Recovering maxillofacial trauma patients: the hidden problems

Journal of Wound Care
P SenS N Rogers

Abstract

This longitudinal study highlights the psychological and functional problems that can result from maxillofacial trauma. This is the first study to report outcome at one year. A total of 147 patients admitted for surgery following facial trauma were recruited over a seven-month period. Three questionnaires were used to record patient-derived levels of dysfunction: the Hospital Anxiety Depression scale, a modified University of Washington Quality of Life questionnaire and five non-validated facial trauma items. At one year 46 patients (31%) responded. Although there were significant improvements in scores from pre-operatively to one year, with all patients being discharged from outpatient follow-up, there was a substantial level of subjective symptomatology. Most notable was the level of anxiety and depression, which were present in 30% of the sample at both time points. Health-care professionals tend to underestimate the long-term effects of maxillofacial trauma. To improve patient care, greater appreciation of these problems is required at the time of initial management.

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Citations

May 3, 2014·The British Journal of Oral & Maxillofacial Surgery·Farah ShirazAnia Korszun
Feb 7, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Sofie C KommersTymour Forouzanfar
Jan 11, 2011·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Avinash De Sousa
Nov 20, 2012·Journal of Plastic Surgery and Hand Surgery·Shofiq IslamGary R Hoffman
Dec 20, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Shofiq IslamGary R Hoffman
Mar 8, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Shofiq IslamGary R Hoffman
Jan 18, 2011·The British Journal of Oral & Maxillofacial Surgery·D C Laraway, S N Rogers
Apr 21, 2010·Oral and Maxillofacial Surgery Clinics of North America·Shirley M Glynn, Vivek Shetty
Jan 5, 2010·The British Journal of Oral & Maxillofacial Surgery·A N Kanatas, S N Rogers
Aug 19, 2009·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Shofiq IslamGary R Hoffman
Jan 14, 2009·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Melanie W GirondaKathryn A Atchison
Mar 22, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Stephen M AuerbachThomas A Campbell
Jul 24, 2004·Journal of Advanced Nursing·Nicola J TebblePatricia Price
Dec 14, 2005·The British Journal of Oral & Maxillofacial Surgery·Nicola J TebblePatricia Price
Oct 9, 2014·Emergency Medicine Australasia : EMA·Adrian F DeAngelisAlf L Nastri
Feb 14, 2007·The Journal of Trauma·Shirley M GlynnJianming Wang
May 11, 2018·Clinical and Experimental Dental Research·Ramat Oyebunmi BraimahAkinyele Lawrence Akinyoola
Aug 9, 2018·Craniomaxillofacial Trauma & Reconstruction·Balasubramanian Krishnan, Ravi Philip Rajkumar
Apr 25, 2015·The Journal of Contemporary Dental Practice·N T PrashanthBaswaraj Hullale

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