开发术后面神经功能的新型临床分级尺度的理由:多学科国际工作组的结果
Matthew L Carlson, Christine M Lohse1, Siviero Agazzi2
1Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
概括
临床医生发现当前的面部神经分级尺度不足,特别是在预测并发症时. 需要一个新的,简单的,可靠的尺度,专注于眼睛,用于早期术后面部的评估.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 面部神经手术 面部神经手术
背景情况:
- 现有的面部神经分级尺度在评估早期手术后面部方面存在局限性.
- 目前的系统往往无法充分估计相关并发症的风险,如角膜损伤.
研究的目的:
- 通过国际工作组调查,确定当前面部神经分级尺度的感知局限性.
- 为开发一种用于早期术后面部麻的新型分级尺度提供信息.
主要方法:
- 在48名具有相关外科领域专业知识的多学科临床医生中进行了一项调查.
- 该调查的重点是确定现有尺度的局限性和新系统所需的属性.
主要成果:
- 豪斯-布拉克曼等级是广泛使用的,但超过一半的受访者认为不足以预测并发症.
- 据报道,当前系统的interrater和intrarater可靠性较低.
- 简单性,可靠性和准确性被确定为新分级系统的关键属性,对眼睛的关键重要性有强烈的共识.
结论:
- 需要一个简单,可靠和准确的面部神经分级系统,具有区域分数.
- 计划开发一种新的系统,重点关注早期术后面的康复预后和并发症风险.
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