{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:35:34Z","timestamp":1777448134167,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,3,5]],"date-time":"2023-03-05T00:00:00Z","timestamp":1677974400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p>Management of craniofacial injuries typically defaults to plastic, ophthalmology, and oral maxillofacial surgeons which can challenge these surgical subspecialists\u2019 capacity to care for both trauma victims and non-trauma patients. Evaluating the need to transfer patients to a higher level of trauma care for isolated craniofacial injuries warrants investigation. Our 5-year retrospective study measured the frequency of craniofacial injuries and subsequent surgical interventions in elderly trauma patients\u2019 \u226565 years old. Eighty-one percent of patients consulted with plastic surgeons and 28% with ophthalmology. Twenty percent had craniofacial surgery with the majority of surgical interventions were in soft tissue (97%), mandible (48%), and Le Fort III (29%) injuries. A patient\u2019s ISS, GCS, head and face AIS, and presents of spinal or brain injury had no statistically significant impact on injury repair. Elderly patients with isolated craniofacial trauma may be better served by pretransfer consultation with a surgical subspecialist to determine the necessity.<\/jats:p>","DOI":"10.1177\/00031348231161666","type":"journal-article","created":{"date-parts":[[2023,3,5]],"date-time":"2023-03-05T22:48:26Z","timestamp":1678056506000},"page":"3484-3486","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the Need for Transfer to a Trauma Center for Isolated Craniofacial Injury in a Rural State"],"prefix":"10.1177","volume":"89","author":[{"given":"Luciano A.","family":"Ciraulo","sequence":"first","affiliation":[{"name":"Maine Medical Center, Portland, ME, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharine A.","family":"Connolly","sequence":"additional","affiliation":[{"name":"Plastic and Hand Surgical Associates, South Portland, ME, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyne R.","family":"Falank","sequence":"additional","affiliation":[{"name":"Maine Medical Center, Portland, ME, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L.","family":"Ciraulo","sequence":"additional","affiliation":[{"name":"Maine Medical Center, Portland, ME, USA"},{"name":"University of New England College of Osteopathic Medicine, Biddeford, ME, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,5]]},"reference":[{"key":"bibr1-00031348231161666","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1642034"},{"key":"bibr2-00031348231161666","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181efc6c6"},{"key":"bibr3-00031348231161666","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199401000-00006"},{"key":"bibr4-00031348231161666","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(95)90620-7"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231161666","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231161666","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231161666","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:01Z","timestamp":1777379821000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231161666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,5]]},"references-count":4,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1177\/00031348231161666"],"URL":"https:\/\/doi.org\/10.1177\/00031348231161666","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,5]]}}}