{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T17:37:07Z","timestamp":1763746627726,"version":"build-2065373602"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,11,22]],"date-time":"2016-11-22T00:00:00Z","timestamp":1479772800000},"content-version":"vor","delay-in-days":3401,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2007,8]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To characterize pediatric head and neck trauma from all\u2010terrain vehicles (ATVs) at a single institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN\/SETTING<\/jats:title><jats:p>Retrospective case series at a level I pediatric trauma center.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Thirty\u2010four patients were admitted: average age was 12 years, with 68% between 12 and 16 years and 32% under 12 years. The patient was the driver in 74% of cases and the passenger in 17% of cases. Driver average age was 12.7 years and passenger average age was 10.5 years. Seventy\u2010six percent of children were not wearing helmets. Average hospital stay was 6\u00a0days, with 81% of cases discharged home. Central nervous system injuries were most common, followed by soft tissue injuries. Soft tissue repair was the most frequent procedure, and most maxillofacial fractures required operative intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>ATV\u2010related morbidity and mortality in children are significant public health issues amenable to primary prevention by prohibiting passengers on ATVs and requiring helmet use.<\/jats:p><\/jats:sec><jats:sec><jats:title>SIGNIFICANCE<\/jats:title><jats:p>National trends indicate increasing ATV\u2010related injuries in children.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2007.01.033","type":"journal-article","created":{"date-parts":[[2007,7,31]],"date-time":"2007-07-31T07:27:28Z","timestamp":1185866848000},"page":"201-205","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Pediatric Head and Neck Trauma from All\u2010Terrain Vehicle Accidents"],"prefix":"10.1002","volume":"137","author":[{"given":"Brian S.","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology The University of Texas Medical School at Houston Houston TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey L.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology The University of Texas Medical School at Houston Houston TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin D.","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology The University of Texas Medical School at Houston Houston TX"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,22]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"LingleRL2004 Annual report of ATV deaths and injuries.United States Product Safety Commission Sept2005.http:\/\/www.cpsc.gov\/LIBRARY\/FOIA\/FOIA05\/brief\/atv2004.pdf."},{"key":"e_1_2_7_3_1","unstructured":"Federal Register 2005 70"},{"key":"e_1_2_7_4_1","unstructured":"MedfordRL AhmedS.Annual report: all\u2010terrain vehicle (ATV)\u2010related death and injuries. United States Product Safety Commission 2000:http:\/\/www.cpsc.gov\/library\/atv99.pdf."},{"key":"e_1_2_7_5_1","unstructured":"Consumer Federation of America Natural Trails and Waters Coalition Bluewater Network.All\u2010terrain vehicle safety: America's children at risk 2002:http:\/\/www.consumerfed.org\/Final_ATVReportLinks.pdf."},{"key":"e_1_2_7_6_1","unstructured":"Texas Department of Public Safety.http:\/\/www.txdps.state.tx.us\/msb\/atv.htm."},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2002.30826"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-1585"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(99)90221-5"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.84.4.694"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.3.631"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.6.1352"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(92)90227-Q"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90456-0"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/hn.1999.v121.a98198"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.01.011"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2007.01.033","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2007.01.033","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2007.01.033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:52:44Z","timestamp":1760964764000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2007.01.033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,8]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,8]]}},"alternative-id":["10.1016\/j.otohns.2007.01.033"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2007.01.033","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2007,8]]},"assertion":[{"value":"2006-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2007-01-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-11-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}