Mandibular Fracture and Associated Cervical Spine Fracture, a Rare and Predictable Injury: Protocol for Cervical Spine Evaluation and Review of 1382 Cases

Pattern of Facial Fractures and Its Association with a Cervical Spine Injury in a Tertiary Hospital in Jordan

“…An earlier study reported that nearly 19.5% of the 343 subjects with facial injuries had fractures in different regions of the face [19]. In the present study, the mandible was the most common site of maxillofacial fractures, which is consistent with the findings from earlier studies [7,8,13,29]. Similar results were reported in a study where one-third of the subjects were found to have mandibular fractures in the parasymphysis and angle regions [29].…”

“…On the other hand, head trauma was the most common associated injury in the US [14] and an African study [32], and the second most prevalent associated injury in another study [9]. Compared with the present study finding, the proportion of subjects who suffered from CSI in association with facial trauma was much lower in studies conducted in the US [8,13,14,16,22,33], Canada [17], UK [21], Ireland [12], Italy [23], Pakistan [29], India [19], and Africa [32]. In the present study, the frontal bone was the most common site for skull fractures (66.7%).…”

Identification of Mandibular Fracture Epidemiology in Canada: Enhancing Injury Prevention and Patient Evaluation

“…These findings suggest that fractures of the mandible are an indicator of potentially serious injuries, likely because of the high energy required to disrupt this strong structure. Other series (15)(16)(17)(18)(19)(20)(21) also report severe associated injuries, with rates as high as 89%, although these series often report on combined facial and not mandible fractures in isolation (18,22). Carlin et al (22) reported associated closed head injuries (40%), extremity fractures (33%), thoracic trauma (29%) and traumatic brain injuries (25%) in 828 patients sustaining midface and/or mandible fractures.…”

Watch out for…

“…The incidence of residual neuromuscular block was demonstrated in around half of the patients after anaesthesia and surgery. 1 Residual neuromuscular block during emergence and recovery contributes to a significant proportion of awareness. 2 Around one in three patients had evidence of inadequate spontaneous recovery even after 2 h of administering a single dose of neuromuscular blocking drugs.…”

“…Improving airway safety in the University Teaching Hospital, Lusaka, Zambia: a quality-improvement project K. Foy 1 The 4th National Audit Project identified that airway management in a critical care setting held a higher risk of morbidity and mortality to patients. 1 This was attributed to a lack of planning, appropriate equipment, trained staff members, and capnography use. Zambia is a low-resource environment, in which anaesthesia is a specialty in its infancy.…”