Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany.
Facial Nerve Center Jena, Jena University Hospital, Jena, Germany.
Laryngoscope. 2021 Sep;131(9):E2518-E2524. doi: 10.1002/lary.29526. Epub 2021 Mar 17.
OBJECTIVES/HYPOTHESIS: To evaluate the role of body dysmorphic disorder (BDD) in patients with postparalytic facial nerve syndrome with synkinesis (PFS).
A single-center retrospective cohort study.
A total of 221 adults (74% women; median age: 44 years; median duration since onset of facial palsy: 1.6 years) were included. To diagnose BDD, the BDD Munich Module was used. Associations with House-Brackmann grading, Stennert index grading, Facial Clinimetric Evaluation (FaCE) survey, Facial Disability Index (FDI), general quality of life (SF-36), Beck Depression Inventory (BDI), and the Liebowitz Social Anxiety Scale (LSAS) was analyzed.
A total of 59 patients (27%) were classified as patients with BDD. Significant associations were found between the diagnosis of BDD and female gender and lower FDI, FaCE, and SF-36 scores and higher BDI and LSAS scores. Multivariate analysis revealed BDI, FaCE total score, and FaCE social function subscore as independent factors associated with BDD.
BDD was a relevant diagnosis in patients with PFS. A higher BDD level was associated with general and facial-specific quality of life and more psychosocial disabilities. Optimal treatment of PFS has to include these nonmotor dysfunctions.
3 Laryngoscope, 131:E2518-E2524, 2021.
目的/假设：评估面神经炎后联带运动（PFS）伴面肌痉挛患者中体像障碍（BDD）的作用。
单中心回顾性队列研究。
共纳入 221 名成年人（74%为女性；中位年龄：44 岁；面瘫发病后中位时间：1.6 年）。使用 BDD 慕尼黑模块诊断 BDD。分析与 House-Brackmann 分级、Stennert 指数分级、面部临床计量评估（FaCE）调查、面部残疾指数（FDI）、一般生活质量（SF-36）、贝克抑郁量表（BDI）和 Liebowitz 社交焦虑量表（LSAS）的相关性。
共有 59 名患者（27%）被诊断为 BDD。BDD 诊断与女性性别、较低的 FDI、FaCE 和 SF-36 评分以及较高的 BDI 和 LSAS 评分存在显著相关性。多变量分析显示 BDI、FaCE 总分和 FaCE 社会功能子评分是与 BDD 相关的独立因素。
BDD 是 PFS 患者的一个重要诊断。BDD 水平越高，与一般和面部特定生活质量以及更多的社会心理障碍相关。治疗 PFS 必须包括这些非运动功能障碍。
3 级喉镜，131：E2518-E2524，2021。
