Patient-reported outcomes in facial reconstruction: Assessment of face-Q scales and predictors of satisfaction

Adekunle Elegbede, Sara Mermulla, Silviu C. Diaconu, Colton McNichols, Yuanyuan Liang, Fan Liang, Yvonne M. Rasko, Michael P. Grant, Arthur J. Nam

Research output: Contribution to journalArticlepeer-review


Background: There is a paucity of patient-reported outcome measures for facial trauma reconstruction. To measure satisfaction and health-related quality of life (HRQOL), following repair of traumatic facial fractures, we used the FACE-Q, a set of patient-reported outcome instruments designed for aesthetic facial surgery. As a step toward validating the scales for facial trauma, we evaluated their reliability. Methods: This is a prospective study of patients following primary repair of traumatic facial fractures at a level 1 trauma center from 2016 to 2018. Six FACE-Q scales with relevance to the facial trauma population were completed by patients at their 1-month postoperative visits. Predictors of satisfaction were examined using multiple linear regression models. Reliability of the scales in this population was evaluated using psychometric methods. Results: One hundred eighty-five participants fulfilled inclusion criteria. Mean scores for the 6 scales ranged from 59 (SD = 15) for Recovery-Early Life Impact to 94 (SD = 13) for Satisfaction with Medical Team. Predictors of lower satisfaction and/ or HRQOL include current tobacco smoking status, mandibulomaxillary fixation, and Le Fort pattern fractures. All scales were found to have good to excellent reliability (Cronbach's alpha = 0.824-0.969). Conclusions: Following repair of facial fractures, patient-reported outcomes can be reliably measured using FACE-Q scales. On average, patients report poor health-related quality of life in the early postoperative period. Predictors of low satisfaction and/or poor HRQOL include current smoking habit, mandibulomaxillary fixation, and Le Fort fractures.

Original languageEnglish (US)
Article numbere2004
JournalPlastic and Reconstructive Surgery - Global Open
Issue number12
StatePublished - 2018
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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