[Head and neck injuries in equestrian accidents (author’s transl)].

This research article investigates the types of head and neck injuries caused by horses’ kicks and discusses specific treatments for such injuries in different areas of the head and neck.

Types of Injuries

The study focuses on two main types of injuries, typically seen in equestrian accidents, caused by horse-kicks:

• Injuries to the mid-face
• Injuries to the larynx, which is part of the neck

Using a range of case studies, the author outlines the commonality and severity of these injuries in victims of equestrian accidents.

Treatment of Mid-face Injuries

When dealing with mid-face injuries, the treatment is based on principles of plastic surgical repair. This can involve several procedures:

• Aesthetic reconstruction to restore facial symmetry
• Funtional repair to ensure the victim’s ability to carry out basic facial movements is not impaired
• In severe cases, extensive surgery may be required to rebuild the mid-face structure

Treatment of Frontal-Nasal Injuries

In addition to general mid-face injuries, the author also specifically addresses injuries to the frontal-nasal area. In these cases, the nasal septum – the bone and cartilage that separates the two nostrils – often requires revision due to:

• Deviations in the septum caused by the impact, which can obstruct breathing
• Damage to the cartilage that may impact the structure and appearance of the nose

Treatment of Larynx Injuries

Finally, the research addresses injuries to the larynx. These injuries demand a different approach, with treatment needing to focus on the repair of both the external layer of the larynx and its cartilage. This may include:

• Microsurgery to repair the damaged tissue and prevent additional trauma
• Reconstruction of the cartilage if it’s severely damaged to ensure the larynx continues to function properly