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- Title
Validation of a Patient-Graded Instrument for Facial Nerve Paralysis: The FaCE Scale.
- Authors
Kahn, Jeffrey B.; Gliklich, Richard E.; Boyev, K. Paul; Stewart, Michael G.; Metson, Ralph B.; McKenna, Michael J.
- Abstract
Objective To develop and validate a patient-based instrument to measure both facial impairment and disability, the Facial Clinimetric Evaluation (FaCE) Scale. Study Design Prospective instrument validation. Methods Eighty-six patients with a documented history of facial paralysis completed a preliminary, 51-item instrument (alpha FaCE Scale), as well as the previously developed Facial Disability Index (FDI) and the Medical Outcomes Study Short Form 36 Item Questionnaire (SF-36). Two weeks after completing these instruments, 76 patients again completed the alpha FaCE Scale. Forty-one of the patients were also evaluated using the House-Brackmann Grading System (HBGS) and the Facial Grading System (FGS). Results Exploratory principal component factor analysis grouped 15 FaCE Scale items into 6 impairment and disability categories (domains), forming the beta FaCE Scale. Overall, the test-retest reliability of the FaCE Scale was high (Spearman's correlation coefficient ( r) = 0.88, P <.01), as were the reliability coefficients of the individual domains ( r = 0.81-0.92, P <.01). The FaCE Scale domains showed appropriate correlation to global visual analogue scale questions posed on the original alpha FaCE Scale ( r = 0.65-0.81, P <.01). Overall, the FaCE Scale showed significant correlation with HBGS and FGS scores ( r = −0.55 and 0.57, respectively; P <.01). However, not all FaCE Scale domains correlated with the HBGS and FGS scores. Conclusions A reliable and valid patient-based system to measure impairment and disability in facial paralysis has been developed. This system appears to be better than traditional, physician-graded scales for evaluating quality-of-life issues affected by facial disability.
- Publication
Laryngoscope, 2001, Vol 111, Issue 3, p387
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1097/00005537-200103000-00005