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Association of socioeconomic, personality, and mental health factors with health-related quality of life in patients with facial palsy

JAMA Otolaryngology—Head & Neck Surgery Feb 24, 2020

Bruins TE, et al. - Researchers undertook this cross-sectional study at a tertiary referral center for facial reanimation surgery, to explore factors related to health-related quality of life in patients with facial palsy. Participants included patients aged at least 18 years with facial palsy managed surgically and patients attending the outpatient clinic for their facial palsy. The Facial Clinimetric Evaluation Scale and the Facial Disability Index (physical score and social score) were employed to assess health-related quality of life. The study sample comprised 121 patients, with a median age of 62 years, 63 (52%) women. Experts identified that Sunnybrook composite score, extraversion, and anxiety were related to the Facial Clinimetric Evaluation Scale total score. They also found a link between Sunnybrook composite score and the Facial Disability Index physical score. Link with the Facial Disability Index social score was demonstrated by bilateral facial palsy, extraversion, conscientiousness, emotional stability, and depression. A link of the Sunnybrook composite score with age was shown in the sensitivity analysis. For future investigation and management of patients with facial palsy, it was advised to consider bilateral facial palsy, age, severity of facial palsy, mental distress, and personality traits.
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