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Concussions in Facial Trauma Patients: A Retrospective Study
1Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Plastic Surgery (Oakville, Ont.)
|April 17, 2026
Summary
Facial trauma significantly correlates with concussion symptoms, impacting quality of life in 95% of patients. Irritability and anxiousness were key predictors of concussion severity in this study.
Area of Science:
- Trauma Surgery
- Neurology
- Emergency Medicine
Background:
- Limited research exists on concussion incidence in facial trauma patients.
- Early concussion identification is vital for effective patient recovery.
- This study investigates the link between facial trauma and concussion symptoms.
Purpose of the Study:
- To evaluate the relationship between facial trauma and concussion symptoms.
- To identify factors associated with concussion severity in facial trauma cases.
- To highlight the impact of facial trauma on patient quality of life due to concussion symptoms.
Main Methods:
- Retrospective analysis of 74 patients at a Level 1 trauma center (2019-2021).
- Evaluation of injury type, demographics, and concussion symptoms.
- Stratification of concussion severity (mild/moderate/severe).
Main Results:
- 95% of facial trauma patients exhibited clinically significant concussion symptoms.
- Zygoma/zygomatic arch fractures correlated with higher concussion scores.
- Subjective symptoms like irritability and anxiousness were strong concussion predictors.
Conclusions:
- Facial trauma is strongly associated with clinically significant concussion symptoms.
- Concussion severity increases with fracture severity, especially zygomatic fractures.
- Concussion symptoms significantly affect the quality of life for facial trauma patients.
