The data were centralized in an SPSS 18.0 database and processed with the statistical functions to which they lend themselves at the significance threshold of 95%. We defined the complex cervical trauma as the lesions that are penetrating platysma and involve at least the superior aero-digestive tract, vascular, neurologic, thyroidian or salivary gland structures. Likewise, the patients included the prospective study were those patients admitted to the ENT Clinic in during 2014–2016. The patients included in the retrospective study were those admitted to the ENT clinic of “Saint Spiridon” Hospital, Iasi, in the period 2012–2014. The study was started in 2014 and it consisted of two parts. However, this study was partially limited by the fact that information on particular patients was incomplete, due to the retrospective nature of the research and the lack of uniformity regarding the description of the operative technique, along with the results of the paraclinical investigations performed, as there was no existing standardized protocol a situation that could bring some damage to the data identified on this study. ![]() Spiridon”, Iasi, between 2012–2016, with complex cervical trauma pathology produced by various mechanisms, such as car accidents, domestic accidents, assaults, ballistic trauma, self-inflicted attempts, hanging or strangulation. The study group was made up of 103 patients admitted to the Ear, Nose and Throat (E.N.T.) Clinic, “St. The increasing trauma rate is one of the main public health problems, requiring epidemiological studies, and the implementation of control strategies. Conclusions: Complex cervical trauma has a variety of clinical aspects, with a variable evolution, which involves multidisciplinary therapeutic management. In this context, we considered it worthwhile to research the management of complex cervical trauma in a reference university medical center, alongside the analysis of the patient’s characteristics under different aspects (demographic, pathological aspects, therapeutic). Results: The universal clinical indication for urgent surgical exploration of the patient with complex cervical trauma is the presence of the following symptoms: unstable vital signs, significant pulsatile bleeding, hematoma with a substantial increase in size, shock, airway obstruction, open airway wound, hematemesis, or hemoptysis. Materials and Methods: The study group consisted of 103 patients with complex cervical trauma pathology produced by various mechanisms such as car or domestic accidents, aggression, ballistic trauma, self-inflicted attempts, hanging or strangulation hospitalized in the Ear, Nose and Throat (E.N.T.) Clinic, at “St. This multidisciplinary therapeutic approach is based on clinical examination and serial paraclinical explorations associated with supportive drug treatment. ![]() ![]() Background and Objectives: In the current literature, mandatory surgical exploration is a controversial topic, with some advocating for it and others against it, proposing a selective conservative management.
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