Abstract
Aim: To design, validate, and implement a digital registry system for midface and orbital reconstructions.
Materials and Methods: This descriptive-analytic study was conducted at Shariati Hospital, Tehran, between 2021 and 2024. In the first phase, we performed a review of existing literature and guidelines on craniofacial registries to identify elements for designing a digital registry. In the second phase, we developed a structured questionnaire with demographic, clinical, procedural, and postoperative outcomes. The questionnaire underwent pilot testing for reliability and content validity.
Results: An expert survey led to the inclusion of 28 items on patient demographics, medical history, disease characteristics, surgical details, postoperative outcomes, and patient satisfaction. In a study with 19 patients, the average age was 34.05 years, with most patients being male (63.2%) and non-smokers (73.7%). Trauma was the leading cause of injury (73.7%), and most patients underwent one to two surgeries. Postoperative outcomes were generally favorable, with complications like infection (10.5%) and fistula formation (21.1%) observed. Patients reported good functional recovery, with high satisfaction in speech and eating abilities. Quality of life assessments showed diverse responses, with 47.4% of patients rating their health-related quality of life as better than before their illness. Self-assessments of facial aesthetics indicated a higher perception of sunken features, unattractiveness, and facial damage.
Conclusion: Our study showed the feasibility and clinical application of a digital data recording system for midface and orbital reconstruction, integrating comprehensive patient data, surgical outcomes, and quality of life metrics. This provides a platform for ongoing research to improve reconstructive techniques and support evidence-based clinical decision-making.
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