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Penetrating paediatric neck trauma
  1. Monica Abdelmasih1,
  2. Ahmed Kayssi2 and
  3. Graham Roche-Nagle3
  1. 1 Division of Vascular Surgery, University of Toronto, Toronto, Ontario, Canada
  2. 2 Division of Vascular Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
  3. 3 Division of Vascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada
  1. Correspondence to Dr Graham Roche-Nagle, graham.roche-nagle{at}


Penetrating injuries to the internal carotid artery are infrequent but potentially devastating and can be a significant challenge to the operating surgeon. In this article, we present a case of an 11-year-old girl who suffered a serious vascular injury when she fell on a pencil. We also discuss the most up-to-date recommendations concerning the management of zone II injuries to the neck of a paediatric patient.

  • trauma
  • accidents, injuries
  • paediatrics
  • vascular surgery
  • paediatric surgery

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  • Contributors MA, GR-N and AK contributed to the drafting and revising of this work and final approval of the version published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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