The journal of trauma and acute care surgery
-
J Trauma Acute Care Surg · Dec 2020
Computed tomography angiography in the "no-zone" approach era for penetrating neck trauma: A systematic review.
Penetrating neck trauma (PNT) continues to present a diagnostic dilemma. Practice guidelines advocate the use of computed tomography angiography (CTA) for suspected vascular or aerodigestive injuries in all neck zones. There is also an evolving evidence of "no-zone" approach where the decision to obtain a CTA is guided by physical examination findings and clinical presentation. The aim of this systematic review was to examine existing literature on the diagnostic accuracy of CTA as an integral component of the no-zone approach in stable patients with PNT. ⋯ Systematic review, level IV.