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Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review

BACKGROUND: Chronic facial paralysis can lead to significant functional and psychosocial impairment. Treatment often involves free muscle flap-based facial reanimation surgery. Although surgical techniques have advanced considerably over the years, consensus has yet to be reached for postoperative o...

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Autores principales: Rodriguez Colon, Ricardo, Park, Jenn J., Boczar, Daniel, Diep, Gustave K., Berman, Zoe P., Trilles, Jorge, Chaya, Bachar F., Rodriguez, Eduardo D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972661/
https://www.ncbi.nlm.nih.gov/pubmed/33758730
http://dx.doi.org/10.1097/GOX.0000000000003492
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author Rodriguez Colon, Ricardo
Park, Jenn J.
Boczar, Daniel
Diep, Gustave K.
Berman, Zoe P.
Trilles, Jorge
Chaya, Bachar F.
Rodriguez, Eduardo D.
author_facet Rodriguez Colon, Ricardo
Park, Jenn J.
Boczar, Daniel
Diep, Gustave K.
Berman, Zoe P.
Trilles, Jorge
Chaya, Bachar F.
Rodriguez, Eduardo D.
author_sort Rodriguez Colon, Ricardo
collection PubMed
description BACKGROUND: Chronic facial paralysis can lead to significant functional and psychosocial impairment. Treatment often involves free muscle flap-based facial reanimation surgery. Although surgical techniques have advanced considerably over the years, consensus has yet to be reached for postoperative outcome evaluation. To facilitate outcome comparison between the various techniques for free muscle-flap-based reanimation, a standardized, widely accepted functional outcomes assessment tool must be adopted. METHODS: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we performed a systematic review of the PubMed, Cochrane, and Embase databases to identify the reported functional outcome measurement tools used in the free muscle flap-based reanimation literature. RESULTS: The search yielded 219 articles, 43 of which met our inclusion and exclusion criteria. We noted an increase in publications reporting the utilization of objective measures over time, particularly software-based tools, as well as increased utilization of patient reported outcomes measures. CONCLUSIONS: Based on the trends identified in the literature, we suggest standardization of outcome measures following facial reanimation surgery with free muscle-flap using a combination of the Facial Assessment by Computer Evaluation (FACEgram) software and the Facial Clinimetric Evaluation (FaCE) Scale.
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spelling pubmed-79726612021-03-22 Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review Rodriguez Colon, Ricardo Park, Jenn J. Boczar, Daniel Diep, Gustave K. Berman, Zoe P. Trilles, Jorge Chaya, Bachar F. Rodriguez, Eduardo D. Plast Reconstr Surg Glob Open Reconstructive BACKGROUND: Chronic facial paralysis can lead to significant functional and psychosocial impairment. Treatment often involves free muscle flap-based facial reanimation surgery. Although surgical techniques have advanced considerably over the years, consensus has yet to be reached for postoperative outcome evaluation. To facilitate outcome comparison between the various techniques for free muscle-flap-based reanimation, a standardized, widely accepted functional outcomes assessment tool must be adopted. METHODS: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we performed a systematic review of the PubMed, Cochrane, and Embase databases to identify the reported functional outcome measurement tools used in the free muscle flap-based reanimation literature. RESULTS: The search yielded 219 articles, 43 of which met our inclusion and exclusion criteria. We noted an increase in publications reporting the utilization of objective measures over time, particularly software-based tools, as well as increased utilization of patient reported outcomes measures. CONCLUSIONS: Based on the trends identified in the literature, we suggest standardization of outcome measures following facial reanimation surgery with free muscle-flap using a combination of the Facial Assessment by Computer Evaluation (FACEgram) software and the Facial Clinimetric Evaluation (FaCE) Scale. Lippincott Williams & Wilkins 2021-03-18 /pmc/articles/PMC7972661/ /pubmed/33758730 http://dx.doi.org/10.1097/GOX.0000000000003492 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Reconstructive
Rodriguez Colon, Ricardo
Park, Jenn J.
Boczar, Daniel
Diep, Gustave K.
Berman, Zoe P.
Trilles, Jorge
Chaya, Bachar F.
Rodriguez, Eduardo D.
Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review
title Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review
title_full Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review
title_fullStr Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review
title_full_unstemmed Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review
title_short Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review
title_sort evaluating functional outcomes in reanimation surgery for chronic facial paralysis: a systematic review
topic Reconstructive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972661/
https://www.ncbi.nlm.nih.gov/pubmed/33758730
http://dx.doi.org/10.1097/GOX.0000000000003492
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