OBJECTIVE: To evaluate facial impairment and disability with respect to quality of life in patients with facial paresis after vestibular schwannoma surgery. DESIGN: Cross-sectional observational study. SETTING: Academic, tertiary care hospital. PATIENTS: All consecutive patients during a 5-year period who underwent vestibular schwannoma surgery. MAIN OUTCOME MEASURES: The validated, patient-graded Facial Clinimetric Evaluation (FaCE) scale questionnaire was administered to all study patients. Main outcome measures included total and social function FaCE scores. Subgroup analysis was performed on patient factors (age and sex), surgical factors (tumor size and time since operation), and House-Brackmann grade. RESULTS: A total of 56 FaCE questionnaires were returned (85% response rate): 28 patients (50%) had normal facial function (House-Brackmann grade I), and 28 patients (50%) had abnormal facial function (House-Brackmann grades II-VI). There were no demographic differences between the normal and abnormal groups. The normal group had a total FaCE score of 96.2 compared with 67.1 in the abnormal group (P<.05). Subgroup analysis of patients with facial paresis revealed that age, sex, time since operation, tumor size, and House-Brackmann grade were not statistically significant factors predicting the FaCE social function score (P<.05). CONCLUSIONS: Facial paresis is an important complication of vestibular schwannoma surgery and will impair a patient's quality of life. The level of impairment may not be predicted by a patient's age, sex, tumor size, time since operation, or severity of facial paresis.
OBJECTIVE: To evaluate facial impairment and disability with respect to quality of life in patients with facial paresis after vestibular schwannoma surgery. DESIGN: Cross-sectional observational study. SETTING: Academic, tertiary care hospital. PATIENTS: All consecutive patients during a 5-year period who underwent vestibular schwannoma surgery. MAIN OUTCOME MEASURES: The validated, patient-graded Facial Clinimetric Evaluation (FaCE) scale questionnaire was administered to all study patients. Main outcome measures included total and social function FaCE scores. Subgroup analysis was performed on patient factors (age and sex), surgical factors (tumor size and time since operation), and House-Brackmann grade. RESULTS: A total of 56 FaCE questionnaires were returned (85% response rate): 28 patients (50%) had normal facial function (House-Brackmann grade I), and 28 patients (50%) had abnormal facial function (House-Brackmann grades II-VI). There were no demographic differences between the normal and abnormal groups. The normal group had a total FaCE score of 96.2 compared with 67.1 in the abnormal group (P<.05). Subgroup analysis of patients with facial paresis revealed that age, sex, time since operation, tumor size, and House-Brackmann grade were not statistically significant factors predicting the FaCE social function score (P<.05). CONCLUSIONS:Facial paresis is an important complication of vestibular schwannoma surgery and will impair a patient's quality of life. The level of impairment may not be predicted by a patient's age, sex, tumor size, time since operation, or severity of facial paresis.
Authors: James H Kim; Laurel M Fisher; Lindsay Reder; Edie R Hapner; Jon-Paul Pepper Journal: JAMA Otolaryngol Head Neck Surg Date: 2018-08-01 Impact factor: 6.223
Authors: Matthew Bartindale; Ayah Mohamed; Jason Bell; Matthew Kircher; Jacqueline Hill; Douglas Anderson; John Leonetti Journal: J Neurol Surg B Skull Base Date: 2019-02-14
Authors: Caroline A Banks; Christopher Knox; Daniel A Hunter; Susan E Mackinnon; Marc H Hohman; Tessa A Hadlock Journal: J Reconstr Microsurg Date: 2015-01-28 Impact factor: 2.873
Authors: Tessa A Hadlock; Sang W Kim; Julie S Weinberg; Christopher J Knox; Marc H Hohman; James T Heaton Journal: JAMA Facial Plast Surg Date: 2013-03-01 Impact factor: 4.611
Authors: Tessa A Hadlock; Jeffrey Kowaleski; David Lo; Susan E Mackinnon; James T Heaton Journal: Plast Reconstr Surg Date: 2010-01 Impact factor: 4.730
Authors: Jagdeep Singh Virk; Sonal Tripathi; Premjit S Randhawa; Elijah A Kwasa; Nigel D Mendoza; Jonathan Harcourt Journal: Indian J Otolaryngol Head Neck Surg Date: 2014-03-25
Authors: Jason C Nellis; Masaru Ishii; Patrick J Byrne; Kofi D O Boahene; Jacob K Dey; Lisa E Ishii Journal: JAMA Facial Plast Surg Date: 2017-05-01 Impact factor: 4.611
Authors: Martinus M van Veen; Joana Tavares-Brito; Britt M van Veen; Joseph R Dusseldorp; Paul M N Werker; Pieter U Dijkstra; Tessa A Hadlock Journal: JAMA Facial Plast Surg Date: 2019-01-01 Impact factor: 4.611