A basilar skull fracture is a break of a bone in the base of the skull. They typically require a significant degree of trauma to occur. Treatment is generally based on the injury to structures inside the head. Basilar skull fractures include breaks in the posterior skull base or anterior skull base. The former involve the occipital bone, temporal bone, and portions of the sphenoid bone; the latter, superior portions of the sphenoid and ethmoid bones.
If a cervical spine fracture is suspected, immobilization or manual inline stabilization of the neck is necessary before the patient is moved. The most common cause of death with acute cervical spinal cord injury is respiratory failure. All patients with severe trauma or head injuries should be assumed to have an unstable cervical fracture until proven otherwise radiographically. During transport, the patient should be moved on a spine board with the neck immobilized to prevent further injury. Awake fiberoptic-assisted intubation may be necessary, with general anesthesia induced only after voluntary upper and lower extremity movement is confirmed.
This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action. Medically reviewed by Drugs. Last updated on March 4, A facial fracture is a break in one or more of the bones in your face.