Adverse events in facial plastic surgery: Data-driven insights into systems, standards, and self-assessment
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 impro...
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| Veröffentlicht in: | American journal of otolaryngology 2021-01, Vol.42 (1), p.102792-102792, Article 102792 |
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| container_title | American journal of otolaryngology |
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| creator | Xie, Yanjun Brenner, Michael J. Sand, Jordan P. Desai, Shaun C. Drumheller, Caitlin Murray Roberson, David W. Nussenbaum, Brian Kienstra, Matthew A. |
| description | 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.
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.
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.
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.
•Adverse events were frequently encountered in aesthetic facial plastic surgeries•Surgeon misjudgment or patient non-adherence were common reasons for adverse events•Systems-based factors were seldom attributed or reported•Understanding complications provides impetus for standardization and self-assessment |
| doi_str_mv | 10.1016/j.amjoto.2020.102792 |
| format | Article |
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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.
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.
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.
•Adverse events were frequently encountered in aesthetic facial plastic surgeries•Surgeon misjudgment or patient non-adherence were common reasons for adverse events•Systems-based factors were seldom attributed or reported•Understanding complications provides impetus for standardization and self-assessment</description><identifier>ISSN: 0196-0709</identifier><identifier>EISSN: 1532-818X</identifier><identifier>DOI: 10.1016/j.amjoto.2020.102792</identifier><identifier>PMID: 33160176</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adverse events ; Complications ; Confidentiality ; Cross-Sectional Studies ; Demographics ; Demography ; Etiology ; Face - surgery ; Facial plastic surgery ; Female ; Head and neck ; Hematoma ; Humans ; Learning ; Lifelong learning ; Male ; Ostomy ; Otolaryngology ; Pain ; Patient Safety ; Patient satisfaction ; Plastic surgery ; Postoperative Complications ; Practice Patterns, Physicians ; Quality control ; Quality Improvement ; Quality of Health Care ; Questionnaires ; Reconstructive surgery ; Rhinoplasty ; Self-Assessment ; Standardization ; Surgeons ; Surgeons - psychology ; Surgery, Plastic - adverse effects ; Surgical outcomes ; Surveys and Questionnaires ; Systems ; United States</subject><ispartof>American journal of otolaryngology, 2021-01, Vol.42 (1), p.102792-102792, Article 102792</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>2020. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-48a314f32cd5b9b40404aae5a43b944795c62ba2f319d6b669711711bc7b71753</citedby><cites>FETCH-LOGICAL-c390t-48a314f32cd5b9b40404aae5a43b944795c62ba2f319d6b669711711bc7b71753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amjoto.2020.102792$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33160176$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xie, Yanjun</creatorcontrib><creatorcontrib>Brenner, Michael J.</creatorcontrib><creatorcontrib>Sand, Jordan P.</creatorcontrib><creatorcontrib>Desai, Shaun C.</creatorcontrib><creatorcontrib>Drumheller, Caitlin Murray</creatorcontrib><creatorcontrib>Roberson, David W.</creatorcontrib><creatorcontrib>Nussenbaum, Brian</creatorcontrib><creatorcontrib>Kienstra, Matthew A.</creatorcontrib><title>Adverse events in facial plastic surgery: Data-driven insights into systems, standards, and self-assessment</title><title>American journal of otolaryngology</title><addtitle>Am J Otolaryngol</addtitle><description>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.
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.
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.
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.
