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Fabiana A, Carlotta L, Dimitri R, Federico B, Valeria B, Federico B. Minimally invasive temporalis tendon transposition and upper lid lipofilling for immediate and secondary facial reanimation in patients treated for malignant tumors of the parotid gland. J Craniomaxillofac Surg 2022; 50:419-425. [DOI: 10.1016/j.jcms.2022.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 01/21/2022] [Accepted: 02/24/2022] [Indexed: 10/18/2022] Open
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Lee DY, Kim HS, Kim SY, Park KS, Kim YH. Comparison between Subjective Scoring and Computer-Based Asymmetry Assessment in Facial Nerve Palsy. J Audiol Otol 2018; 23:53-58. [PMID: 30518193 PMCID: PMC6348309 DOI: 10.7874/jao.2018.00318] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2018] [Accepted: 08/14/2018] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND AND OBJECTIVES The aim of the present study was to assess the feasibility of a PC-based facial asymmetry assessment program (PC-FAAP) and to compare the results of PC-FAAP with subjective regional scoring by raters in acute unilateral peripheral facial nerve paralysis (FNP). Subjects and. METHODS Participants were divided into 3 groups with 8 participants per group: group I, normal; group II, mild to moderate FNP; and group III, severe FNP. Using the PC-FAAP, the mouth asymmetry ratio (MAR), eyebrow asymmetry ratio (EAR), and complete eye closure asymmetry ratio (CAR) were calculated by comparing the movement of tracking points on both sides. The FNP grading scale (FGS) integrated each score, and the scores were weighted with a ratio of 5:3:2 (MAR:CAR:EAR). Subjective regional scoring was measured on a 0-100 scale score by three otologists. PC-FAAP and subjective scoring were compared in each group regarding the consistency of the results. RESULTS The mean scores of the MAR, EAR, CAR, and FGS of each group were significantly different. PC-FAAP showed significant differences between the three groups in terms of MAR, EAC, CAR, and FGS. PC-FAAP showed more consistent results than subjective assessment (p<0.001). The PC-FAAP was significantly more consistent in group I and group III (p<0.001 and p=0.002, respectively). FGS in group III was the only parameter that showed a more consistent result in PC-FAAP than the subjective scoring (p=0.008). CONCLUSIONS An FNP grading system using a PC-based program may provide more consistent results, especially for severe forms.
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Affiliation(s)
- Doh Young Lee
- Department of Otorhinolaryngology Head and Neck Surgery, Seoul National University Boramae Medical Center, Seoul, Korea
| | - Hyun Seok Kim
- Interdisciplinary Program of Bioengineering, Seoul National University, Seoul, Korea
| | - So Young Kim
- Department of Otorhinolaryngology Head and Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea
| | - Kwang Suk Park
- Department of Biomedical Engineering, College of Medicine, Seoul National University, Seoul, Korea
| | - Young Ho Kim
- Department of Otorhinolaryngology Head and Neck Surgery, Seoul National University Boramae Medical Center, Seoul, Korea
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Sforza C, Ulaj E, Gibelli DM, Allevi F, Pucciarelli V, Tarabbia F, Ciprandi D, Dell'Aversana Orabona G, Dolci C, Biglioli F. Three-dimensional superimposition for patients with facial palsy: an innovative method for assessing the success of facial reanimation procedures. Br J Oral Maxillofac Surg 2017; 56:3-7. [PMID: 29223635 DOI: 10.1016/j.bjoms.2017.11.015] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Accepted: 11/25/2017] [Indexed: 11/17/2022]
Abstract
Facial palsy is a severe condition that may be ameliorated by facial reanimation, but there is no consensus about how to judge its success. In this study we aimed to test a new method for assessing facial movements based on 3-dimensional analysis of the facial surfaces. Eleven patients aged between 42 and 77 years who had recently been affected by facial palsy (onset between 6 and 18 months) were treated by an operation based on triple innervation: the masseteric to temporofacial nerve branch, 30% of the hypoglossal fibres to the cervicofacial nerve branch, and the contralateral facial nerve through two cross-face sural nerve grafts. Each patient had five stereophotogrammetric scans: at rest, smiling on the healthy side (facial stimulus), biting (masseteric stimulus), moving the tongue (hypoglossal stimulus), and corner-of-the-mouth smile (Mona Lisa). Each scan was superimposed onto the facial model of the "rest" position, and the point-to-point root mean square (RMS) value was automatically calculated on both the paralysed and the healthy side, together with an index of asymmetry. One-way and two-way ANOVA tests, respectively, were applied to verify the significance of possible differences in the RMS and asymmetry index according to the type of stimulus (p=0.0329) and side (p<0.0001). RMS differed significantly according to side between the facial stimulus and the masseteric one on the paralysed side (p=0.0316). Facial stimulus evoked the most asymmetrical movement, whereas the masseteric produced the most symmetrical expression. The method can be used for assessing facial movements after facial reanimation.
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Affiliation(s)
- C Sforza
- Functional Anatomy Research Center (FARC), Laboratorio di Anatomia Funzionale dell'Apparato Stomatognatico (LAFAS), Laboratorio di Anatomia Funzionale dell'Apparato Locomotore (LAFAL), Dipartimento di Scienze Biomediche per la Salute, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano, via Mangiagalli 31, I-20133 Milano, Italy.
| | - E Ulaj
- Maxillo-Facial Surgical Unit, Ospedale San Paolo, Dipartimento di Scienze della Salute, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano, Italy
| | - D M Gibelli
- Functional Anatomy Research Center (FARC), Laboratorio di Anatomia Funzionale dell'Apparato Stomatognatico (LAFAS), Laboratorio di Anatomia Funzionale dell'Apparato Locomotore (LAFAL), Dipartimento di Scienze Biomediche per la Salute, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano, via Mangiagalli 31, I-20133 Milano, Italy
| | - F Allevi
- Maxillo-Facial Surgical Unit, Ospedale San Paolo, Dipartimento di Scienze della Salute, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano, Italy
| | - V Pucciarelli
- Functional Anatomy Research Center (FARC), Laboratorio di Anatomia Funzionale dell'Apparato Stomatognatico (LAFAS), Laboratorio di Anatomia Funzionale dell'Apparato Locomotore (LAFAL), Dipartimento di Scienze Biomediche per la Salute, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano, via Mangiagalli 31, I-20133 Milano, Italy
| | - F Tarabbia
- Division of Maxillofacial Surgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Naples, Italy
| | - D Ciprandi
- Functional Anatomy Research Center (FARC), Laboratorio di Anatomia Funzionale dell'Apparato Stomatognatico (LAFAS), Laboratorio di Anatomia Funzionale dell'Apparato Locomotore (LAFAL), Dipartimento di Scienze Biomediche per la Salute, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano, via Mangiagalli 31, I-20133 Milano, Italy
| | - G Dell'Aversana Orabona
- Division of Maxillofacial Surgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Naples, Italy
| | - C Dolci
- Functional Anatomy Research Center (FARC), Laboratorio di Anatomia Funzionale dell'Apparato Stomatognatico (LAFAS), Laboratorio di Anatomia Funzionale dell'Apparato Locomotore (LAFAL), Dipartimento di Scienze Biomediche per la Salute, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano, via Mangiagalli 31, I-20133 Milano, Italy
| | - F Biglioli
- Maxillo-Facial Surgical Unit, Ospedale San Paolo, Dipartimento di Scienze della Salute, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano, Italy
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