{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:05:30Z","timestamp":1790683530321,"version":"4.1.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Facial muscle dysfunction can have drastic psychosocial effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To evaluate the impacts of customized neuromuscular retraining on mental health, quality of life (QoL), facial muscle function, and synkinesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Thirty patients with facial nerve dysfunction completed a course of neuromuscular retraining. Patients' mental health, QoL, facial muscle function, and synkinesis were evaluated using Patient Health Questionnaire (PHQ-9), Facial Clinimetric Evaluation (FaCE) scale, electronic, clinician-graded facial function scale (eFACE), and Synkinesis Assessment Questionnaire (SAQ) at the initial and final visits. Scores were compared before and after treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200930) included had a mean age of 59.4\u2009\u00b1\u200913.4 years (range 32.3\u201382.8) and were mostly female (22\/30, 73.3%). The most common etiology was Iatrogenic facial nerve paralysis (11\/20, 36.7%). Most patients had postfacial paralysis synkinesis (15\/30, 50%), while 10 had complete flaccid paralysis. The median house-Brackmann score was 2 (range 1\u20136). The mean duration of facial palsy was 39.5\u2009\u00b1\u2009106.9 (range 1\u2013576 months). The duration of follow-up after the initial treatment session was 5.5 months, including 10 sessions. After neuromuscular retraining median PHQ-9 scores improved from 5 (range 0\u201325) to 3 (range 0\u201320) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002). Mean FaCE PROM scores increased from 47.7\u2009\u00b1\u200911.5 to 56.5\u2009\u00b1\u20098.8 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001). The mean eFACE score increased from 55.8\u2009\u00b1\u200915.1 to 71.7\u2009\u00b1\u200913.6 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Median SAQ score was lower at the final visit (34.6\u2009\u00b1\u200913.4) compared to the initial visit (47.7\u2009\u00b1\u200917.8;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Customized neuromuscular retraining may improve patient-reported mental health, QoL, and facial muscle function and reduce synkinesis in facial nerve dysfunction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2023.0119","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T16:32:10Z","timestamp":1713457930000},"page":"551-557","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["The Effectiveness of Facial Neuromuscular Retraining on Patients with Facial Nerve Dysfunction: A Mental Health and Quality of Life Analysis"],"prefix":"10.1177","volume":"26","author":[{"given":"Sara","family":"Rostami","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susie","family":"Min","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9382-2403","authenticated-orcid":false,"given":"Adam","family":"McCann","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colton","family":"Sayers","sequence":"additional","affiliation":[{"name":"Outpatient Rehabilitative Services Department, UCHealth, Cincinnati, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Samy","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\/Head and Neck Surgery, Institute for Surgical Excellence, Lehigh Valley Health Network, Allentown, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Collar","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3883-8397","authenticated-orcid":false,"given":"Tsung-Yen","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,18]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2008.49.5.725"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012628"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24542"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2016.1462"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27481"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002072"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2018.07.001"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.10449"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001908"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.4559"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2022.0094"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2020.0082"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2000-15546"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26356"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000428"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20090176"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200307000-00024"},{"issue":"77","key":"e_1_3_5_19_2","first-page":"251","article-title":"Management of synkinesis and asymmetry in facial nerve palsy: a review article","volume":"26","author":"Pourmomeny AA","year":"2014","unstructured":"Pourmomeny AA, , Asadi S. 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