{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T02:36:54Z","timestamp":1793759814268,"version":"4.6.1"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To discuss patient demographics and management and better understand the economic impact associated with the treatment of facial fractures at a major metropolitan level 1 trauma center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We identified 5088 facial fractures in 2479 patients who presented from 2008 to 2022. Patient demographics, mechanism of injury, associated injuries, treatment information, and hospital charges were collected and analyzed to determine factors associated with surgical management and increased cost burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our 14\u2010year experience identified 1628 males and 851 females with a mean age of 45.7\u2009years. Orbital fractures were most common (41.2%), followed by maxilla fractures (20.8%). The most common mechanism was fall (43.0%). Surgical management was recommended for 41% of patients. The odds of surgical management was significantly lower in female patients, patients age 65 and older, and patients who presented after the onset of the COVID\u201019 pandemic. The odds of surgical management was significantly higher for patients who had a mandible fracture or greater than 1 fracture. The average cost of management was highest for naso\u2010orbito\u2010ethmoidal fractures ($37,997.74\u2009\u00b1\u200952,850.88), followed by LeFort and frontal fractures ($29.814.41\u2009\u00b1\u200942,155.73 and $27,613.44\u2009\u00b1\u200939.178.53, respectively). The highest contributor to the total average cost of management was intensive care unit\u2010related costs for every fracture type, except for mandible fractures for which the highest contributor was operating room (OR)\u2010related costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study represents one of the largest comprehensive databases of facial fractures and one of the first to provide a descriptive cost analysis of facial trauma management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 134:3120\u20133126, 2024\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.31299","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T09:28:53Z","timestamp":1706693333000},"page":"3120-3126","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Trends in Management and Cost Burden of Facial Fractures: A 14\u2010Year Analysis"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7531-6937","authenticated-orcid":false,"given":"Rachel E.","family":"Weitzman","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery New York\u2010Presbyterian Hospital\/Weill Cornell Medical Center  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejas","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery New York\u2010Presbyterian Hospital\/Weill Cornell Medical Center  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karena","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery New York\u2010Presbyterian Hospital\/Weill Cornell Medical Center  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3206-803X","authenticated-orcid":false,"given":"Andre","family":"Shomorony","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery New York\u2010Presbyterian Hospital\/Weill Cornell Medical Center  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7875-4847","authenticated-orcid":false,"given":"Anthony P.","family":"Sclafani","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery New York\u2010Presbyterian Hospital\/Weill Cornell Medical Center  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"National health expenditure accounts. 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