{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:26:32Z","timestamp":1787851592567,"version":"build-2784847793"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The primary goal of this study was to measure health\u2010state utility values (HUVs) in patients with facial paralysis before and after treatment. A secondary objective was to compare these values with those of other chronic diseases and currently available treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A retrospective chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A tertiary medical center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adults with flaccid and non\u2010flaccid facial paralysis were included. Baseline demographics, medical comorbidities, facial paralysis history, treatment details, and disease\u2010specific quality\u2010of\u2010life scores were collected. Utility values were derived using the Short\u2010Form 6D health index at baseline and after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean baseline Short\u2010Form 6D utility value for patients with facial paralysis (n\u2009=\u2009134) was 0.73 (\u00b1\u20090.14) (95% confidence interval [CI]: 0.71\u20100.75). Baseline utility values significantly correlated with disease\u2010specific quality of life as measured by the Facial Clinimetric Evaluation Scale (<jats:italic>r<\/jats:italic>\u2009=\u20090.400; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), but not with Sunnybrook Facial Grading Scale or Synkinesis Assessment Questionnaire scores. Post\u2010treatment utility values showed a mean improvement of 0.03 (95% CI: \u22120.01 to 0.08; <jats:italic>P<\/jats:italic>\u2009=\u2009.14) in the overall cohort. The flaccid group showed a greater average improvement compared to the non\u2010flaccid group (0.05 [\u00b1\u20090.17] vs 0.02 [\u00b1\u20090.17]; <jats:italic>P<\/jats:italic>\u2009=\u2009.62).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with flaccid and non\u2010flaccid facial paralysis reported HUVs that were significantly lower than the US population norm. Treatment improved utility values in both groups. These findings provide initial data for future cost\u2010effectiveness analyses of surgical and non\u2010surgical treatment options for facial paralysis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.1163","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T05:50:11Z","timestamp":1738907411000},"page":"1570-1578","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Health\u2010State Utility Values in Patients Affected by Flaccid and Non\u2010Flaccid Facial Paralysis"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1957-7892","authenticated-orcid":false,"given":"Bastien A.","family":"Valencia\u2010Sanchez","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic Florida Jacksonville Florida 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