{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:35:43Z","timestamp":1783485343529,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T00:00:00Z","timestamp":1734998400000},"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":[[2025,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The goal of this study was to describe lacerations of the head and neck sustained among ice hockey players in the US.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data on adult (20\u201365\u2009years) ice hockey injuries were collected from the 2003\u20132022 National Electronic Injury Surveillance System (NEISS) database. Injuries of the head, neck, face, mouth, and ears were included, while those sustained as a spectator, coach, or on a non\u2010ice surface were excluded. Frequencies and means were calculated. A one\u2010way ANOVA and chi\u2010squared tests were performed, with <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05 indicating statistical significance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five hundred ninety\u2010three patients were included; 578 (97.5%) male, 15 (2.5%) female. Mean age was 31.3 (95% CI 30.5\u201332.2) years. Lacerations occurred on the face (<jats:italic>N<\/jats:italic>\u2009=\u2009422, 71.2%), mouth (<jats:italic>N<\/jats:italic>\u2009=\u2009124, 20.9%), head (<jats:italic>N<\/jats:italic>\u2009=\u200923, 3.9%), ear (<jats:italic>N<\/jats:italic>\u2009=\u200922, 3.7%), and neck (<jats:italic>N<\/jats:italic>\u2009=\u20092, 0.3%). One patient (0.17%) was admitted due to closed head injury; there were no deaths. Pucks were the primary cause of lacerations (<jats:italic>N<\/jats:italic>\u2009=\u2009210, 35.4%), followed by sticks (<jats:italic>N<\/jats:italic>\u2009=\u2009135, 22.8%), collisions (<jats:italic>N<\/jats:italic>\u2009=\u200956, 9.4%), and falls (<jats:italic>N<\/jats:italic>\u2009=\u200951, 8.6%). 3.4% (<jats:italic>N<\/jats:italic>\u2009=\u200920) of patients experienced a laceration caused by a skate blade, most often on the face (<jats:italic>N<\/jats:italic>\u2009=\u200917\/20, 85.0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Hockey pucks are the primary cause of lacerations in the head, face, and mouth, with neck lacerations being rare in this cohort. Full face protective gear would reduce the number of adult ice hockey head and neck lacerations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 135:1989\u20131994, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31970","type":"journal-article","created":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T01:04:12Z","timestamp":1735088652000},"page":"1989-1994","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Puck Stops Here: Head and Neck Ice Hockey Lacerations in Adults"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5299-3487","authenticated-orcid":false,"given":"Beatrice","family":"Bacon","sequence":"first","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences University at Buffalo  Buffalo New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhys","family":"Mendel","sequence":"additional","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences University at Buffalo  Buffalo New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7391-116X","authenticated-orcid":false,"given":"Katelin","family":"Keenehan","sequence":"additional","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences University at Buffalo  Buffalo New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3771-6662","authenticated-orcid":false,"given":"Gaayathri","family":"Varavenkataraman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences University at Buffalo  Buffalo New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3038-5995","authenticated-orcid":false,"given":"Francesca","family":"Viola","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences University at Buffalo  Buffalo New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7406-4467","authenticated-orcid":false,"given":"Michele","family":"Carr","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences University at Buffalo  Buffalo New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,24]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"2023\u20132024 Season Final Registration Reports","author":"USA Hockey","year":"2024"},{"key":"e_1_2_6_3_1","volume-title":"The Official Rules of Ice Hockey: Section 3\u2010 Equipment","author":"USA Hockey","year":"2024"},{"key":"e_1_2_6_4_1","unstructured":"USA Hockey YouTube page.USA Hockey Congress approves requirement for neck laceration protection starting August 1. January 28 2024. Accessed July 3 2024.https:\/\/www.youtube.com\/watch?v=9W9tbPcXU0s."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.04.015"},{"key":"e_1_2_6_6_1","unstructured":"United States Consumer Product Safety Commission.NEISS Coding Manual. CPSC.gov.2021Accessed January 22 2024.https:\/\/www.cpsc.gov\/s3fs\u2010public\/January\u20102021\u2010NT\u2010CPSC\u2010only\u2010NEISS\u2010Coding\u2010Manual.pdf?xa_nMM1kB4SGpuSMOwf0NHkkkIqNcn8F."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500413"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2009.060152"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1520\/STP24037S"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.24.2328"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300624"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3810\/psm.2008.12.15"},{"key":"e_1_2_6_13_1","unstructured":"StrangK.Marc Staal: Eye won't be the same. ESPN. May 27 2013. Accessed July 3 2024.https:\/\/www.espn.com\/new-york\/nhl\/story\/_\/id\/9316066\/marc-staal-new-york-rangers-injured-eye-probably-not-going-100-percent."},{"key":"e_1_2_6_14_1","unstructured":"CanalesK.Hockey's most devastating injuries: Tales of courage and resilience. Hudson Reporter May 30 2024. Accessed July 3 2024.https:\/\/hudsonreporter.com\/sports\/worst-hockey-injuries\/."},{"key":"e_1_2_6_15_1","unstructured":"McDonaldJ.Bryan Berard remembers the injury that changed his life. ESPN March 10 2016. Accessed July 3 2024.https:\/\/www.espn.com\/nhl\/story\/_\/id\/14947576\/nhl-bryan-berard-remembers-injury-changed-life."},{"key":"e_1_2_6_16_1","unstructured":"BrownM.Nottingham Panthers' ice hockey player Adam Johnson dies after \u201cfreak injury\u201d. The Guardian September 29 2023. 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