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Scientific Oral Presentation

Facial Plastic and Reconstructive Surgery

Evaluating Facial Trauma Quality-of-life Scores Across Sociodemographic Factors

Sunday, October 18, 2026
9:36 AM - 9:42 AM PT
Location: 404A

    Presenting Author(s)

  • DW

    David M. Weatherford, MD

    Research Fellow
    University of Tennessee Health Science Center, Tennessee, United States

    • Co-Author(s)

  • Aaron L. Zebolsky, MD

    Resident
    University of Tennessee
    Memphis, Tennessee, United States

  • EH

    Evan Heldt, BS

    Student
    University of Tennessee, United States

  • Travis Jonathan Clarke, MD

    Medical Doctor
    University of Tennessee Health Science Center - Department of Otolaryngology
    Memphis, Tennessee, United States

    • Senior Author(s)

  • Anas A. Eid, MD

    Assistant Professor
    University of Tennessee
    Memphis, Tennessee, United States

Introduction: The Integrated Modular Patient-Reported Outcome Assessment for Craniomaxillofacial Trauma (IMPACT) is a recently validated measure of quality-of-life (QOL), but its’ generalizability across sociodemographic factors has not been established.

Methods: An institutionally approved, cross-sectional, patient-reported outcome study was performed in patients presenting for facial trauma follow-up at a single, level one trauma center between April and December 2025. Patients completed the IMPACT with standardized scores from 0 – 100 (higher scores represent worse QOL). The primary objective was the correlation between QOL and severity of facial trauma (indicated by need for operative intervention), using multivariable regression to control for sociodemographic variables: race, insurance type, marital status, and social vulnerability index (SVI; 0-1 scale with higher scores representing greater vulnerability). Total SVI and subscores in socioeconomic status (SES), household characteristics (HHC), racial and ethnic minority status (REMS), and housing type and transportation (HTT) were determined using census track data. Significance was set at p < 0.05.

Results: IMPACT surveys were completed by 67 patients with mandible (n=45, 67.2%), nasal bone (n=14, 20.9%), Le Fort (n=6, 9.0%), and/or zygomaticomaxillary (n=13, 19.4%) fractures, among other fracture patterns. Forty-four (65.7%) underwent surgical intervention while 23 (34.3%) were managed non-operatively. On univariable analysis, total SVI (p=0.437), SES (p=0.347), HHC (p=0.967), REMS (p=0.178), or HTT (p=0.815) had no correlation with QOL scores. Surgical intervention predicted worse QOL than observation (mean score 46.2 versus 30.7, p=0.003). Operative intervention remained independently associated with QOL after controlling for race, insurance, marital status, and SVI (p=0.006).

Conclusions: The IMPACT predicts QOL across varying baseline sociodemographic factors, suggesting it is generalizable for diverse facial trauma populations.