Quality of life and functional assessment of facial palsy patients: A questionnaire study
| Autor: | Michael Hagmann, Igor Pona, Eva Györi, Christine Radtke, Thomas Rath, Chieh-Han John Tzou, Christopher Przestrzelski |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty SF-36 Facial Paralysis 03 medical and health sciences Fluency Disability Evaluation 0302 clinical medicine Physical medicine and rehabilitation Quality of life Surveys and Questionnaires Medicine Humans Patient Reported Outcome Measures 030223 otorhinolaryngology Grading (education) Questionnaire study Observer Variation Palsy business.industry General Medicine Middle Aged Facial nerve stomatognathic diseases Distress Facial Nerve 030220 oncology & carcinogenesis Quality of Life Surgery Female business |
| Zdroj: | International journal of surgery (London, England). 55 |
| ISSN: | 1743-9159 |
| Popis: | Background Facial palsy leads to functional and aesthetic deficits, which impair the quality of life of affected patients. General health-related and disease-specific questionnaires are available for quality of life assessment. In this study, observer-based analysis of facial function (Sunnybrook Facial Grading Scale) was compared patient-based to facial palsy-specific gradings (Facial Clinimetric Evaluation Scale and Facial Disability Index), and general health-related quality of life questionnaires (SF-36). We hypothesized that only facial palsy-specific instruments capture functional and social impairments of affected patients. Methods Thirty facial palsy patients treated at a tertiary referral centre were included in this study. Inclusion criteria were unilateral facial palsy with stable facial function, age over 18 years and fluency in German. Facial function was assessed with general and disease-specific patient-reported outcome measures and subsequently evaluated by the treating facial plastic surgeon. Statistical analysis included descriptive statistics for all assessed measurements. Correlations were calculated to compare general and facial palsy-specific instruments, as well as observer-based grading. Results Observer-based evaluation of facial function correlated well to the patients-based assessment of physical function, however social subscores did not correlate demonstrating the limited correlation of patient distress and facial nerve impairment. Physical function scores of disease-specific instruments did not correlate with general health assessment scores, while social function scores showed moderate to good correlations. Conclusion Validated disease-specific instruments are essential for the assessment of facial palsy patients. Patient-reported outcome measures like the FaCE Scale and the Facial Disability Index should be applied in addition to standardized observer-based ratings to capture the patients' perspective on functional and social impairments associated with facial palsy to fully assess the burden of disease. |
| Databáze: | OpenAIRE |
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