Validierung einer Deutschen Version des Sunnybrook Facial Grading Systems

Neumann, T.; Lorenz, Annegret; Volk, Gerd Fabian; Hamzei, Farsin; Schulz, Stefan; Guntinas‐Lichius, Orlando

doi:10.1055/s-0042-111512

Cited by 12 publications

(14 citation statements)

References 17 publications

(20 reference statements)

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“…In other words, the evaluations performed at different times by the same physician should be compatible with each other. It was reported that the SFGS was a reliable and valid scale in previously performed validity studies [12][13][14][15][16]. In Table 5, the inter-and intra-rater reliability results are compared with the results of the validity studies in the different languages in the literature.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Turkish version of the Sunnybrook facial grading system

et al. 2020

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Background/aim: To adapt the Sunnybrook facial grading system (SFGS) into Turkish and perform validation and reliability studies on the Turkish version. Materials and Methods:The original English version of the SFGS was translated into Turkish by performing a linguistic validity study based on international standards. The evaluators comprised 6 physicians. Evaluations were performed twice independently using the video recordings of 65 facial palsy patients. Synchronously, the House-Brackman facial grading system (HBFGS) was filled out to display concurrent validity. The intraclass correlation coefficient (ICC) and Cronbach's alpha was used for the examination of the inter-and intra-rater reliability. As another indication of reliability, the generalizability (G) was also examined. Results:The ICC for the inter-rater reliability for resting symmetry, symmetry of voluntary movement, synkinesis, and the composite score, which are 4 components of the SFGS, were determined, respectively, as 0.822, 0.956, 0.606, and 0.957 for the first evaluation, and 0.805, 0.965, 0.584, and 0.965 for the second evaluation. For the intra-rater reliability, the ICC were determined as 0.842, 0.956, 0.794, and 0.937, while the Cronbach's alpha coefficients were determined as 0.809, 0.956, 0.792, and 0.948, respectively. The G coefficient was determined as G = 0.772. For the concurrent validity, a strong correlation was found between the SFGS and HBFGS scores. Conclusion:The present study adapted the SFGS into Turkish, and demonstrated that the adapted scale was valid and reliable. The Turkish version can be used for the evaluation of facial palsy, the follow-up of treatment efficiency, and standardization in reporting outcomes with the international literature.

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Section: Discussionmentioning

confidence: 99%

Validation of the Turkish version of the Sunnybrook facial grading system

et al. 2020

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“…Only this allowed to divide the patients into the study group (participants with central facial paresis) or the control group (participants without central facial paresis). The Sunnybrook Facial Grading System [ 52 , 53 ] is used for the standardised assessment for diagnosing facial paresis or paralysis, respectively. This measurement method is explicitly recommended [ 54 ].…”

Section: Methodsmentioning

confidence: 99%

Is There a Difference in Facial Emotion Recognition after Stroke with vs. without Central Facial Paresis?

2022

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The Facial Feedback Hypothesis (FFH) states that facial emotion recognition is based on the imitation of facial emotional expressions and the processing of physiological feedback. In the light of limited and contradictory evidence, this hypothesis is still being debated. Therefore, in the present study, emotion recognition was tested in patients with central facial paresis after stroke. Performance in facial vs. auditory emotion recognition was assessed in patients with vs. without facial paresis. The accuracy of objective facial emotion recognition was significantly lower in patients with vs. without facial paresis and also in comparison to healthy controls. Moreover, for patients with facial paresis, the accuracy measure for facial emotion recognition was significantly worse than that for auditory emotion recognition. Finally, in patients with facial paresis, the subjective judgements of their own facial emotion recognition abilities differed strongly from their objective performances. This pattern of results demonstrates a specific deficit in facial emotion recognition in central facial paresis and thus provides support for the FFH and points out certain effects of stroke.

