Penetrating Neck Trauma Zones (I-III)

Anatomic zones of the neck for penetrating trauma (Zones I-III), used to describe the location of an injury and the structures at risk.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Neck zone
Zone II - cricoid cartilage to the angle of the mandible

Result: Neck Zone II: cricoid cartilage to the angle of the mandible; carotid arteries, jugular veins, larynx, and proximal esophagus; the most surgically accessible zone.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Zone I
Sternal notch to cricoid; great vessels, lung apices, trachea, esophagus. Treated like an upper thoracic injury.
Zone II
Cricoid to the angle of the mandible; carotids, jugulars, larynx, proximal esophagus. The most surgically accessible zone.
Zone III
Angle of the mandible to the skull base; distal carotid, vertebral artery. Treated like a head injury.

What you enter

  • Neck zone
How this is calculated

Roon AJ, Christensen N. Evaluation and treatment of penetrating cervical injuries. J Trauma. 1979;19(6):391-397. Zones as reproduced in StatPearls (Neck Trauma) and EAST practice guidelines. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.