Background: Comparison of functional results of lengthening temporalis myoplasty relies in current practice on subjective scales. The goal of this study was to define a simple, reproducible, objective scale validated through a comparison with a subjective scale for smile symmetrization results after temporal muscle myoplasty. Methods: A retrospective study was conducted on 25 patients having a unilateral facial palsy and rehabilitated with lengthening temporalis myoplasty. Evaluation consisted of objective measures: smile horizontal symmetry between left and right sides, vertical symmetry, and smile width on healthy and paretic sides on preoperative and postoperative photographs. Subjective scales were also used (i.e., a numeric scale and the Terzis and Noah scale) by a jury (four professionals and four nonprofessionals) and the patient himself or herself. Each evaluation was performed in three conditions: at rest, at intermediary smile, and at maximum smile. Results: Comparison of objective measures on the impaired side showed a postoperative improvement in the three conditions evaluation. Reproducibility of the numeric scale was weak for evaluation at rest and fair for maximum smile evaluation (intraclass correlation coefficient of 0.57). The Terzis and Noah scale was not reproducible from one observer to another. At maximum smile, a correlation between smile symmetry in the vertical plane, smile symmetry in the horizontal plane, and professional evaluation with the numeric scale on the one hand and global patient satisfaction on the other hand was observed. Conclusion: Postoperative smile horizontal symmetry between left and right sides, and smile vertical symmetry, are good indicators with which to assess postoperative results of facial palsy rehabilitation.
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Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Serum levels of genomic DNA of α1(I) collagen are ...
- Impact of anti-tumor necrosis factor-α agents on s...
- Understanding patient and physician perceptions of...
- Motorbike-handlebar hernia - a rare traumatic abdo...
- Binaural Interaction Effects of 30-50 Hz Auditory ...
- Salvage Islet Auto Transplantation After Relaparat...
- Hearing Wellness for Musicians
- 10 Lessons From Our First 10 Years
- Choosing the Right Office Management System
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- Is Auditory Synaptopathy a Result of Drug-Induced ...
- Marketing in Audiology: Multi-layered strategy nee...
- Trial of an Alternate Hearing Aid Delivery Model
- Symptom: Conductive Hearing Loss
- Why is Hearing Loss a Public Health Concern?
- Help Patients ‘Connect the Dots’
- CDC Research on Non-Occupational NIHL
- Manufacturers News
- Association of atopy phenotypes with new developme...
- Hyper–immunoglobulin E-like syndrome in a patient ...
- Association between atopic manifestations and eosi...
- Control of Allergic Rhinitis and Asthma Test for C...
- Groundwater quality in Ghaziabad district, Uttar P...
- Improving light extraction in light-emitting diode...
- Interfacial reactions in the Au/Sn-xZn/Cu sandwich...
- Trace elements in loggerhead turtles (Caretta care...
- Selective fluorescence sensors and photocatalysis ...
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- Feasibility of ossicular chain reconstruction with...
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- Temporal processing and long‐latency auditory evok...
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