Evidence map›Paper›PMID 40166772›Full record

ReviewTrauma surgery & acute care open2025

Penetrating neck trauma: a comprehensive review.

Lindsey Loss, Reynold Henry, Anna White, Kazuhide Matsushima, Christopher Barrett, Daniel Lammers, Martin Schreiber, Kenji Inaba

Abstract readReview
In one paragraph

Review in Trauma surgery & acute care open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Cumulative soft-sign burden is associated with clinically significant injury in hemodynamically stable penetrating neck trauma.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
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  11. Limited clinical utility in the anatomical zones of the neck in selecting patients with gunshot wounds to the neck for imaging.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lindsey LossDivision of Trauma, Critical Care & Acute Care Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Reynold HenryDivision of Trauma, Critical Care & Acute Care Surgery, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0002-2662-5485
Anna WhiteDivision of Acute Care Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Kazuhide MatsushimaDivision of Acute Care Surgery, University of Southern California, Los Angeles, California, USA.ORCID 0000-0001-9625-5363
Christopher BarrettDivision of Acute Care Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Daniel LammersDivision of Trauma, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0002-9489-3633
Martin SchreiberDivision of Trauma, Critical Care & Acute Care Surgery, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0002-4430-6779
Kenji InabaDivision of Acute Care Surgery, University of Southern California, Los Angeles, California, USA.

Funding

Using Patient-Reported Outcomes, Inflammatory Profiles, and Cardiovascular Phenogroups to Expand the Definition of Heart Failure with Preserved Ejection FractionP20GM152326 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Rebekah L. Gundry · 2024 to 2026
$10.3M
Mechanisms of Complement Activation in Traumatic InjuryK08HL171936 · NHLBI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Christopher David Barrett · 2024 to 2026
$500k
NHLBI NIH HHS K08 HL171936NIGMS NIH HHS P20 GM152326
6 · The paper itself

Abstract

Although the overall incidence is low, penetrating neck trauma can result in devastating injuries. The traditional zonal approach is being increasingly abandoned in favor of selective approaches, especially as mandatory exploration can result in non-therapeutic interventions and associated complications. Additionally, the trajectory of the missile cannot be accurately assessed based on external wounds. Decision-making using the hard and soft signs of trauma and increased resolution of imaging modalities are progressively supplanting the older zonal approaches. Here we discuss the modern diagnostic approach, operative interventions, and the appropriateness of observation.

Indexed as

NeckNeck InjuriesWounds, Penetrating

Identifiers

PMID40166772
PMCPMC11956299

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.