Vancouver, British Columbia, and Hamilton, Ontario, Canada; New York, N.Y.; and Plymouth, United Kingdom From the University of British Columbia, Memorial Sloan-Kettering Cancer Center, Peninsula College of Medicine and Dentistry, and McMaster University.
Plast Reconstr Surg. 2012 Jul;130(1):91-99. doi: 10.1097/PRS.0b013e318254b08d.
Incomplete recovery from facial nerve damage has functional deficits and significant social and psychological consequences. To evaluate the success of surgical and nonsurgical interventions in facial paralysis patients, patient satisfaction and impact on quality of life should be considered. The objective of this study is to identify existing patient-reported outcome instruments that measure quality-of-life outcomes in the facial paralysis population.
A systematic review of the English-language literature was performed to identify patient-reported outcome instruments that have been developed and validated for use in facial paralysis patients. Each qualifying measure was evaluated for content and psychometric properties, as outlined by international recommended guidelines for item generation, item reduction, and psychometric evaluation.
From 598 articles, 28 questionnaires assessing facial paralysis were identified. Only three questionnaires satisfied the inclusion and exclusion criteria: the Facial Clinimetric Evaluation Scale, the Facial Disability Index, and a questionnaire developed to study aberrant facial nerve regeneration. Although these patient-reported outcome instruments show evidence of development and validation, no measures satisfy all instrument development and validation guidelines. All instruments were limited in domains that address self-perception of facial appearance and procedure-related symptoms or satisfaction.
Although instruments are available for measuring outcomes with respect to facial function, there are few instruments developed to specifically evaluate the impact of facial paralysis on quality of life. To quantify treatment outcomes of facial paralysis patients, future research to develop and validate a new patient-reported outcome instrument is needed.
面神经损伤不完全恢复会导致功能缺陷，并产生重大的社会和心理后果。为了评估面神经麻痹患者手术和非手术干预的成功，应考虑患者满意度和对生活质量的影响。本研究的目的是确定现有的患者报告结局工具，这些工具可用于测量面神经麻痹人群的生活质量结局。
对英文文献进行系统综述，以确定已开发和验证用于面神经麻痹患者的患者报告结局工具。根据国际推荐的项目生成、项目简化和心理测量评估指南，对符合条件的每项措施进行了内容和心理测量特性评估。
从 598 篇文章中，确定了 28 种评估面神经麻痹的问卷。只有三种问卷符合纳入和排除标准：面部临床计量评估量表、面部残疾指数和用于研究异常面神经再生的问卷。尽管这些患者报告结局工具显示了开发和验证的证据，但没有一种措施符合所有工具开发和验证指南。所有工具都局限于涉及自我感知面部外观和与手术相关的症状或满意度的领域。
尽管有一些仪器可用于测量面部功能相关的结果，但很少有专门评估面神经麻痹对生活质量影响的仪器。为了量化面神经麻痹患者的治疗结果，需要进一步研究开发和验证新的患者报告结局工具。
