How often and how long should we follow up adult maxillofacial trauma? – A preliminary study

IntroductionThe aim of this study was to look at the follow-up process for adult facial trauma throughout the UK to see if there was any agreement in opinion.MethodsA pilot questionnaire was sent to 10 Maxillofacial Consultants across the UK. The questionnaire focused on both a selection of fractures and simple lacerations. It asked specifically about the frequency and duration of follow up. It also asked if there were any specific factors that would influence the follow-up process and for advice given to the patient. A literature review was undertaken to see if there is any evidence base to guide in the management of complications of facial injuries or describe the timeframe for morbidity.ResultsEight Consultants out of 10 completed the questionnaire. None had the same protocol either for duration of follow-up or frequency of follow-up. Clinicians based follow-up either on local policy or personal opinion, with only one using an evidence base for one specific fracture. Review of the literature found a relatively strong evidence base examining functional and cosmetic outcomes of only three facial fractures.ConclusionThere appears to be no universally accepted protocol for adult maxillofacial trauma follow-up leading to inconsistencies in patient treatment throughout Maxillofacial departments in the UK. Instead, follow-up seems to be based on personal experience and opinion rather than any evidence-based protocols. This suggests there may be a role for benchmarking and guidelines which would hopefully lead to consistency in patient care.