Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine.
Department of Otolaryngology-Head and Neck Surgery, Children's Health of Orange County, Orange, CA.
J Craniofac Surg. 2022;33(8):2383-2387. doi: 10.1097/SCS.0000000000008769. Epub 2022 Jul 21.
Surfing is a popular pastime in coastal areas around the world with increasing numbers of participants. There is a lack of detailed data in the literature regarding surfing-related head and neck (HN) injuries.
We queried the National Electronic Injury Surveillance System (NEISS) database to characterize patient demographics, injury types, injury subsite, and emergency department (ED) disposition status associated with surfing-related HN injuries between 2009 and 2020 in the United States.
A total of 54,978 estimated national cases were reported from 2009 to 2020. Injuries to the head (36.0%) and neck (35.8%) were most common. Young adults (ages 18-35) made up most ED visits, whereas older adults (>35) made up most (63.5%) admissions. Laceration (46.1%) was the most common injury among ED visits, whereas fracture (30.5%) and internal injury (29.2%) were most common in admitted patients. Concussions represented 7.5% of injuries overall, 9.1% of pediatric injuries, and 9.9% of young adult injuries.
When treating a patient who presents with injury suffered during surfing, a thorough examination of the HN should be performed. Specific attention should be given to evaluation of lacerations, fractures, internal ear injuries, and concussions. Pediatric and young adult patients are at increased risk of concussion. The majority of surfing injuries can be treated in an outpatient context.
冲浪是世界各地沿海地区流行的消遣活动，参与人数不断增加。关于与冲浪相关的头颈部（HN）损伤，文献中缺乏详细数据。
我们查询了国家电子伤害监测系统（NEISS）数据库，以描述 2009 年至 2020 年期间美国与冲浪相关的 HN 损伤患者的人口统计学特征、损伤类型、损伤亚部位和急诊（ED）处置状态。
2009 年至 2020 年期间，共报告了 54978 例全国估计病例。头部（36.0%）和颈部（35.8%）受伤最为常见。年轻人（18-35 岁）构成了大部分 ED 就诊，而老年人（>35 岁）构成了大部分（63.5%）住院患者。在 ED 就诊中，最常见的损伤是裂伤（46.1%），而在住院患者中，骨折（30.5%）和内部损伤（29.2%）最为常见。总体而言，脑震荡占所有损伤的 7.5%，占儿科损伤的 9.1%，占年轻成人损伤的 9.9%。
当治疗因冲浪而受伤的患者时，应对头颈部进行彻底检查。应特别注意评估裂伤、骨折、内耳损伤和脑震荡。儿科和年轻成年患者脑震荡的风险增加。大多数冲浪损伤可在门诊环境中治疗。
