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Published on: March 1, 2015
Predicting Perceived Disfigurement from Facial Function in Patients with Unilateral Paralysis
Sofia Lyford-Pike1, Nathaniel E Helwig1, Nick E Sohre1
1From the Departments of Otolaryngology-Head and Neck Surgery, Psychology, and Computer Science and Engineering, and the School of Statistics, University of Minnesota; and the Division of Facial Plastic and Reconstructive Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School.
Clinical facial function scores, like the electronic, clinician-graded facial function (eFACE) scale, correlate with how disfigured patients with facial paralysis appear to casual observers. Better eFACE scores mean less perceived disfigurement.
Area of Science:
- Facial paralysis research
- Clinical assessment tools
- Observer perception studies
Background:
- Clinical rating tools like the electronic, clinician-graded facial function (eFACE) scale assess facial paralysis.
- Previous studies link eFACE scores to expert disfigurement ratings.
- No studies have linked eFACE scores to casual observers' perceptions of facial disfigurement.
Purpose of the Study:
- To determine if eFACE scores relate to casual observers' perceptions of disfigurement in facial paralysis.
- To identify which aspects of facial function are most influential in observer judgments.
Main Methods:
- 539 casual observers viewed videos of 61 patients with unilateral facial paralysis.
- Observer ratings of disfigurement were collected.
- Mixed-effect regression models analyzed the relationship between eFACE scores and observer ratings.
Main Results:
- Higher eFACE scores (improved function) correlated with lower perceived disfigurement.
- Resting face, total movement capability, and synkinesis significantly predicted observer ratings.
Conclusions:
- A clear link exists between clinician-assessed eFACE scores and layperson perceptions of disfigurement.
- Findings highlight key clinical features of facial dysfunction impacting social perception.
- Insights can inform patients and clinicians about social implications of facial paralysis.
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