{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:30:48Z","timestamp":1789662648901,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T00:00:00Z","timestamp":1447804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe the health\u2010related quality of life of patients visiting a tertiary referral centre for facial palsy, and to analyse factors associated with health\u2010related quality of life, using the Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> Scale instrument.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>The Facial Nerve Center at the Massachusetts Eye and Ear Infirmary, a tertiary referral centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Patients with a peripheral facial palsy visiting the centre for an initial consultation between August 2007 and June 2012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The total Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> score and the Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> social function subdomain. Multiple regression models were developed to identify factors associated with the total Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> score and Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> social function score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 794 patients with a mean age of 47.0\u00a0\u00b1\u00a016.0\u00a0years were analysed in this study, of which 59.9% were female. The mean House\u2013Brackmann, Sunnybrook, total Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> and Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> social function scores were 3.6\u00a0\u00b1\u00a01.5, 48.2\u00a0\u00b1\u00a021.2, 47.3\u00a0\u00b1\u00a019.3 and 55.5\u00a0\u00b1\u00a019.2, respectively. Increasing age (<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22120.229, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) was associated with a lower total Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> score. Female gender (<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22124.422, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.033) and increased duration of palsy (<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22120.018, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.041) were associated with lower Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> social function scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While counselling patients on what to expect during the recovery process after facial paralysis is an important part of any clinical visit, Fa<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content> score correlations suggest that female patients with chronic facial palsy and increased age constitute a patient category that may require additional time and attention to prevent or mitigate psychosocial dysfunction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12434","type":"journal-article","created":{"date-parts":[[2015,4,8]],"date-time":"2015-04-08T07:41:43Z","timestamp":1428478903000},"page":"651-656","source":"Crossref","is-referenced-by-count":92,"title":["Health\u2010related quality of life in 794 patients with a peripheral facial palsy using the Fa<scp>CE<\/scp> Scale: a retrospective cohort study"],"prefix":"10.1111","volume":"40","author":[{"given":"I. J.","family":"Kleiss","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \/ Head and Neck Surgery Massachusetts Eye and Ear Infirmary and Harvard Medical School Boston MA USA"},{"name":"Department of Otorhinolaryngology \/ Head and Neck Surgery Radboud University Medical Center Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. H.","family":"Hohman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \/ Head and Neck Surgery Massachusetts Eye and Ear Infirmary and Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. M.","family":"Susarla","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Johns Hopkins Hospital Johns Hopkins University Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. A. 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