1) M 48 Axe injury to right neck and right face Facial artery cut Facial artery tied off
22 M 38 Knife to left neck and house set on fire Left internal jugular vein transected Internal jugular vein tied off