According to Boston News, in early December 2011, a carpenter accidentally discharged a nail gun and embedded a 3.5 inch nail in the bottom of his neck. Based on the CT scan included here, it appears the nail entered the neck dead center given the clear appearance of the windpipe.
Based on the location, the anatomic sequence of nail piercing is as follows:
Skin –> Thyroid Gland –> Trachea –> Esophagus Back Wall –> Cervical Vertebral Body
The damage to skin, thyroid, and trachea is not a big deal… In fact, one can consider this a mini-tracheostomy. Minimal bleeding would be expected.
However, the hole between the trachea and esophagus is another matter which may heal well… or not. The esophagus Read more »
*This blog post was originally published at Fauquier ENT Blog*