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Advisor(s)
Abstract(s)
INTRODUÇÃO:
A paralisia facial periférica geralmente apresenta um prognóstico benigno, mas
não deve ser subvalorizada, pois pode provocar sequelas graves de ordem psicológica e
social. As escalas de classificação da disfunção do nervo facial avaliam apenas as
manifestações físicas da PFP. Contudo, o mesmo grau de paralisia pode ter impactos
diferentes na qualidade de vida de cada doente, uma vez que esta engloba uma
valorização pessoal. A nível mundial, praticamente não se conhecem estudos sobre o
impacto da PFP na qualidade de vida, para além dalguns estudos pós-cirúrgicos.
OBJECTIVO:
Avaliar, na altura da realização do estudo, a função facial dos doentes atendidos
no Hospital Sousa Martins no período de 2006 a 2008 assim como o impacto das sequelas
na sua qualidade de vida. Procurar factores preditivos da função social.
MÉTODOS:
Realizou-se um estudo retrospectivo e prospectivo. O questionário Facial
Clinimetric Evaluation (FaCE) foi aplicado por entrevista telefónica a todos os
participantes no estudo. Elegemos o score da função social (SFS) como o mais relevante
para o trabalho. Os pacientes foram categorizados em recuperados (R) e não recuperados
(NR) e os dois grupos foram comparados. Dentro dos NR foi realizada análise
comparativa de subgrupos, quanto à idade, sexo e tempo de recuperação. O SFS foi
relacionado com a idade e com os outros scores avaliados pelo questionário FaCE.RESULTADOS/DISCUSSÃO:
Um total de 70 questionários foram respondidos (taxa de resposta de 77,8%).
Trinta e oito participantes (54%) consideravam-se completamente recuperados (R) e 32
(46%) consideravam que não (NR). O grupo NR tinha uma função social
significativamente inferior ao grupo R (p<0,05). Dentro dos subgrupos dos NR, não
houve diferenças estatisticamente significativas quanto à idade, sexo e tempo de
recuperação (p<0,05). A idade não estava relacionada significativamente com o SFS
(p<0,05). Exceptuando o score de controlo lacrimal, todos os scores estavam
relacionados significativamente com o SFS (p<0,05) contudo nenhum apresentou uma
forte correlação.
CONCLUSÃO:
É importante que os aspectos que dizem respeito à qualidade de vida sejam
abordados na consulta médica para assim proporcionar uma melhoria do bem-estar do
doente e consequentemente a hipótese de recuperação. Cada vez mais estudos apontam
para o facto do impacto na qualidade de vida dos doentes não ser proporcional à
severidade da PF e não poder ser previsível pelo sexo, idade e tempo de recuperação dos
participantes. Todos os doentes com PFP estão em risco psico-social e portanto este deve
ser sempre avaliado, para que possam ser tomadas medidas para minimizar as suas
consequências e com isso maximizar a recuperação clínica e funcional.
INTRODUCTION The peripheral facial paralysis (PFP), generally presents a benign prognosis, but should not be undervalued, because it can cause serious psychological and social sequelae. Facial nerve dysfunction classification scales only assess the physical manifestations of the PFP. However, the same degree of paralysis can have different impacts on the quality of life of each patient, since this involves a personal valorization. Worldwide, almost no studies on the impact of PFP on quality of life are known, in addition to some post-surgical studies. OBJECTIVE Assess at the time of conducting the study, the facial function of patients treated at the Hospital Sousa Martins between 2006 to 2008 as well as the impact of sequelae on quality of life. Try to find predictors for social function. METHODS We conducted a retrospective and prospective study. The Facial Clinimetric Evaluation (FaCE) questionnaire was administered by telephone interview to all participants in the study. We chose the social function score (SFS) as the most relevant for our work. Patients were categorized as recovered (R) and not recovered (NR) and the two groups were compared. Within the NR comparative analysis of subgroups was performed according to age, sex, and recovery time. The SFS was related to age and to other questionnaire scores evaluated by the FaCE questionnaire. RESULTS/DISCUSSION A total of 70 questionnaires were returned (response rate 77.8%). Thirty-eight participants (54%) considered themselves completely recovered (R) and 32 (46%) believed that were not (NR). The NR group had a significantly lower social function compared to the R group (p <0.05). Within the NR subgroups, no statistically significant differences in age, sex and length of recovery was found (p <0.05). The age was not significantly related to the SFS (p <0.05). Except for the lacrimal control score, all scores were significantly related to the SFS (p <0.05) but none showed a strong correlation. CONCLUSION It is important that the issues that concern the quality of life are addressed in medical consultation to facilitate a greater well-being of the patient and hence the chance of recovery. Studies increasingly point out the fact that patients impact on quality of life is not proportional to the severity of their PF and cannot be predicted by gender, age and time of recovery. All patients with PFP are in psycho-social risk and therefore it should always be evaluated, so measures may be taken to minimize its consequences and thus maximize the clinical and functional recovery.
INTRODUCTION The peripheral facial paralysis (PFP), generally presents a benign prognosis, but should not be undervalued, because it can cause serious psychological and social sequelae. Facial nerve dysfunction classification scales only assess the physical manifestations of the PFP. However, the same degree of paralysis can have different impacts on the quality of life of each patient, since this involves a personal valorization. Worldwide, almost no studies on the impact of PFP on quality of life are known, in addition to some post-surgical studies. OBJECTIVE Assess at the time of conducting the study, the facial function of patients treated at the Hospital Sousa Martins between 2006 to 2008 as well as the impact of sequelae on quality of life. Try to find predictors for social function. METHODS We conducted a retrospective and prospective study. The Facial Clinimetric Evaluation (FaCE) questionnaire was administered by telephone interview to all participants in the study. We chose the social function score (SFS) as the most relevant for our work. Patients were categorized as recovered (R) and not recovered (NR) and the two groups were compared. Within the NR comparative analysis of subgroups was performed according to age, sex, and recovery time. The SFS was related to age and to other questionnaire scores evaluated by the FaCE questionnaire. RESULTS/DISCUSSION A total of 70 questionnaires were returned (response rate 77.8%). Thirty-eight participants (54%) considered themselves completely recovered (R) and 32 (46%) believed that were not (NR). The NR group had a significantly lower social function compared to the R group (p <0.05). Within the NR subgroups, no statistically significant differences in age, sex and length of recovery was found (p <0.05). The age was not significantly related to the SFS (p <0.05). Except for the lacrimal control score, all scores were significantly related to the SFS (p <0.05) but none showed a strong correlation. CONCLUSION It is important that the issues that concern the quality of life are addressed in medical consultation to facilitate a greater well-being of the patient and hence the chance of recovery. Studies increasingly point out the fact that patients impact on quality of life is not proportional to the severity of their PF and cannot be predicted by gender, age and time of recovery. All patients with PFP are in psycho-social risk and therefore it should always be evaluated, so measures may be taken to minimize its consequences and thus maximize the clinical and functional recovery.
Description
Keywords
Paralisia facial Paralisia facial periférica Paralisia facial periférica - Diagnóstico Paralisia facial periférica - Tratamento Paralisia facial periférica - Qualidade de vida
Citation
Publisher
Universidade da Beira Interior