School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, Australia.
Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, Australia; Central Clinical School, The University of Sydney, Sydney, Australia; Faculty of Medicine and Health Sciences, Macquarie University, Sydney Australia.
J Plast Reconstr Aesthet Surg. 2023 Feb;77:201-208. doi: 10.1016/j.bjps.2022.11.067. Epub 2022 Dec 9.
To investigate the utility of a patient-reported outcome measure that evaluates oral competence; speech and swallowing functions after facial nerve paralysis (FNP).
The Oral Competence Questionnaire (OCQ) covers 16 questions from known, validated patient-reported outcome measures. The OCQ was completed by 40 patients with facial nerve paralysis (FNP) and 40 healthy controls. The sensitivity of the questionnaire was tested against other validated questionnaires for oral function, speech/swallowing functions, and facial nerve-related disability. Normative data were obtained by administering the OCQ to a group of healthy volunteers.
A total of 80 participants completed the OCQ (40 FNP and 40 healthy controls). Strong linear relationships (Spearman correlation coefficients >0.8) were observed between speech intelligibility ratings, objective speech outcomes, and the OCQ. Linear correlations were also noted between OCQ and FDI (Spearman correlation coefficient >0.4). The mean OCQ score for participants with FNP was 28.8 and 0.0 for healthy controls.
This succinct, 16-item questionnaire demonstrated good sensitivity for testing oral competence and oral function for patients with FNP, and the ability to discriminate between patients with FNP from patients with normal facial nerve function.
研究一种评估面神经麻痹（FNP）后口腔言语和吞咽功能的患者报告结局测量工具的实用性。
口腔能力问卷（OCQ）涵盖了来自已知的、经过验证的患者报告结局测量工具的 16 个问题。OCQ 由 40 名面神经麻痹患者（FNP）和 40 名健康对照者完成。该问卷的敏感性通过与其他经验证的口腔功能、言语/吞咽功能和面神经相关残疾问卷进行测试。通过对一组健康志愿者进行 OCQ 测试获得了正常参考值数据。
共有 80 名参与者完成了 OCQ（40 名 FNP 和 40 名健康对照组）。言语清晰度评分、客观言语结果与 OCQ 之间存在较强的线性关系（Spearman 相关系数>0.8）。OCQ 与 FDI 之间也存在线性相关性（Spearman 相关系数>0.4）。FNP 患者的 OCQ 平均得分为 28.8，健康对照组为 0。
这个简洁的 16 项问卷对 FNP 患者的口腔言语和口腔功能测试具有较好的敏感性，并能够区分 FNP 患者与面神经功能正常的患者。
