Abstract
Oral and maxillofacial (OMFS) facial fractures account for approximately 5%-10% of
presentations to emergency departments in the UK. Although most trauma is treated
operatively, different methods of surgery exist for the same clinical presentation
and non- surgical management is in some cases appropriate. Analysis of patient morbidity
is an essential component of clinical governance in surgery. OMFS units in the UK
should hold regular morbidity and mortality (M&M) meetings, but no consensus exists
for which cases should be discussed. For example, most units focus only on cases treated
surgically, primarily unexpected returns to theatre. Finally, there is no agreed structure
for describing how complications occur and a focus on terms such as error. The aim
of this review is to help inform which patients should be discussed in M&M meetings
based on existing scoring systems. A systematic review of the literature has been
undertaken using the Preferred Reporting in Systematic Reviews and Meta-Analysis methodology.
Databases searched were PubMed and Science Direct. Eleven unique papers and a companion
article met the criteria and were analysed. Many M&M classification systems exist,
but these systems are unsuited for maxillofacial purposes. There is a need for a novel
system which is tailored to the specialty.
Keywords
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Article Info
Publication History
Published online: August 22, 2022
Accepted:
August 17,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
Crown Copyright © 2022 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons. All rights reserved.
