Table 1.
Anatomical definitions of zones of penetrating neck injury and anatomical structures at risk
| Zone | Anatomical boundaries | Anatomical structures at risk |
|---|---|---|
| 3 | Superior boundary: skull base Inferior boundary: angle of the mandible |
Pharynx Carotid arteries Internal jugular veins Cranial nerves Sympathetic chain Parotid gland |
| 2 | Superior boundary: angle of the mandible Inferior boundary: cricoid cartilage |
Laryngotracheal complex Pharynx Oesophagus Carotid artery Jugular veins Vertebral arteries Spinal cord Vagus and phrenic nerves |
| 1 | Superior boundary: cricoid cartilage Inferior boundary: clavicles |
Trachea Oesophagus Carotid artery Jugular veins Thoracic duct Spinal cord Cranial nerves Vertebral arteries |