Your face is worth it.

It is with great interest that we have read the 2019 Trauma Quality Improvement Program database study entitled “Isolated facial fractures transferred for higher level of care” 1 Lenart E. Filiberto D. Fischer P. et al. Isolated facial fractures transferred for higher level of care. Am J Surg. 2023; 225: 28-32https://doi.org/10.1016/j.amjsurg.2022.09.032 Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar and the subsequent discussion. 2 Reynolds T. Koganti D. Is your face worth it? The cost of transfer for isolated facial fractures: a commentary on "Isolated facial fractures transferred for higher level of care". Am J Surg. 2023; 225: 26-27https://doi.org/10.1016/j.amjsurg.2022.10.039 Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar The findings in this study reiterate the findings of many other studies across multiple disciplines 3 Drolet B.C. Tandon V.J. Ha A.Y. et al. Unnecessary emergency transfers for evaluation by a plastic surgeon: a burden to patients and the health care system. Plast Reconstr Surg. 2016; 137: 1927-1933https://doi.org/10.1097/PRS.0000000000002147 Crossref PubMed Scopus (28) Google Scholar , 4 Pontell M.E. Colazo J.M. Drolet B.C. Unnecessary interfacility transfers for craniomaxillofacial trauma. Plast Reconstr Surg. 2020; 145: 975e-983ehttps://doi.org/10.1097/PRS.0000000000006749 Crossref PubMed Scopus (14) Google Scholar , 5 Ray A. Curti S. Pegues J. et al. Secondary overtriage of isolated facial trauma. Am J Otolaryngol. 2021; 42103043https://doi.org/10.1016/j.amjoto.2021.103043 Crossref Scopus (3) Google Scholar , 6 Lee C.C. Wang T.T. Gandotra S. et al. Interfacility emergency department transfer for mandibular fractures in the United States. J Oral Maxillofac Surg. 2022; 80: 1757-1768https://doi.org/10.1016/j.joms.2022.07.148 Abstract Full Text Full Text PDF Scopus (2) Google Scholar , 7 Lee C.C. Wang T.T. Hajibandeh J.T. et al. Interfacility emergency department transfer for midface fractures in the United States. J Oral Maxillofac Surg. 2023; 81: 172-183https://doi.org/10.1016/j.joms.2022.10.010 Abstract Full Text Full Text PDF Scopus (0) Google Scholar – patients with isolated facial trauma are frequently subject to secondary overtriage. Needless to say, the deficiency in our trauma systems has been clearly defined. However, one important question remain – what do we do about it?