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Recovering maxillofacial trauma patients: the hidden problems.

P Sen1, N Ross, S Rogers

  • 1Regional Maxillofacial Unit, University Hospital, Aintree, Liverpool, UK.

Journal of Wound Care
|April 2, 2002
PubMed
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Maxillofacial trauma can lead to lasting psychological and functional issues, with anxiety and depression persisting in 30% of patients one year post-injury. Healthcare providers must recognize these long-term effects for better patient care.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Psychological Trauma Research
  • Patient Outcomes Research

Background:

  • Maxillofacial trauma presents significant challenges beyond initial surgical repair.
  • Long-term psychological and functional sequelae are often underestimated by healthcare professionals.
  • This study is the first to report one-year outcomes for patients with maxillofacial trauma.

Purpose of the Study:

  • To investigate the long-term psychological and functional problems following maxillofacial trauma.
  • To assess patient-reported outcomes at one year post-injury.
  • To highlight the discrepancy between clinical discharge and persistent patient symptomatology.

Main Methods:

  • A longitudinal study involving 147 patients admitted for maxillofacial trauma surgery.

Related Experiment Videos

  • Utilized the Hospital Anxiety Depression scale, a modified University of Washington Quality of Life questionnaire, and facial trauma items.
  • Collected data pre-operatively and at one-year follow-up from responding patients (n=46).

    • Main Results:

    • Significant improvements in scores were observed from pre-operative to one-year follow-up.
    • Despite discharge from outpatient care, 31% of patients reported subjective symptomatology at one year.
    • Anxiety and depression were notably present in 30% of the sample at both time points.

    Conclusions:

    • Maxillofacial trauma can result in persistent psychological distress, particularly anxiety and depression, one year post-injury.
    • Healthcare professionals may underestimate the long-term impact of facial trauma on patients' well-being.
    • Improved awareness and management of these long-term effects are crucial during initial patient care.