{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:59:49Z","timestamp":1760147989546,"version":"build-2065373602"},"reference-count":17,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T00:00:00Z","timestamp":1679011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: In the current literature, mandatory surgical exploration is a controversial topic, with some advocating for it and others against it, proposing a selective conservative management. This multidisciplinary therapeutic approach is based on clinical examination and serial paraclinical explorations associated with supportive drug treatment. Materials and Methods: The study group consisted of 103 patients with complex cervical trauma pathology produced by various mechanisms such as car or domestic accidents, aggression, ballistic trauma, self-inflicted attempts, hanging or strangulation hospitalized in the Ear, Nose and Throat (E.N.T.) Clinic, at \u201cSt. Spiridon\u201d Ia\u0219i Hospital, between 2012 and 2016. Results: The universal clinical indication for urgent surgical exploration of the patient with complex cervical trauma is the presence of the following symptoms: unstable vital signs, significant pulsatile bleeding, hematoma with a substantial increase in size, shock, airway obstruction, open airway wound, hematemesis, or hemoptysis. In this context, we considered it worthwhile to research the management of complex cervical trauma in a reference university medical center, alongside the analysis of the patient\u2019s characteristics under different aspects (demographic, pathological aspects, therapeutic). Conclusions: Complex cervical trauma has a variety of clinical aspects, with a variable evolution, which involves multidisciplinary therapeutic management. The increasing trauma rate is one of the main public health problems, requiring epidemiological studies, and the implementation of control strategies.<\/jats:p>","DOI":"10.3390\/medicina59030596","type":"journal-article","created":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T04:10:48Z","timestamp":1679026248000},"page":"596","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Multidisciplinary Therapeutic Management in Complex Cervical Trauma"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9362-2030","authenticated-orcid":false,"given":"Florentina","family":"Severin","sequence":"first","affiliation":[{"name":"Surgery Department, University of Medicine and Pharmacy \u201cGrigore T. Popa\u201d, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrei-Mihail","family":"Rosu","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Medicine and Pharmacy \u201cGrigore T. Popa\u201d, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3542-3217","authenticated-orcid":false,"given":"Mirela","family":"Tiglis","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Emergency Clinical Hospital of Bucharest, 014461 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6914-0904","authenticated-orcid":false,"given":"Laura-Elisabeta","family":"Checherita","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Medicine and Pharmacy \u201cGrigore T. Popa\u201d, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gina","family":"Stegaru","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Medicine and Pharmacy \u201cGrigore T. Popa\u201d, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihail Dan","family":"Cobzeanu","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Medicine and Pharmacy \u201cGrigore T. Popa\u201d, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Razvan","family":"Hainarosie","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Medicine and Pharmacy \u201cCarol Davila\u201d, 37 Dionisie Lupu Str., 020021 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogdan Mihail","family":"Cobzeanu","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Medicine and Pharmacy \u201cGrigore T. Popa\u201d, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3002-7530","authenticated-orcid":false,"given":"Octavian Dragos","family":"Palade","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Medicine and Pharmacy \u201cGrigore T. Popa\u201d, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1177\/019459989310900309","article-title":"Acute laryngeal trauma: A review of 77 patients","volume":"109","author":"Bent","year":"1993","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/1757-7241-18-36","article-title":"Gunshot bullet embolus with pellet migration from the left brachiocephalic vein to the right ventricle: A case report","volume":"18","author":"Greaves","year":"2010","journal-title":"Scand. J. Trauma Resusc. Emerg. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1097\/00005373-196912000-00003","article-title":"Carotid vertebral trauma","volume":"9","author":"Monson","year":"1969","journal-title":"J. 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