Nascholing Mimetherapie

Beoordeling van de functie van het aangezicht

08-11-2013Drs. I.J. Kleiss, KNO-arts in opleiding

Beoordelings opties• Klinische gradering

• Objectieve meetmethodes

• Subjectieve vragenlijsten

Objectieve meetmethodes

Objectieve meetmethodes (2)• Markers/schalen

• Tijdsduur

• Software

Glasgow Facial Palsy Scale - Facogram

Facogram

MEEI FACE-gram

http://www.sircharlesbell.org/blog/useful-downloads/

MEEI FACE-gram (2)

MEEI FACE-gram (3)

MEEI FACE-gram (4)

3D

3D (2)

Vragen?

Kwaliteit van leven• Beoordeling door de patiënt zelf

• Verschillende aspecten (esthetisch/functioneel)

Subjectieve vragenlijsten

• Betrouwbaar

• Valide

LiteratuurHo et al. 2012. Systematic review of patient-reported outcome measures.

FaCE scores Boston

Facial Clinimetric Evaluation Scale• FaCE Scale

• 15 items, 6 domainen

FaCE – Dutch Language Version

Vertaling en validatie• Forward and backward translation

• Pilot test

• Validatie

FaCE scores 794 patiënten

Synkinesis Assessment Questionnaire

FaCE – DLV & SAQ – DLV • Concept versie online

• Participatie validatie?

Take home message

• Objectieve meetmethodes

• MEEI FACE-gram

http://www.sircharlesbell.org/blog/useful-downloads/

• Subjectieve vragenlijsten

• FaCE-DLV (concept)• SAQ-DLV (concept)

http://www.umcn.nl/Zorg/Afdelingen/fysiotherapiecentraal/Pages/Onderwijs.aspx

Vragen?

ingrid.kleiss@radboudumc.nl

Bronnen• O'Reilly BF, Soraghan JJ, McGrenary S, He S. Objective method of assessing and presenting

the House-Brackmann and regional grades of facial palsy by production of a facogram. Otol

Neurotol. 2010 Apr;31(3):486-91• Hadlock TA, Urban LS. Toward a universal, automated facial measurement tool in facial

reanimation. Arch Facial Plast Surg. 2012 Jul-Aug;14(4):277-82. • Kleiss IJ, Hohman MH, Quatela OE, Marres HA, Hadlock TA. Computer-assisted assessment of

ocular synkinesis: a comparison of methods. Laryngoscope. 2013 Apr;123(4):879-83. • Ho AL, Scott AM, Klassen AF, Cano SJ, Pusic AL, Van Laeken N. Measuring quality of life and

patient satisfaction in facial paralysis patients: a systematic review of patient-reported

outcome measures. Plast Reconstr Surg. 2012 Jul;130(1):91-9• Kahn JB, Gliklich RE, Boyev KP, Stewart MG, Metson RB, McKenna MJ. Validation of a patient-

graded instrument for facial nerve paralysis: the FaCE scale. Laryngoscope. 2001

Mar;111(3):387-98.• Mehta RP, WernickRobinson M, Hadlock TA. Validation of the Synkinesis Assessment

Questionnaire. Laryngoscope. 2007 May;117(5):923-6.

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