Facial firework injury: a case series

Area of Science:

• Trauma surgery
• Ophthalmology
• Oral and maxillofacial surgery

Background:

• Fireworks are widely used for celebrations, particularly on Independence Day in the United States.
• Firework use poses a significant risk for severe, life-altering injuries, especially to the face.
• There is a notable gap in medical literature regarding facial trauma caused by fireworks.

Observation:

• A case series of four adult males with severe facial firework blast injuries presented to a level 1 trauma center.
• All four patients presented within a five-hour window on Independence Day.
• The patients' average age was 26.7 years.

Findings:

• Two patients died due to their severe injuries.
• Two patients required reconstructive surgery, with one undergoing two additional procedures.
• The findings underscore the devastating potential of firework-related facial trauma.

Implications:

• This case series adds critical data to the limited understanding of facial firework blast injuries.
• The cluster of injuries raises concerns about the accessibility of specific fireworks and potential future risks.
• Further research is essential for developing targeted prevention and treatment strategies for firework-related facial trauma.