Butler Daniel P, Grobbelaar Adriaan O
Department of Plastic and Reconstructive Surgery, Royal Free Hospital, London, UK.
J Multidiscip Healthc. 2017 Sep 25;10:377-381. doi: 10.2147/JMDH.S125574. eCollection 2017.
The functional and psychosocial impact of facial paralysis on the patient is significant. In response, a broad spectrum of treatment options exist and are provided by a multitude of health care practitioners. The cause and duration of the facial weakness can vary widely and the optimal care pathway varies. To optimize patient outcome, those involved in the care of patients with facial palsy should collaborate within comprehensive multidisciplinary teams (MDTs). At an international level, those involved in the care of patients with facial paralysis should aim to create standardized guidelines on which outcome domains matter most to patients to aid the identification of high quality care. This review summarizes the causes and treatment options for facial paralysis and discusses the subsequent importance of multidisciplinary care in the management of patients with this condition. Further discussion is given to the extended role of the MDT in determining what constitutes quality in facial palsy care to aid the creation of accepted care pathways and delineate best practice.
面瘫对患者的功能和心理社会影响重大。相应地，存在多种治疗选择，众多医疗从业者都可提供这些治疗。面部无力的病因和持续时间差异很大，最佳护理途径也各不相同。为优化患者治疗效果，参与面瘫患者护理的人员应在综合多学科团队（MDT）中协作。在国际层面，参与面瘫患者护理的人员应致力于制定标准化指南，明确对患者最重要的结果领域，以帮助确定高质量护理。本综述总结了面瘫的病因和治疗选择，并讨论了多学科护理在该病患者管理中的重要性。还进一步探讨了多学科团队在确定面瘫护理质量构成要素方面的扩展作用，以帮助创建公认的护理途径并界定最佳实践。
