IMPALED KNIFE IN NECK ZONE I — A CASE REPORT

Abstract

Penetrating neck injuries are uncommon yet potentially fatal surgical emergencies due to the density of vital neurovascular and aerodigestive structures within a confined anatomical space. We present a rare case of a deeply impacted (approximately 15 cm) knife impalement injury in Zone I of the neck, successfully managed through meticulous surgical planning and multidisciplinary coordination. The case underscores the principle of controlled removal under direct vision and highlights the preservation of all major cervical structures, including the carotid artery, jugular vein, recurrent laryngeal nerve, vertebral arteries, spinal cord, and brachial plexus.