Internal Distraction Resulted in Improved Patient-Reported Outcomes for Midface Hypoplasia
- 1 January 2018
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in The Journal of Craniofacial Surgery
- Vol. 29 (1), 139-143
- https://doi.org/10.1097/scs.0000000000004109
Abstract
Background: Both internal and external distraction devices have been used successfully in correcting midface hypoplasia. Although the indication for surgery and the osteotomy techniques may be similar, deciding when to use internal versus external devices has not been studied. The authors studied patient-reported outcomes with FACE-Q and functional surveys for internal and external devices for midface distraction patients. Methods: Patients who underwent distraction advancement after Le Fort I and Le Fort III were surveyed using the FACE-Q survey and a functional survey. Equal groups of internal and external device patients were compared (n = 64). Data recorded included: sex, age, follow-up, diagnosis, operating room time, expected blood loss, length of stay, distraction length, consolidation time, and complications. Results: Internal and external device groups were similar with regards to patient diagnosis, operative time, expected blood loss, distraction length but consolidation times differed (internal = 3.6 versus external = 1.1 months). For FACE-Q appearance appraisal, there were similarities in domain and scale. For the functional survey (airway/breathing, ocular/vision, occlusion/eating, speech/articulation), there was also similar scoring. However, internal device patients had superior FACE-Q scores for Quality of Life: Social Function (80.9 versus 68.9), Early Life Impact (92.9 versus 62.4), Dental Anxiety (70.2 versus 48.3), Psychological Well-being (87.8 versus 68.6); and Decision Satisfaction (81.2 versus 56.9) and Outcome Satisfaction (91.0 versus 84.7). Conclusions: Internal and external midface distraction patients had similar patient-reported outcomes for appearance and functional improvement; however, internal device patients were more satisfied with their quality of life and their decision to undergo the procedure.Keywords
This publication has 15 references indexed in Scilit:
- Positive Association Between Reported Childhood Peer Teasing and Adult Borderline Personality Disorder SymptomsJournal of Child & Adolescent Trauma, 2015
- FACE-Q Scales for Health-Related Quality of Life, Early Life Impact, Satisfaction with Outcomes, and Decision to Have TreatmentPlastic and Reconstructive Surgery, 2015
- A systematic review on the outcome of mandibular distraction osteogenesis in infants suffering Robin sequenceClinical Oral Investigations, 2013
- Dual Midfacial Distraction Osteogenesis for Crouzon Syndrome: Long-Term Follow-Up Study for Relapse and GrowthJournal of Oral and Maxillofacial Surgery, 2012
- Midface distraction osteogenesis: Internal vs. external devicesInternational Journal of Oral & Maxillofacial Surgery, 2011
- Childhood Teasing and Adult Implicit Cognitive BiasesCognitive Therapy and Research, 2010
- Social cognitive development during adolescenceSocial Cognitive and Affective Neuroscience, 2006
- Distraction Osteogenesis of the Hypoplastic Midface using a Rigid External Distraction System: The Results of a One- to Six-Year Follow-UpPlastic and Reconstructive Surgery, 2006
- Impact of External Fixation on AdolescentsOrthopaedic Nursing, 2006
- Operative Lengthening of the Lower Extremity and Associated Psychological Aspects: The Childrenʼs Hospital ExperienceJournal of Pediatric Orthopaedics, 1990