Facial Fractures Have Similar Outcomes When Managed by Either Otolaryngology or Plastic Surgery: Encounters From a Single Level I Trauma Center.

antibiotics facial fracture facial trauma otolaryngology plastic surgery

Journal

Craniomaxillofacial trauma & reconstruction
ISSN: 1943-3875
Titre abrégé: Craniomaxillofac Trauma Reconstr
Pays: United States
ID NLM: 101541666

Informations de publication

Date de publication:
Jun 2022
Historique:
entrez: 31 5 2022
pubmed: 1 6 2022
medline: 1 6 2022
Statut: ppublish

Résumé

Retrospective cohort. Traumatic facial fractures (FFs) often require specialty consultation with Plastic Surgery (PS) or Otolaryngology (ENT); however, referral patterns are often non-standardized and institution specific. Therefore, we sought to compare management patterns and outcomes between PS and ENT, hypothesizing no difference in operative rates, complications, or mortality. We performed a retrospective analysis of patients with FFs at a single Level I trauma center from 2014 to 2017. Patients were compared by consulting service: PS vs. ENT. Chi-square and Mann-Whitney-U tests were performed. Of the 755 patients with FFs, 378 were consulted by PS and 377 by ENT. There was no difference in demographic data ( Our study demonstrated similar baseline characteristics, operative rates, complications, and mortality between FFs patients who had consultation by ENT and PS. This supports the practice of allowing both ENT and PS to care for trauma FFs patients, as there appears to be similar standardized care and outcomes. Future studies are needed to evaluate the generalizability of our findings.

Identifiants

pubmed: 35633765
doi: 10.1177/19433875211020615
pii: 10.1177_19433875211020615
pmc: PMC9133515
doi:

Types de publication

Journal Article

Langues

eng

Pagination

111-121

Informations de copyright

© The Author(s) 2021.

Déclaration de conflit d'intérêts

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Ashton Christian (A)

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, CA, USA.

Beatrice J Sun (BJ)

Department of Surgery, Stanford University, Palo Alto, CA, USA.

Nima Khoshab (N)

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, CA, USA.

Areg Grigorian (A)

Division of Trauma and Surgical Critical Care, Department of Surgery, University of Southern California, Los Angeles, CA, USA.

Christina Y Cantwell (CY)

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, CA, USA.

Sean A Melucci (SA)

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, CA, USA.

Allison C Hu (AC)

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, CA, USA.

Catherine M Kuza (CM)

Department of Anesthesia, University of Southern California, Los Angeles, CA, USA.

Michael E Lekawa (ME)

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, CA, USA.

Jeffry Nahmias (J)

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, CA, USA.

Classifications MeSH