<< Back to the abstract archive
Trends in Face Call at a Level One Pediatric Hospital and Two Trauma Centers
Rajib Chowdhury MD1, Nikhi Paul Singh MD, MBA1, Melissa Cullom MD1, William Wooden MD1
Indiana University
2023-01-31
Presenter: Rajib Chowdhury
Affidavit:
William Wooden
Director Name: William Wooden
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
Introduction:
Approximately 3 million ED consults for facial trauma occur each year in the US. Injuries can be divided into bony trauma: upper, middle and lower facial fractures. They can also be divided into soft tissue trauma: dog bites, lacerations and abrasions. Plastic surgeons divide facial trauma call with Otolaryngology and Oral Maxillofacial Surgery. This study aims to review the Plastic Surgery Call burden as it relates to face call.
Methods:
IRB exemption was obtained and call sign outs from July to December 2022 were reviewed. Data included patient demographic information, injuries, procedures performed, and estimated time per call. Chi squared tests determined significance.
Results:
Of the 116 days reviewed, 73 days contained a face consult for a total of 176 consults. Most patients were male (70.3%) and with an average age of 38. The most common presentation was for facial fractures (101) followed by facial lacerations (57), followed by dog bites (14). In total 59 bedside procedures were performed with the most being laceration repairs (56). Three patients went to the OR overnight.
Conclusions:
Plastic Surgeons play an integral role in evaluating and managing facial trauma. Plastic surgeons are well equipped to perform repair of not only facial fractures but also complex facial soft tissue injuries. Our training allows us to achieve results that are close to the pre-injury level of both function and aesthetics. At our institution, over a third of facial trauma consults (34%) involve a bedside procedure. The majority of patients are younger and of male gender.
