{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:23:04Z","timestamp":1781655784606,"version":"3.54.5"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[1984,7,1]],"date-time":"1984-07-01T00:00:00Z","timestamp":457488000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1984,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Failure to recognize early that penetrating neck wounds include the cervical oesophagus greatly increases morbidity and mortality. From an analysis of experience over 5 years (1978\u20131983) it emerges that, while tracheal wounds are usually recognized early, cervical oesophageal injuries are not. It is empyema which complicates such oesophageal injury and which prompts referral to a Department of Thoracic Surgery, the patients by this time being mortally ill, with septicaemia and malnutrition. Neck penetration is usually left-sided, the injuring agent usually a knife, driven downwards and medially by a right-handed assailant. Empyema is usually right-sided. Early recognition and prompt referral are associated with a low morbidity and low mortality. Late recognition and late referral carry a high morbidity rate, prolonged convalescence in those who survive, and a mortality rate of nearly 25 per cent.<\/jats:p>","DOI":"10.1002\/bjs.1800710721","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T00:53:41Z","timestamp":1172883221000},"page":"534-536","source":"Crossref","is-referenced-by-count":25,"title":["Penetrating neck trauma with tracheal and oesophageal injuries"],"prefix":"10.1093","volume":"71","author":[{"given":"D M","family":"Shama","sequence":"first","affiliation":[{"name":"The Department of Thoracic Surgery, University of Natal , Durban, Natal,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Odell","sequence":"additional","affiliation":[{"name":"The Department of Thoracic Surgery, University of Natal , Durban, Natal,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1984,7,1]]},"reference":[{"key":"2024092716402121500_bib1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0022-5223(19)40817-9","article-title":"Perforation of the oesophagus. 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