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  11. Patient-reported Outcome Measures In Maxillofacial Trauma: A Scoping Review

Patient-Reported Outcome Measures in Maxillofacial Trauma: A Scoping Review

Aaron L Zebolsky1, Jillian P Krebs1, Nicholas Behymer1

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA.

The Laryngoscope
|May 15, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Patient-reported outcome measures (PROMs) in maxillofacial trauma research are diverse, primarily focusing on psychosocial well-being. This review identifies key domains to guide the development of more comprehensive PROMs for better patient care.

Area of Science:

  • Maxillofacial Surgery
  • Patient-Reported Outcomes
  • Health Services Research

Background:

  • Maxillofacial trauma research predominantly uses objective and clinician-rated outcomes.
  • Patient-reported outcome measures (PROMs) offer valuable insights into patient experiences but are inconsistently applied in this field.

Purpose of the Study:

  • To systematically review and characterize the topic domains of PROMs utilized in maxillofacial trauma research.
  • To identify common themes and gaps in current PROM application within this patient population.

Main Methods:

  • A comprehensive literature search was conducted across PubMed, Cochrane, Scopus, and CINAHL databases.
  • Studies published up to March 2025 that included at least one PROM for maxillofacial trauma patients were analyzed.
  • Instruments were classified as established PROMs or custom surveys, and their key topic domains were characterized following PRISMA-ScR guidelines.
Keywords:
facial traumamandible fracturemaxillofacial traumapatient‐reported outcome

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Main Results:

  • Ninety-six studies from 23 countries were included, focusing on mandible fractures, midface fractures, or both.
  • Seventy-three studies employed 39 established PROMs, predominantly covering Psychosocial Function (82.1%), Pain (38.5%), and Daily Tasks (35.9%).
  • Custom surveys were more likely to address Facial Function (57.5%), Pain (50%), and Satisfaction with Outcome (32.5%), highlighting a gap in established measures for these areas.

Conclusions:

  • PROMs in maxillofacial trauma research are heterogeneous, with a strong emphasis on psychosocial aspects.
  • There is a notable underrepresentation of PROMs addressing facial function and appearance.
  • The identified six key domains provide a framework for developing standardized and comprehensive PROMs in future maxillofacial trauma research.
quality‐of‐life