多学科面部功能诊所的疗效。
Effectiveness of a multidisciplinary facial function clinic.
机构信息
Manchester Royal Eye Hospital, Manchester, UK.
出版信息
Eye (Lond). 2011 Oct;25(10):1360-4. doi: 10.1038/eye.2011.183. Epub 2011 Jul 29.
OBJECTIVES
To analyse the usefulness of a multidisciplinary facial function clinic (FFC).
DESIGN
Retrospective case-note review.
SETTING
The FFC was established in July 2006 at the Manchester Royal Eye Hospital with attending consultants from Ophthalmology, Skull-Base Otolaryngology, Plastic Surgery, and Physiotherapy.
PARTICIPANTS
We retrospectively reviewed the case notes for 59 consecutive patients seen at the FFC from July 2006 to February 2009.
MAIN OUTCOME MEASURES
We documented demographic data, including distance travelled and average journey time.
RESULTS
The 59 patients (mean age 46 years) made a total of 106 clinical visits (mean 1.8). The mean distance travelled by a patient was 31.9 miles with an estimated journey time of 47 min, each way. At presentation the average House-Brackmann grade of facial nerve weakness was IV. Ophthalmologist's advice was needed for 58 (98.3%), otolaryngologist's for 57 (96.6%), plastic surgeon for 49 (83.0%), physiotherapist for 58 (98.3%), and 4 (6.8%) were referred for psychological counselling. In all, 47 (79.7%) of our patients needed input from all four consultants during their visit at the FFC. By combining the presence of several consultants in one clinic, we saved an average of 5.1 visits (325.4 miles; 8 h travel time) for each patient.
CONCLUSION
We and our patients feel our multidisciplinary facial function clinic has been an effective service and has continued to work.
目的
分析多学科面部功能诊所（FFC）的效用。
设计
回顾性病历审查。
地点
FFC 于 2006 年 7 月在曼彻斯特皇家眼科医院成立，有来自眼科、颅底耳鼻喉科、整形外科和物理治疗的顾问参加。
参与者
我们回顾了 2006 年 7 月至 2009 年 2 月在 FFC 就诊的 59 例连续患者的病历。
主要观察指标
我们记录了人口统计学数据，包括旅行距离和平均旅行时间。
结果
59 例患者（平均年龄 46 岁）共进行了 106 次临床就诊（平均 1.8 次）。每位患者的平均旅行距离为 31.9 英里，估计往返行程时间为 47 分钟。就诊时，面神经无力的平均 House-Brackmann 分级为 IV 级。需要眼科医生的建议 58 例（98.3%），耳鼻喉科医生的建议 57 例（96.6%），整形外科医生的建议 49 例（83.0%），物理治疗师的建议 58 例（98.3%），4 例（6.8%）转诊进行心理咨询。在所有患者中，有 47 例（79.7%）在 FFC 就诊期间需要四位顾问的共同参与。通过将几位顾问集中在一个诊所，我们为每位患者平均节省了 5.1 次就诊（325.4 英里；8 小时旅行时间）。
结论
我们和我们的患者都认为我们的多学科面部功能诊所是一种有效的服务，并一直在运作。
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