JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Introduction Firework displays are a frequently encountered and integral part of summertime holiday celebrations in the United States, although they do carry significant risk, especially in the pediatric population. Firework-related injuries comprise a small, yet significant, source of pediatric injury [1]. Since 1990, more than 5000 children were treated for consumer firework-related injuries in emergency rooms across the United States on an annual basis [2]. In 2014 alone, 10,500 firework-related injuries required hospital treatment [3]. While orthopedic and burn injuries to the hands compose the majority of these injuries, 22.0% of firework-related injuries involve the head or neck [2]. Furthermore, a significant percentage of these injuries are suffered by bystanders [3]. A small fraction of these injuries require hospitalization, and even fewer require operative intervention [4,5]. Pedia