TY - JOUR
T1 - Adverse events in facial plastic surgery
T2 - Data-driven insights into systems, standards, and self-assessment
AU - Xie, Yanjun
AU - Brenner, Michael J.
AU - Sand, Jordan P.
AU - Desai, Shaun C.
AU - Drumheller, Caitlin Murray
AU - Roberson, David W.
AU - Nussenbaum, Brian
AU - Kienstra, Matthew A.
N1 - Funding Information:
The study authors wish to acknowledge the members of the AAO-HNS and AAFPRS who have generously given their time and shared their experiences in this survey, making this study possible. The authors also wish to acknowledge Jean Brereton, M.B.A. Senior Director of Quality, American Academy of Otolaryngology—Head and Neck Surgery, Alexandria, VA for efforts in developing and disseminating the survey instrument, as well as Dr. Mark K. Wax, F.A.C.S. FRCS(C) for stewardship of the AAO-HNS programming and encouraging us to present and share these data. Yanjun Xie: Formal analysis, Writing- Original draft, Writing- Review and editing. Michael Brenner: Conceptualization, Methodology, Writing- Review and editing. Jordan Sand: Conceptualization, Methodology, Formal analysis. Shaun Desai: Conceptualization, Methodology, Formal analysis. Caitlin Murray Drumheller: Conceptualization, Methodology, Investigation. David Roberson: Conceptualization, Methodology, Formal analysis. Brian Nussenbaum: Conceptualization, Methodology, Writing- Review and editing. Matthew Kienstra: Conceptualization, Methodology, Writing- Review and editing. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Purpose: Complications in facial plastic surgery can lead to pain, suffering, and permanent harm. Yet, the etiology and outcomes of adverse events are understudied. This study aims to determine the etiology and outcomes of adverse events reported in aesthetic facial plastic surgery and identify quality improvement opportunities. Material and methods: A cross-sectional survey analysis was conducted using an anonymous 22-item questionnaire distributed to members of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) and American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). Participants were queried on demographics, practice type, and adverse events related to aesthetic facial surgeries. Results: Two hundred fifty-three individuals participated; nearly half of respondents (49.0%) held membership in both AAO-HNS and AAFPRS. Of these, 40.8% of respondents reported at least one adverse event within the past 12 months of practice. A total of 194 adverse events were reported, most commonly related to facelift (n = 59/194, 30.4%), rhinoplasty (n = 55/194, 28.4%), and injection procedures (n = 38/194, 19.6%), with hematoma or seroma being the most commonly described. Most adverse events were self-limited, but approximately 68% resulted in further procedures. Surgeon error or poor judgement (n = 42) and patient non-adherence (n = 18) were the most commonly ascribed reasons for adverse events; 37.1% of participants reported a change in clinical practice after the incident. Conclusions: Adverse events were not infrequent in facial plastic surgery. Understanding these adverse events can provide impetus for tracking outcomes, standardization, and engagement with lifelong learning, self-assessment, and evaluation of practice performance.
AB - Purpose: Complications in facial plastic surgery can lead to pain, suffering, and permanent harm. Yet, the etiology and outcomes of adverse events are understudied. This study aims to determine the etiology and outcomes of adverse events reported in aesthetic facial plastic surgery and identify quality improvement opportunities. Material and methods: A cross-sectional survey analysis was conducted using an anonymous 22-item questionnaire distributed to members of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) and American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). Participants were queried on demographics, practice type, and adverse events related to aesthetic facial surgeries. Results: Two hundred fifty-three individuals participated; nearly half of respondents (49.0%) held membership in both AAO-HNS and AAFPRS. Of these, 40.8% of respondents reported at least one adverse event within the past 12 months of practice. A total of 194 adverse events were reported, most commonly related to facelift (n = 59/194, 30.4%), rhinoplasty (n = 55/194, 28.4%), and injection procedures (n = 38/194, 19.6%), with hematoma or seroma being the most commonly described. Most adverse events were self-limited, but approximately 68% resulted in further procedures. Surgeon error or poor judgement (n = 42) and patient non-adherence (n = 18) were the most commonly ascribed reasons for adverse events; 37.1% of participants reported a change in clinical practice after the incident. Conclusions: Adverse events were not infrequent in facial plastic surgery. Understanding these adverse events can provide impetus for tracking outcomes, standardization, and engagement with lifelong learning, self-assessment, and evaluation of practice performance.
KW - Adverse events
KW - Complications
KW - Facial plastic surgery
KW - Patient safety
KW - Quality improvement
KW - Systems
UR - http://www.scopus.com/inward/record.url?scp=85095415966&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85095415966&partnerID=8YFLogxK
U2 - 10.1016/j.amjoto.2020.102792
DO - 10.1016/j.amjoto.2020.102792
M3 - Article
C2 - 33160176
AN - SCOPUS:85095415966
SN - 0196-0709
VL - 42
JO - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
JF - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
IS - 1
M1 - 102792
ER -