顔の麻痺の分類に関する国際的,多分野専門家のコンセンサス
Samuel L Oyer1, Rachel Baptista2, Kofi Boahene3
1Facial Plastic & Reconstructive Surgery, Department of Otolaryngology, University of Virginia, Charlottesville, Virginia, USA.
Facial plastic surgery & aesthetic medicine
|August 28, 2025
まとめ
顔面神経の専門家は,顔面シンキネシスとその治療法に関する標準化された用語について合意に達しました. "顔のシンキネシス"は推奨される用語であり,外科的介入のための医療および特定の用語は"化学活性化"である.
科学分野:
- 神経学
- 顔面神経の研究
- 医学用語
背景:
- 医学の文献には,顔の共動性および顔の麻痺後の高音質性について不一致な用語があります.
- 標準化された名称の欠如は,顔面神経の疾患と治療に関する研究と臨床コミュニケーションを複雑にします.
研究 の 目的:
- 顔のシンキネシスとその関連する医学的および外科的治療の命名に関するコンセンサスを確立する.
- 国際的な顔神経専門家のグループで 専門用語を標準化する
主な方法:
- オンライン調査と仮想議論を含む 修正されたデルフィの方法論が採用されました
- 顔面神経の専門家25人の国際的多学科パネルが 3回のコンセンサスラウンドに参加しました
- 専門家グループの少なくとも80%がコンセンサスを事前の合意として定義した.
主要な成果:
- この状態に対する"顔のシンキネシス"という用語については,84%の合意に達した.
- "化学活性化"は 医学的な治療法として 満場一致で承認されました (100%同意)
- 外科治療の具体的条件 (選択的顔神経切除,神経切除,筋切除) は100%の合意に達した.
結論:
- 国際的な専門家は,顔のシンキネシスとその治療法の標準化された命名法を推奨しています.
- "顔のシンキネシス"が好ましい用語である一方で,全臨床スペクトル (高音質性,弱さ,震) をカバーする際の限界が指摘された.
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