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.
School of Health Sciences, Discipline of Physiotherapy, The University of Sydney, Camperdown, NSW, Australia.
J Plast Reconstr Aesthet Surg. 2023 Dec;87:472-478. doi: 10.1016/j.bjps.2022.06.107. Epub 2022 Jul 28.
Speech may be compromised following facial nerve paralysis (FNP), depending on the cause of the paralysis. This can result in lower quality of life and a reduced capacity to return to vocational roles. Despite its prevalence, it is incompletely understood and rarely described. This study prospectively evaluated the impact of FNP on speech intelligibility.
This observational study recruited patients who were diagnosed with FNP and who reported oral incompetence from the Sydney Facial Nerve Service. Their speech was analysed using patient reported outcome measures (Speech Handicap Index) and perceived intelligibility (Speech Pathologist, community member control participants, participant self-rating, and dictation software).
Forty participants with FNP and 40 controls were recruited. Participants with FNP rated their intelligibility to be significantly worse than other raters (p <0.001). Consonant analysis demonstrated bilabial, fricatives and labiodental phonemes to be most commonly affected following FNP.
Oral competence is compromised after FNP which can lead to a poorer perception of their intelligibility and reduced speech related quality of life.
面神经麻痹（FNP）可能会影响言语功能，具体取决于麻痹的原因。这可能会导致生活质量下降，职业角色恢复能力降低。尽管 FNP 很常见，但它尚未被完全理解，也很少被描述。本研究前瞻性评估了 FNP 对口吃清晰度的影响。
本观察性研究招募了来自悉尼面神经服务中心的被诊断为 FNP 且自述口腔功能障碍的患者。使用患者报告的结果测量（言语障碍指数）和感知清晰度（言语病理学家、社区成员对照组、参与者自我评估和听写软件）对他们的言语进行了分析。
共招募了 40 名 FNP 患者和 40 名对照者。FNP 患者对自己的清晰度评价明显差于其他评估者（p<0.001）。辅音分析表明，FNP 后双唇音、擦音和唇齿音最常受到影响。
FNP 后口腔功能受损，可能导致对其清晰度的感知变差，以及言语相关生活质量下降。
