Abstract

Evaluation of traumatic neck injuries should include analysis of the position of the hyoid bone on the lateral radiograph. Location above the level of the third cervical body or a greater cornu located less than 2 cm from the angle of the mandible, or both, coupled with the finding of cervical soft-tissue air, should alert the radiologist that tracheal transection is likely and that immediate surgical exploration is required. Five cases of severe neck injury are presented.

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