When I started delivering lectures to the surgical postgraduates on the subject of vascular injuries of the neck, one thing led to another and very quickly I realised that there was a large gap in the understanding of an average postgraduate about various inter-related matters in this difficult subject. Here I have tried to compile such inter-related problems into a composite group, for an easy reference and a broad overview of this subject. The integrated information is designed to be principally of use to a general surgical trainee. In the first instance, neck injuries are generally treated by trainee general surgeons and often the patient's condition does not allow for specialty co-ordination. Hence the need for the typical general surgical trainee to be conversant with the principles of management of various structures in the neck. The book presents an easy format for quick reference and the text is supplemented with hand-drawn diagrams in relevant context. Such diagrams can be easily reproduced during surgical examinations. For a more in-depth understanding of the individual problem, the reader is advised to refer to specialist textbooks. This book has two basic objectives. First, to comprehensively familiarise the reader with regional pathology and clinical facts relating to a seemingly simple neck injury. Second, to enable the reader to analyse the clinical problems of the patient as a whole, on the basis of factual objective findings and clinical suspicion.

Covers the whole range of neck injuries from types of injury such as crush and closed injuries (including whiplash injuries) to injury sites such as the larynx, trachea and oesophagus *Essential for surgical trainees and postgraduates - the author's illustrations have been drawn with ease of reproduction in mind * No other available work provides such comprehensive inter-speciality information in such an accessible format

Zusammenfassung
Over 100 of the authors hand-drawn diagrams, based on his own observations, provide non-specialist surgeons with the vital aspects about almost every conceivable neck injury, allowing precise surgical diagnosis and management. No other handbook provides such comprehensive inter-speciality information in such an accessible format.

Inhalt
1 Introduction.- 2 Zones of the Neck.- 2.1 Zone I.- 2.2 Zone II.- 2.3 Zone III.- 3 General Features of Incised Neck Injuries.- 3.1 Knife Injuries.- 3.2 Incised Glass Injuries.- 3.3 Management of Incised Neck Injuries.- 4 General Features of Lacerated Neck Injuries.- 4.1 Lacerated Injuries Caused by Knife or Glass.- 4.2 General Features and Ballistics of Gunshot Injuries to the Neck.- 4.3 General Features of Shotgun Injury of the Neck.- 4.4 Road Traffic Accident Lacerations.- 4.5 Puncture Injuries of the Neck.- 5 General Features of Crush and Closed Injuries of the Neck.- 5.1 Crush Injuries of the Neck Caused by a Blunt Assault.- 5.2 Crush Injuries Produced by Industrial Trauma.- 5.3 Crush Injuries of the Neck Caused by Road Traffic Accidents.- 5.4 Closed Injuries of the Neck.- 6 Fire Burns.- 7 Scalds and Insect Bites.- 8 Deceleration Injuries of the Neck.- 9 Traction Injury of the Neck.- 10 Vibration and Blast Injuries of the Neck.- 11 Iatrogenic Injuries.- 12 Incidence of Neck Injuries.- 13 Incidence of Vascular Injuries of The Neck.- 14 General Features of Vascular Injuries.- 14.1 General Features of Arterial Injuries.- 14.2 General Features of Venous Injuries.- 15 Immediate Effects of Carotid Arterial Injuries.- 15.1 Carotid Arterial Haemorrhage/Shock.- 15.2 Acute Carotid Arterial Haematoma.- 15.3 Acute Dissection of the Carotid Artery.- 15.4 Acute Stroke or Acute Transient Ischaemic Attacks.- 15.5 Acute Surgical Emphysema.- 16 Vertebral Artery Injuries.- 17 Thyrocervical Trunk Injuries.- 18 External Jugular Vein Injury.- 19 Internal Jugular Vein Injuries.- 19.1 Surgical Options.- 20 Delayed Effects of Arterial Injuries.- 20.1 Delayed Carotid Arterial Haematoma.- 20.2 Aneurysm of the Carotid Artery.- 20.3 Delayed Carotid Dissection.- 20.4 Arteriovenous Fistula.- 20.5Thrombosis of Carotid Sheath Vessels.- 21 Thoracic Duct Injuries.- 21.1 Mechanisms of Injury.- 21.2 Clinical Features and Management.- 21.3 Investigations.- 21.4 Treatment.- 22 Sternomastoid and Scalene Muscular Injuries.- 23 Injury to the Cervical Pleura.- 24 Injury to Thyroid.- 25 Injury to Cranial Nerves in the Neck.- 26 Injuries to the Cervical Spine and the Spinal Cord.- 27 Brachial Plexus Injuries.- 27.1 Functional Grouping of BP lesions.- 27.2 Normal Mean Latencies.- 27.3 Repair Options.- 27.4 Management Protocol.- 28 General Features of Injuries to the Larynx, Trachea and Oesophagus.- 29 Cricothyroidostomy.- 30 Tracheostomy.- 31 Laryngeal Injuries.- 32 Tracheal Injuries.- 33 Injuries to the Cervical Oesophagus.- 34 References.