Sarhan François-Régis, Davergne Thomas, Couturaud Christine, Testelin Sylvie, Dakpé Stéphanie
UR 7516 CHIMERE, Université de Picardie Jules Verne, 80000 Amiens, France.
Physiotherapy School, CHU Amiens-Picardie, 80000 Amiens, France.
J Clin Med. 2025 Jul 9;14(14):4884. doi: 10.3390/jcm14144884.
In the context of facial surgery, particularly reconstructive procedures, sensory recovery is a critical yet often underexplored aspect of functional rehabilitation. Sensory-motor recovery can be considered a key marker of integration following reconstructive surgery. Among sensory modalities, discriminative sensitivity is typically the last to recover, making its evaluation particularly relevant. While established norms for hand sensitivity exist in the literature, there is a paucity of data regarding facial sensitivity. The objective of this study was to evaluate the discriminative sensitivity of the face in a population of healthy women aged 45-60 years. : A total of 20 healthy women were included between January and March 2013. Participants had no history of facial pathologies or trauma. Discriminative sensitivity was measured using the Disk-Criminator™ device across eight facial zones. A detailed mapping of the tested areas was performed. Data obtained were compared with the existing literature. Statistical analyses included Shapiro-Wilk tests for normality, followed by Student's -tests for group comparisons. To account for small sample size and verify robustness, non-parametric Mann-Whitney U tests were also performed. Adjustment for multiple comparisons was applied using the Bonferroni correction (adjusted α = 0.0125). : The mean age of participants was 52.3 years (±4.0 years). Discrimination threshold values ranged from 2.9 to 14.3 mm. Comparison with existing studies showed no significant age-related differences in zone 2R (cheek) and zone 8 (lower lip), suggesting stable sensitivity in these regions across adulthood. However, a significant decline in sensitivity with age was observed only in zone 1R (forehead), with a -value < 0.001 after Bonferroni correction. : We established a reference framework for cutaneous discriminative sensitivity across eight facial zones. These norms can serve as a baseline for the assessment and monitoring of patients with facial pathologies. Furthermore, our findings contribute to a better understanding of age-related sensory changes.
在面部手术,尤其是重建手术的背景下,感觉恢复是功能康复中一个关键但常常未被充分探索的方面。感觉运动恢复可被视为重建手术后整合的关键标志。在各种感觉模式中,辨别敏感性通常是最后恢复的,因此对其进行评估尤为重要。虽然文献中存在关于手部敏感性的既定规范,但关于面部敏感性的数据却很少。本研究的目的是评估45 - 60岁健康女性群体面部的辨别敏感性。:2013年1月至3月共纳入20名健康女性。参与者无面部疾病或创伤史。使用Disk - Criminator™设备在八个面部区域测量辨别敏感性。对测试区域进行了详细的绘图。将获得的数据与现有文献进行比较。统计分析包括用于正态性检验的Shapiro - Wilk检验,随后进行用于组间比较的Student's t检验。为了考虑小样本量并验证稳健性,还进行了非参数Mann - Whitney U检验。使用Bonferroni校正(调整后的α = 0.0125)进行多重比较调整。:参与者的平均年龄为52.3岁(±4.0岁)。辨别阈值范围为2.9至14.3毫米。与现有研究的比较表明,在2R区(脸颊)和8区(下唇)没有显著的年龄相关差异,这表明这些区域在成年期的敏感性保持稳定。然而,仅在1R区(额头)观察到随着年龄增长敏感性显著下降,经Bonferroni校正后p值<0.001。:我们建立了一个跨越八个面部区域的皮肤辨别敏感性参考框架。这些规范可作为评估和监测面部疾病患者的基线。此外,我们的研究结果有助于更好地理解与年龄相关的感觉变化。