Table 3

Classification of penetrating neck trauma. adapted from Roon and Christensen33

ZoneAnatomic delineationTypical treatment
IClavicles and thoracic outlet to cricoid cartilageSurgical management via anterior sternocleidomastoid incision is considered optimal, but endovascular treatment is often used owing to the difficulty of surgical access
IICricoid cartilage to angle of the mandibleUsually accessible surgically, and endovascular treatment is only used in rare cases where patients remain asymptomatic and the lesion is surgically inaccessible
IIIAngle of the mandible to skull baseEndovascular treatment is now considered first line for zone III injuries owing to challenges associated with surgical exposure