Facial mobility and recovery in patients with unilateral facial paralysis.
Facial mobility and recovery in patients with unilateral facial paralysis.
复制标题
单侧面瘫患者的面部活动度和恢复。
DOI：
10.1111/ocr.12346
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发表时间：
2020
影响因子：
3.1
通讯作者：
Hadlock,TessaA
中科院分区：
文献类型：
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作者：
Trotman,CarrollAnn;Faraway,Julian;Hadlock,TessaA
目标（a）量化单侧面瘫成人面部软组织运动的纵向 3D 变化，以及（b）将患者的运动与年龄和性别频率匹配的对照组进行比较。设置和样本人群 36 名患者和 68 名对照参与者的前瞻性 3D 面部运动数据。患者的数据在症状出现后 6 周内（基线）收集，然后在基线后 3 周和 12 周收集。材料和方法在不同的面部动画期间收集 3D 面部运动数据。计算位移、速度和不对称性的平均组测量值。使用两个样本测试来测试显着的组间差异，并且线性混合模型适合测试患者组随时间的显着变化。此外，还计算了 3D 动态模型和矢量图，以隔离患者的异常运动和/或瘫痪。结果患者的面部瘫痪侧和对侧侧的平均基线运动明显较少，且运动不对称性比对照组大得多。从基线到 12 周，患者的平均测量值显着改善。这些测量值更接近但低于对照值。结论在单侧面瘫中，对侧面部受到麻痹的影响，并且可能受到麻痹一侧的束缚或运动限制。综合测量集和 3D 面部测绘有效跟踪患者康复情况并隔离瘫痪面部区域。 3D 测量可用于不同治疗的诊断和结果评估。
Objective(a) To quantify longitudinal 3D changes in facial soft tissue movements in adults with unilateral facial paralysis, and (b) to compare the patients’ movements with an age‐ and sex‐frequency matched control group.Settings and Sample PopulationProspective 3D facial movement data of 36 patients and 68 control participants. Patients’ data were collected within 6 weeks of onset of symptoms (baseline) and then at 3 and 12 weeks after baseline.Materials and MethodsThe 3D facial movement data were collected during different facial animations. Mean group measurements of displacement, velocity and asymmetry were computed. Two samplettests were used to test for significant group differences, and linear mixed models were fit to test for significant changes over time in the patient group. Also, 3D dynamic modelling and vector plots were computed to isolate the patients’ abnormal movements and/or paralysis.ResultsThe patients’ mean baseline movements were significantly less for both the paralysed and contralateral sides of the face with much greater movement asymmetry than the controls. Patients’ mean measures improved significantly from baseline to 12 weeks. The measures were closer to, but fell short of, the control values.ConclusionIn unilateral facial paralysis, the contralateral facial side was affected by the paralysis and may be tethered or limited in its movement by the paralysed side. The comprehensive measurement set and 3D facial mapping effectively tracked patient recovery and isolated paralysed facial regions. The 3D measures can be used for diagnosis and outcome assessment of different treatments.