Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-Ku, N15W7, Sapporo, Hokkaido 0608638, Japan.
Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-Ku, N15W7, Sapporo, Hokkaido 0608638, Japan.
Auris Nasus Larynx. 2024 Jun;51(3):456-459. doi: 10.1016/j.anl.2024.02.002. Epub 2024 Mar 22.
The quality of life (QOL) for patients with resolved facial nerve palsy has not been evaluated adequately. The objective of this study is to investigate QOL for patients with resolved facial nerve palsy.
Forty-seven patients with resolved facial nerve palsy were included and the patients' QOL was evaluated using the Facial Clinimetric Evaluation Scale (FaCE Scale).
Twenty-two of the 47 patients (46.8%) with resolved facial nerve palsy showed impaired QOL, especially in terms of facial comfort and eye comfort. In 10 cases followed-up after the condition was judged to be resolved, the median scores for the FaCE scale at the time the condition was judged to be resolved and at the last visit were 65.5 and 72, respectively. The mean durations from the onset of the palsy to diagnosis of cure and to the last visit were 2.4 ± 1.6 and 4.3 ± 2.2 months, respectively. There was a significant improvement in QOL after the condition was judged to be resolved.
There were discrepancies between QOL and facial movement as evaluated by physicians in patients in whom facial nerve palsy was resolved as in patients with non-cured facial nerve palsy. Patients' QOL continued to improve even after physicians judged the condition to be resolved and this result indicated that there were cases where improvement in QOL was delayed in comparison to improvement in facial movement.
已恢复面神经麻痹患者的生活质量（QOL）尚未得到充分评估。本研究旨在调查已恢复面神经麻痹患者的 QOL。
纳入 47 例已恢复面神经麻痹的患者，并使用面部临床计量评估量表（FaCE 量表）评估患者的 QOL。
47 例已恢复面神经麻痹患者中有 22 例（46.8%）存在 QOL 受损，尤其是在面部舒适度和眼睛舒适度方面。在 10 例被判断为已恢复的病例中进行了随访，在被判断为已恢复时和最后一次就诊时的 FaCE 量表中位数评分分别为 65.5 和 72。从麻痹发作到治愈诊断和最后一次就诊的平均时间分别为 2.4±1.6 和 4.3±2.2 个月。在被判断为已恢复后，QOL 有显著改善。
与未治愈面神经麻痹患者相比，在医生判断面神经麻痹已恢复的患者中，QOL 与医生评估的面部运动存在差异。即使医生判断病情已恢复，患者的 QOL 仍在继续改善，这表明 QOL 的改善可能比面部运动的改善滞后。