•Adverse events were frequently encountered in aesthetic facial plastic surgeries•Surgeon misjudgment or patient non-adherence were common reasons for adverse events•Systems-based factors were seldom attributed or reported•Understanding complications provides impetus for standardization and self-assessment</description><subject>Adverse events</subject><subject>Complications</subject><subject>Confidentiality</subject><subject>Cross-Sectional Studies</subject><subject>Demographics</subject><subject>Demography</subject><subject>Etiology</subject><subject>Face - surgery</subject><subject>Facial plastic surgery</subject><subject>Female</subject><subject>Head and neck</subject><subject>Hematoma</subject><subject>Humans</subject><subject>Learning</subject><subject>Lifelong learning</subject><subject>Male</subject><subject>Ostomy</subject><subject>Otolaryngology</subject><subject>Pain</subject><subject>Patient Safety</subject><subject>Patient satisfaction</subject><subject>Plastic surgery</subject><subject>Postoperative Complications</subject><subject>Practice Patterns, Physicians</subject><subject>Quality control</subject><subject>Quality Improvement</subject><subject>Quality of Health Care</subject><subject>Questionnaires</subject><subject>Reconstructive surgery</subject><subject>Rhinoplasty</subject><subject>Self-Assessment</subject><subject>Standardization</subject><subject>Surgeons</subject><subject>Surgeons - psychology</subject><subject>Surgery, Plastic - adverse effects</subject><subject>Surgical outcomes</subject><subject>Surveys and Questionnaires</subject><subject>Systems</subject><subject>United States</subject><issn>0196-0709</issn><issn>1532-818X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2LFDEQhoMo7uzoPxBp8OLBns1XJ90ehGVddWHBi4K3kE6q17T9MabSA_Pvzdirhz0sKUhRPPUmvC8hrxjdMcrURb-zYz-neccpP424bvgTsmGV4GXN6h9PyYayRpVU0-aMnCP2lFIhRfWcnAnBFGVabcivS3-AiFDAAaaERZiKzrpgh2I_WEzBFbjEO4jH98VHm2zpY8hgxjDc_fzLp7nAIyYY8V2ByU7eRp_b3BQIQ1daREAcs_oL8qyzA8LL-3tLvn-6_nb1pbz9-vnm6vK2dKKhqZS1FUx2gjtftU0raT7WQmWlaBspdVM5xVvLO8Ear1qlGs1YrtbpVjNdiS15u-ru4_x7AUxmDOhgGOwE84KGy6rWnItsxpa8eYD28xKn_LtMKcWVrpXOlFwpF2fECJ3ZxzDaeDSMmlMYpjdrGOYUhlnDyGuv78WXdgT_f-mf-xn4sAKQ3TgEiAZdgMmBDxFcMn4Oj7_wB3ebnFI</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Xie, Yanjun</creator><creator>Brenner, Michael J.</creator><creator>Sand, Jordan P.</creator><creator>Desai, Shaun C.</creator><creator>Drumheller, Caitlin Murray</creator><creator>Roberson, David W.</creator><creator>Nussenbaum, Brian</creator><creator>Kienstra, Matthew A.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QR</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>202101</creationdate><title>Adverse events in facial plastic surgery: Data-driven insights into systems, standards, and self-assessment</title><author>Xie, Yanjun ; 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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.
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.
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.
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.
•Adverse events were frequently encountered in aesthetic facial plastic surgeries•Surgeon misjudgment or patient non-adherence were common reasons for adverse events•Systems-based factors were seldom attributed or reported•Understanding complications provides impetus for standardization and self-assessment</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33160176</pmid><doi>10.1016/j.amjoto.2020.102792</doi><tpages>1</tpages></addata></record> |
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| subjects | Adverse events Complications Confidentiality Cross-Sectional Studies Demographics Demography Etiology Face - surgery Facial plastic surgery Female Head and neck Hematoma Humans Learning Lifelong learning Male Ostomy Otolaryngology Pain Patient Safety Patient satisfaction Plastic surgery Postoperative Complications Practice Patterns, Physicians Quality control Quality Improvement Quality of Health Care Questionnaires Reconstructive surgery Rhinoplasty Self-Assessment Standardization Surgeons Surgeons - psychology Surgery, Plastic - adverse effects Surgical outcomes Surveys and Questionnaires Systems United States |
| title | Adverse events in facial plastic surgery: Data-driven insights into systems, standards, and self-assessment |
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