A review of cervical XXXX associated with maxillofacial @entity130 at a UK tertiary referral centre.

@entity1 @entity174 @entity6350 @entity1566 @entity130
INTRODUCTION: The aim of this study was to determine the incidence and patterns of cervical @entity130 (CSI) associated with maxillofacial @entity174 at a UK @entity130 centre. METHODS: A retrospective analysis was conducted of 714 maxillofacial @entity174 @entity1 presenting to a single @entity130 centre between 2006 and 2012. RESULTS: Of the 714 maxillofacial @entity174 @entity1 , 2.2% had associated CSI including a @entity174 , @entity1566 or disc herniation. In comparison, 1.0% of @entity1 without maxillofacial @entity130 sustained a CSI (odds ratio: 2.2, p=0.01). The majority (88%) of CSI cases of were caused by a road traffic accident (RTA) with the remainder due to falls. While 8.8% of RTA related maxillofacial @entity130 @entity1 sustained a CSI, only 2.0% of fall related @entity1 did (p=0.03, not significant). Most (70%) of the CSIs occurred at @entity6350 or C6/C7 levels. Overall, 455, 220 and 39 @entity1 suffered non-mandibular, isolated mandibular and mixed mandibular/non-mandibular @entity174 respectively. Their respective incidences of CSI were 1.5%, 1.8% and 12.8% (p=0.005, significant). Twelve @entity1 with concomitant CSI had their maxillofacial @entity174 treated within twenty-four hours and all were treated within four days. CONCLUSIONS: The presence of maxillofacial @entity130 mandates exclusion and prompt management of cervical @entity130 , particularly in RTA and @entity130 cases involving combined facial @entity174 patterns. This approach will facilitate management of maxillofacial @entity174 within an optimum time period.
