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Divergent Functional Outcome Measures for Perioral Surgery Across Clinical Indications: A Systematic Review
Arya Patel1, Sherman Chu2, Vivian McCallum3
1Case Western Reserve University School of Medicine, Cleveland, Ohio.
Summary
Perioral surgery assessment tools often neglect functional outcomes like speech and eating, especially in cosmetic procedures. Enhancing these tools is crucial for better patient care and preserving daily independence.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Dermatologic Surgery
Background:
- The perioral region is vital for facial aesthetics and function, frequently requiring surgical intervention for cancer, deformities, or cosmetic enhancement.
- Effective postsurgical evaluation tools are needed to ensure functional recovery and patient independence.
Purpose of the Study:
- To systematically review and validate postsurgical assessment tools for perioral surgery.
- To evaluate the coverage of perioral functional outcomes in these assessment tools across oncologic, reconstructive, and cosmetic procedures.
Main Methods:
- A systematic literature review was conducted using major scientific databases (PubMed, Web of Science, Embase, Scopus).
- Validated surgical assessment tools for perioral procedures were identified and analyzed for their functional outcome assessment scope.
Main Results:
- A total of 101 validated tools were identified (55 cosmetic, 17 oncologic, 29 reconstructive).
- Functional outcomes (speech, eating, facial expressions) were assessed by only 10/17 oncologic, 12/29 reconstructive, and 2/55 cosmetic tools.
- Cosmetic tools predominantly focused on aesthetics, while oncologic and reconstructive tools showed broader coverage including function and quality of life.
Conclusions:
- Functional outcome assessment is underemphasized in perioral surgery, particularly in cosmetic procedures.
- There is a need to refine existing assessment tools or develop new ones for comprehensive functional evaluation to improve patient care.
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