“Happy Hour to Hospital Hour”—the Overlooked Complexity of Treating Facial Trauma in Chronic Alcoholics

A significant percentage of trauma patients treated by surgeons are known to have an underlying alcohol use disorder (AUD) [1]. In turn, consumption of alcohol is also seen as a major predisposing factor for trauma, particularly due to accidents and violence. The “booze and bruises” combo presents a complex set of challenges in trauma management due to the physiological, psychological, and social factors associated with chronic alcohol consumption. Patients with AUD experience distinct vulnerabilities following facial trauma/surgery due to the “customary” alcohol abstinence imposed on them during the perioperative period. The sudden facial disfigurement adds an emotional layer; changes in appearance due to fracture and scarring can significantly impact self-esteem, body image and overall psychological well-being [2]. This stress is compounded by surgical intervention and psychological strain of being abstinent from alcohol. Without a nuanced approach to managing these stressors, patients may experience delayed recovery, poor surgical outcomes and an increased likelihood of mental health complications such as anxiety, depression and post-traumatic stress disorder (PTSD). The traditional focus on “only the physical aspects” of post-operative care, including wound healing and pain management, may not be sufficient for patients with AUD, as psychological well-being and stress management are critical to their recovery. …