Faculty of Medicine and Dentistry & Alberta School of Business, University of Alberta, Edmonton, AB, Canada.
Division of Plastic & Reconstructive Surgery, Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
J Craniomaxillofac Surg. 2018 May;46(5):875-882. doi: 10.1016/j.jcms.2018.03.008. Epub 2018 Mar 22.
Facial reanimation provides patients affected by chronic facial paralysis a chance to regain basic human functions such as emotional expression, verbal communication, and oral competence for eating and swallowing, but there is still no consensus as to the best way to measure surgical outcomes. We performed a literature review to investigate the different functional outcomes that surgeons use to evaluate facial function after reanimation surgery, focusing on outcomes other than facial expressions such as speech, oral competence, and patient quality of life/satisfaction. A total of 37 articles were reviewed, with the majority reporting outcomes through subjective facial expression ratings and only 15 dealing with other functional outcomes. In particular, outcomes related to oral competence and speech were reported inconsistently. Facial reanimation patients would benefit from a unified movement to create and validate through consensus, an outcomes reporting system incorporating not only facial expression, but also oral competence, speech, and patient-reported quality of life, to enable global patient assessment.
面部再现将基本的人类功能如情感表达、言语交流和口腔进食及吞咽能力恢复到慢性面瘫患者身上，但对于如何衡量手术效果，仍未有统一定论。我们进行了文献回顾，以研究外科医生用于评估面部再神经手术后功能的不同方法，重点是除面部表情以外的功能，如言语、口腔能力和患者生活质量/满意度。共回顾了 37 篇文章，其中大部分通过主观面部表情评分来报告结果，只有 15 篇涉及其他功能结果。特别是，与口腔能力和言语相关的结果报告不一致。面部再神经患者将受益于通过共识创建和验证一个结果报告系统的统一运动，该系统不仅包括面部表情，还包括口腔能力、言语和患者报告的生活质量，从而实现全球患者评估。
