A Novel Approach to Standardize Nationwide Orthognathic Surgery Data; Implementation of an Online Database

Introduction/Aims

Currently, there remains limited standardised regional data on Orthognathic Surgery within the UK National Health Service. The ‘Minimum Dataset’ for Orthognathic Surgery devised by BAOMS/BOS suggests guidelines to standardise the documentation of clinical records. However, the dataset is limited and does not allow for detailed analysis of all aspects of Orthodontic-Surgical Care.

We introduced a comprehensive Orthognathic Care Pathway Booklet and Database to allow surgeons to share their experience in terms of reasons for treatment, clinical measurements, surgery performed, and outcomes at various times after surgery.

Materials/Methods

Our booklet was designed to allow for data to be collected efficiently irrespective of grade of doctor. We have completed 30 booklets for those undergoing surgery at Northwick Park Hospital.

The captured data represents a continuum in management form first visit pre-operatively to final visit post-operatively.

Results/Statistics

We achieved >90% satisfactory completion rate, with accompanying positive comments regarding the booklet’s logical format. The booklet is now routine practice within our Department.

Following this success, Vantage Diagnostics have created a software package to function as an electronic database. Data can be entered onto this secure Central Server and allow for safe ‘paperless’ storage. 

Conclusions/Clinical Relevance

We believe our standardized paper and electronic format exceeds that of the current Minimum Dataset guidelines. At any given point in time, our data can be retrieved and analysed for medico-legal, audit and research purposes.

We aim to expand our database to incorporate data from other Maxillofacial Sub-Specialities. This unified ‘Repository’ could prove a powerful tool storing data on all aspects of modern Maxillofacial Surgical Practice. We have since expanded our database to include data collected, stored and analysed from the following Maxillofacial Surgery SubSpecialities;

Skin Cancer, Temporomandibular Joint Disorders, Oral Cancer and Orthognathic Surgery