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“…Dies erfüllt aktuell im deutschsprachigen Raum am besten das Sunnybrook Facial Grading System (Tab. 4 ; [ 10 ]). Die Facial Nerve Grading Scale 2.0 und die Electronic Clinician Graded Facial Function Scale (eFACE) sind nicht in deutscher Sprache validiert [ 11 ].…”

Section: Subjektive Und Objektive Einstufung Der Gesichtsnervenfunktionunclassified

“…Bewertet getrennt das Gesicht in Ruhe, in Bewegung und Synkinesien. Gilt als verlässliche Klassifikationsschema, und es gibt eine validierte deutsche Version [ 10 ] Facial Nerve Grading Scale 2.0 Eine Weiterentwicklung der House-Brackmann-Skala, greift Elemente des Stennert-Parese-Index auf; wird bislang wenig benutzt Electronic Clinician Graded Facial Function Scale (eFACE) Ein digitales 15-Item-Instrument mit visuellen Analogskalen; die Ergebnisse werden direkt grafisch aufgearbeitet; nichtsdestotrotz reflektiert dies wie die anderen Skalen auch die subjektive Einschätzung des Beurteilers. Eine Weiterentwicklung ist Emotrics ( https://github.com/dguari1/Emotrics ; Copyright: Diego L Guarin), eine automatische Softwarelösung, basierend auf einem maschinellen Lernverfahren …”

Section: Subjektive Und Objektive Einstufung Der Gesichtsnervenfunktionunclassified

Preservation, reconstruction, and rehabilitation of the facial nerve

Thielker

Kouka

Guntinas‐Lichius

2022

HNO

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Der Umgang mit dem N. facialis ist bei der Operation eines Parotiskarzinoms wichtig für die Langzeitlebensqualität des Patienten. In etwa 2 Drittel der Fälle ist der N. facialis nicht vom Tumor befallen. In diesen Fällen sind neben vollständiger Tumorentfernung die Identifizierung und der Erhalt des Nervs für eine erfolgreiche Operation wesentlich. Ist der Nerv vom Tumor infiltriert, muss der betroffene Teil des Nervs im Rahmen einer radikalen Parotidektomie reseziert werden. Die primäre Nervenrekonstruktion, sofern möglich, führt zu den besten funktionellen und kosmetischen Langzeitergebnissen. Das individuell optimale Therapiekonzept basiert zum einen auf der klinischen Prüfung der Gesichtsbeweglichkeit, zum anderen auf der präoperativen Bildgebung, um die Lagebeziehung zwischen Tumor und Nerv zu verstehen, und schließlich auf einer elektrophysiologischen Untersuchung zur Funktion des Nervs. Intraoperativ hilft ein standardisiertes Vorgehen, um den Nerv zu identifizieren und zu erhalten. Wenn eine radikale Parotidektomie indiziert ist, kann bereits die präoperative Diagnostik helfen, neben der einzeitigen Rekonstruktion auch die adjuvante postoperative Therapie zu planen. Das Ziel der Rehabilitation ist die Wiederherstellung von Tonus, Symmetrie und Bewegung des gelähmten Gesichts. Die Wiederherstellung des Augenschlusses hat hohe Priorität. Bei der chirurgischen Therapie von Gesichtslähmungen gab es in den letzten Jahren viele Verbesserungen. Die vorliegende Arbeit gibt einen Überblick über die jüngsten Fortschritte in der Diagnostik, den Operationstechniken und weiteren Möglichkeiten zur Protektion des gesunden N. facialis. Anderseits wird die Rehabilitation des tumorinfiltrierten N. facialis im Kontext der Behandlung von Speicheldrüsenmalignomen beschrieben.

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Validierung einer Deutschen Version des Sunnybrook Facial Grading Systems

Cited by 12 publications

References 17 publications

Validation of the Turkish version of the Sunnybrook facial grading system

Validation of the Turkish version of the Sunnybrook facial grading system

Is There a Difference in Facial Emotion Recognition after Stroke with vs. without Central Facial Paresis?

Preservation, reconstruction, and rehabilitation of the facial nerve

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