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. 2020 Apr 7;5(3):390-395.
doi: 10.1002/lio2.380. eCollection 2020 Jun.

Electric scooter craniofacial trauma

Farhoud Faraji  1 , Jason H Lee  2 , Farshid Faraji  3 , Bridget MacDonald  2 , Parisa Oviedo  2 , Emelia Stuart  2 , Michael Baxter  4 , Caresse L Vuong  5 , Samuel H Lance  6 , Amanda A Gosman  6 , Edward M Castillo  5 , David B Hom  1
Affiliations

Electric scooter craniofacial trauma

Farhoud Faraji et al. Laryngoscope Investig Otolaryngol. .

Abstract

Objective: The use of standing electronic scooters associated with micromobility applications (e-scooters) has risen nationally. The aim of this study was to obtain a detailed view of soft tissue and bony craniofacial injury associated with e-scooter-related trauma.

Methods: Single-institution retrospective case series of patients presenting to a level 1 trauma center emergency department or trauma unit with documented e-scooter-related craniofacial injury.

Results: Of 203 included patients, 188 (92.6%) patients sustained craniofacial injury. One hundred thirty-one (64.5%) had exclusively soft tissue injury, 3 (1.5%) exclusively bony injury, 51 (25.1%) both soft and bony injuries, and twenty-five (12.3%) patients sustained dental injury. Aesthetic units most frequently sustaining acute soft tissue injury were the forehead (n = 106, 34.6%), scalp (n = 36, 11.8%), chin (n = 34, 11.1%), upper lip (n = 32, 10.5%), and cheek (n = 31, 10.1%). Aesthetic subunits most often sustaining acute soft tissue injury included the brow (42, 13.7%), central forehead (39, 12.7%), lateral forehead (n = 25, 8.2%), and upper lip vermillion (n = 23, 7.5%). Craniofacial osseous fracture most often occurred in the orbit (n = 42, 24.6%) and maxilla (n = 40, 23.4%). Individual osseous segments most frequently sustaining acute fracture included the anterior maxillary sinus wall (n = 22, 12.9%), nasal bone (n = 20, 11.7%), lateral orbital wall (n = 16, 9.4%), orbital floor (n = 15, 8.8%), and zygomatic bone (13, 7.6%).

Conclusions: Our analysis demonstrates that most patients presenting to our center with craniofacial trauma sustained acute bony fracture, most often to the midface. Our data of common injuries associated with e-scooter trauma could inform implementation in the form of facial safety equipment or safety skills training for e-scooter riders.

Level of evidence: 4.

Keywords: craniofacial; electric; face; head; scooter; trauma.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Facial soft tissue injury categorized by aesthetic subunit
FIGURE 2
FIGURE 2
Bony craniofacial injury
See this image and copyright information in PMC

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