Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P54

Comprehensive

P54
Otolaryngology-Head and Neck Surgery 163(1S)
Presentation schedule is subject to change. The Official Program Abstracts supplement does not reflect changes made after August 10, 2020.
(74.6%) and white patients (54.1%). National estimated inciShared Electric Scooter Systems: A Rising
dence of nasal fractures decreased from 21,028 in 2009 to
Public Health Concern?
11,108 in 2018, a reduction of 47.2%. The most common causes
Aditi Kappagantu (Presenter); Samantha H. Tam;
among all patients were basketball (23.2%), baseball (17.1%),
Kathleen Yaremchuk, MD, MSA
softball (9.8%), soccer (7.4%), and football (7%). In pediatric
Objectives: Rideshare electric scooters (e-scooters) have
patients, the most common cause was baseball (25.1%). Most
become a growing form of transportation in major urban cen(98.1%) patients were discharged from the emergency departters since their debut in 2017, but they may present a currently
ment, whereas 0.9% of patients were admitted.
unknown public health risk because of their convenience of
Conclusions: The most common recreational causes of nasal
use. We aim to quantify e-scooter injuries encountered in US
fractures are sports, with the most common being noncontact
emergency departments (EDs), focusing on the head and neck
sports such as basketball and baseball. However, the incidence
(HN), to understand the safety impact of these scooters and to
of nasal bone fractures due to recreational causes nationwide
improve their safe usage as they become widespread.
has decreased significantly over the past 10 years. This may
Methods: A retrospective cross-sectional study of patients
reflect improved safety protocols among athletes.
presenting to US EDs with e-scooter injuries from January
2009 to December 2018 was completed using a national dataA Wikipedia Editing Course to Promote
base sample. e-Scooter injuries were identified, and stratified
Scholarship, Dialogue, and Self-directed
weighted counts and incidence rates were estimated. Piecewise
Learning in OTO-HNS
linear regression quantified the yearly change in incidence
Anna Berezovsky, MD (Presenter); Nico Espinosa; Andrew
of injuries before (2009-2017) and after (2018-2019) introPrince; Emily Z. Stucken, MD; Emily Ginier; Jean Song;
duction of rideshare programs. Regression coefficients were
Michael J. Brenner, MD
compared.
Results: The estimated national total of e-scooter cases from
Objectives: Wikipedia is the most commonly accessed
2009 to 2019 was 103,943 (95% CI: 79, 650-128, 237). The
medical resource in the world. With increasing integration of
incidence grew in 2019 to 8.63 cases per 100,000 persontechnology into otolaryngology clinical practice, medical eduyears from 4.46 in 2018 and 2.42 in 2017. HN injuries reprecators need to harness the potential of such tools to foster
sented 28.5% of total injuries (weighted estimate = 29,610).
scholarship, promote self-directed learning, and disseminate
Before 2018 the most common age group of HN injuries was
knowledge. We report implementation of a structured editing
≤17 years, but in 2018-2019 injuries in 18- to 44-year-olds
course that empowers medical students to enhance otolaryngrew significantly to become the most injured group (P <
gology knowledge and develop core competencies.
.001).
Methods: A 4-week Wikipedia editing course was launched
Conclusions: Injuries following the launch of rideshare
by otolaryngology faculty and medical librarians to teach acae-scooter programs increased significantly, especially in
demic skills and promote lifelong learning. An in-person kickpatients aged 18-44 years. HN injuries represent many of
off was followed by training modules, targeted readings,
these injuries. User safety education must be addressed.
copyediting, and training sessions. Postings of edits and workSport and Recreational Causes of Nasal
Bone Fractures
Christopher Xiao, MD (Presenter); Rijul S. Kshirsagar, MD;
Alexander Rivero, MD
Objectives: Nasal bone fractures are the most common facial
bone fractures. However, there is limited literature on the etiology of these fractures, particularly distribution across sports
and other recreational activities.
Methods: The Nationwide Electronic Injury Surveillance
System was queried for emergency department visits involving
the diagnosis of nasal or nose fractures associated with sports
and recreation activities over the most recent 10-year span
available. Demographic, disposition, and weighted incidence
were analyzed.
Results: Total incidence of nasal fractures across 10 years
was 158,979. The mean age of nasal bone fractures was
20.4 years. Nasal fractures were more common in males

in-progress feedback sessions were accompanied by r- eflections,
reciprocal peer review, and formal presentation. Outcomes
included qualitative and quantitative assessment of edits, referencing, peer feedback, structure, and reflections.
Results: Students edited existing pages (eg, https://en.wikipedia
.org/wiki/Osteoradionecrosis) or created de novo pages (eg,
https://en.wikipedia.org/wiki/Muscle_tension_dysphonia).
Edits spanned 29 pages, >15,000 words, 84,279 characters,
and 128 references, receiving >2 million views. Article quality increased from unrated, stub, or start to graded scores that
reflected enhanced language, structure, and content.
Qualitative analyses showed gains in confidence, engagement
with technology, and satisfaction in acquiring skills in
research, integration, and writing.
Conclusions: Wikipedia is a promising tool for cultivating
academic skills in otolaryngology. Creating or editing pages
on otolaryngology topics allows skill mastery and dissemination of best practices and up-to-date data.

https://en.wikipedia.org/wiki/Osteoradionecrosis https://en.wikipedia.org/wiki/Osteoradionecrosis https://en.wikipedia.org/wiki/Muscle_tension_dysphonia

Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts

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