Facial Palsy‐Specific Quality of Life in 920 Patients: Correlation With Clinician‐Graded Severity and Predicting Factors

Tavares-Brito, Joana; Veen, Martinus M. van; Dusseldorp, Joseph R.; Bahmad, Fayez; Hadlock, Tessa A.

doi:10.1002/lary.27481

Cited by 78 publications

(104 citation statements)

References 36 publications

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“…acial nerve paralysis (FNP), such as Bell's palsy, is a neuromuscular disorder disease that causes the symptoms of facial weakness, disability of facial expressions and movements [1], [2]. The effects of FNP not only cause physical pain, but also put severe restrictions on social interaction and living quality which is often thought as eccentric disposition, depression and loneliness [3], [4]. Facial function rehabilitation is a long-term process [5].…”

Section: Introductionmentioning

confidence: 99%

Region Based Parallel Hierarchy Convolutional Neural Network for Automatic Facial Nerve Paralysis Evaluation

Liu

Xia

et al. 2020

IEEE Trans. Neural Syst. Rehabil. Eng.

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Section: Introductionmentioning

confidence: 99%

Region Based Parallel Hierarchy Convolutional Neural Network for Automatic Facial Nerve Paralysis Evaluation

Liu

Xia

et al. 2020

IEEE Trans. Neural Syst. Rehabil. Eng.

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“…The QoL scores mostly reflect the patient's perception about the consequences of the disease, depending on numerous additional, usually psychosocial, factors other than the disease itself. 29…”

Section: Discussionmentioning

confidence: 99%

Facial Clinimetric Evaluation Scale and Synkinesis Assessment Questionnaire Translation into Brazilian Portuguese: A Validation Study

Tavares-Brito

Fonseca

Torres

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Facial nerve palsy results in both functional disability and psychological morbidity. There are several well-established grading scales to quantify the quality of life of these patients. Objective Translate and validate the Facial Clinimetric Evaluation (FaCE) scale and Synkinesis Assessment Questionnaire (SAQ) to Brazilian Portuguese. Methods This study adopted a forward-backward translation method and performed cross-cultural adaptation. A pilot study was conducted to correct any confusing language and to evaluate content validity. A validation study was then performed. Internal consistency of the Brazilian Portuguese version of the FaCE and SAQ items was evaluated by Cronbach’s alpha coefficient. Construct validity was assessed by Spearman’s Rank Correlation Coefficient between FaCE and SAQ scores to eFACE, House-Brackmann, Short Form 12 (SF-12) and Facial Disability Index (FDI) (sub)scores. Results A total of 90 patients were included. Cronbach’s alpha for total domain scored 0.881 for FaCE and 0.809 for SAQ. FaCE total score correlation to eFACE total and House-Brackmann showed Spearman’s r value of 0.537 and −0.538, respectively (p < 0.001). SAQ correlation to eFACE synkinesis subdomain was −0.449 (p < 0.001). No correlation was found between SAQ and HB score. FaCE total score correlations were of 0.301 and 0.547 for SF-12 PCS and MCS, respectively (p < 0.001). Correlation between FaCE total and FDI Physical and Social/well-being functions were 0.498 and 0.567 (p < 0.001). Conclusion Brazilian Portuguese FaCE scale and SAQ versions achieved high validity and reliability in the present study. These translated instruments demonstrated good psychometric properties, being proper to use in clinical practice in Brazil and with Brazilian Portuguese speakers.

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“…Studies have shown that atrophy of muscles as well as an increase in muscle cross‐section after exercising can be followed with ultrasound, magnetic resonance imaging, and three‐dimensional scanners . A standardized study with regular planned follow‐up visits, a standardized stimulation protocol, and use of patient questionnaires would be needed to verify the subjective improvement in symmetry and demonstrate the impact of ES in muscle response and psychological influence . A larger sample size would be helpful to detect the between‐group differences more accurately.…”

Section: Discussionmentioning

confidence: 99%

“…[31][32][33][34] A standardized study with regular planned follow-up visits, a standardized stimulation protocol, and use of patient questionnaires would be needed to verify the subjective improvement in symmetry and demonstrate the impact of ES in muscle response and psychological influence. 35 A larger sample size would be helpful to detect the between-group differences more accurately. To quantify the synkinesis and the movement in ES more specifically, it would also be useful to rate standardized videos developed for facial palsy evaluation rather than pictures.…”

Section: Limitationsmentioning

confidence: 99%

“…In these 13 patients, no surgical nerve reconstruction was performed, but a conservative waitand-see strategy was started.In the ES group, facial palsy was caused by surgical removal of a benign tumor (n = 7). Ages ranged from35 to 68 (median 48, IQR 36-66) years. In the control group (38-70 years, median 57 years, IQR 42.5-68.5 years), facial palsy was caused by surgical removal of F I G U R E 1 Time between hypoglossal-facial-jump anastomosis and first signs of reinnervation in 33 patients without ES vs 6 patients with ES therapy.…”

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Surface electrical stimulation for facial paralysis is not harmful

et al. 2020

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Introduction Does electrical stimulation (ES) of denervated muscles delay or prevent reinnervation, or increase synkinesis? In this retrospective study we evaluate the outcome, with and without ES, of patients with acutely denervated facial muscles. Methods The effect of ES was analyzed in two experiments. In the first experiment, 39 patients (6 with home‐based ES, median 17.5 months) underwent facial nerve reconstruction surgery. Time to recovery of volitional movements was analyzed. The second experiment involved 13 patients (7 with ES, median 19 months) during spontaneous reinnervation. Sunnybrook and eFACE scores provided functional outcome measures. Results No difference in time of reinnervation after facial nerve reconstruction surgery was seen between the patients with and without ES (median [interquartile range]: 4.5 [3.0‐5.25] vs 5.7 [3.5‐9.5] months; P = .2). After spontaneous reinnervation, less synkinesis was noted (Sunnybrook synkinesis score: 3.0 [2.0–3.0] vs 5.5 [4.75‐7.0]; P = .02) with ES. Discussion We find no evidence that ES prevents or delays reinnervation or increases synkinesis in facial paralysis.

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Facial Palsy‐Specific Quality of Life in 920 Patients: Correlation With Clinician‐Graded Severity and Predicting Factors

Abstract: 4. Laryngoscope, 2018.

Cited by 78 publications

References 36 publications

Region Based Parallel Hierarchy Convolutional Neural Network for Automatic Facial Nerve Paralysis Evaluation

Region Based Parallel Hierarchy Convolutional Neural Network for Automatic Facial Nerve Paralysis Evaluation

Facial Clinimetric Evaluation Scale and Synkinesis Assessment Questionnaire Translation into Brazilian Portuguese: A Validation Study

Surface electrical stimulation for facial paralysis is not harmful

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