Algorithm for Diagnosing Gunshot Wounds to the Neck With Damage to the Thyroid Gland
Year: 2026
Type: article
Abstract: Introduction. Neck injuries are one of the most complex and clinically dangerous categories of traumatic injuries in modern emergency and military surgery. This is due to the high density of vital anatomical structures within a limited anatomical space, including major vessels, respiratory tract, esophagus, nervous structures and thyroid gland. The development and implementation of an algorithm for diagnosing gunshot wounds of the neck with thyroid gland damage allows systematizing the provision of medical care, improving the quality of care, and reducing the number of complications.The goal is to propose an algorithm for diagnosing gunshot wounds to the neck with thyroid damage to improve diagnostic and treatment outcomes.Materials and methods. The wounded with gunshot wounds to the neck with damage to the thyroid gland were divided into two groups: the main group (33 patients), which was formed from February 2022 to February 2026, in which the proposed diagnostic and treatment methods were used, and the comparison group (35 patients), which was formed from May 2014 to January 2022, in which traditional diagnostic and treatment methods were used. All patients were male, the average age was (34.2±3.1) years. Clinical research methods included the study of complaints, anamnesis, examination data. Instrumental research methods included radiological, laser imaging, direct laryngoscopy, electrocardiography, videolaparoscopy, videothoracoscopy and metal detection. Radiological research included fluorography, radiography, fluoroscopy and computed tomography, ultrasound. Preoperatively, the size of the ST was clarified using computer vision techniques and algorithms. General clinical, biochemical, coagulological and immunological studies were performed to determine blood group and Rh factor, hepatitis B and C, HIV, and RMP (with consent) according to generally accepted methods.Results. The proposed algorithm for diagnosing gunshot wounds to the neck with damage to the thyroid gland allows for the rational use of the necessary studies in conditions of limited resources in accordance with the level of medical care, which allows determining further tactics. Conclusions. The algorithm for diagnosing gunshot wounds to the neck with damage to the thyroid gland allows, for each level of medical care (ROLE), to detail the sequence of examinations according to the capabilities of the medical institution and to determine the treatment tactics.
Source: Kharkiv Surgical School
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7225575376