{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:40:53Z","timestamp":1788864053788,"version":"build-2803163510"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"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 & Aesthetic Medicine"],"abstract":"\n Background:<\/jats:title>\n Facial paralysis can negatively impact quality of life (QoL), but its impact compared to other groups is unknown.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To compare QoL domain scores of facial paralysis patients with the general population, patients with burns, and patients referred for medical-psychological counselling; evaluate associations with demographic and disease-related factors.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n Medical data of facial paralysis patients were extracted from electronic health records. Participants completed the RAND-36. Mean domain scores between samples were compared using\n t<\/jats:italic>\n -tests with Bonferroni correction. Associations with demographic and disease-related variables were assessed using\n t<\/jats:italic>\n -tests and Pearson correlations.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Among 177 participants (mean age 58.1 years, 63% female), QoL scores were >5 points (all\n p<\/jats:italic>\n < 0.05) lower than the general population across all QoL domains except \u201cPhysical function\u201d and \u201cPain.\u201d Scores were comparable to patients with burns and better than individuals referred to medical psychology (difference >5 points, all\n p<\/jats:italic>\n < 0.05). Younger age was associated with lower mental health (\n r<\/jats:italic>\n = 0.16,\n p<\/jats:italic>\n = 0.032) and vitality (\n r<\/jats:italic>\n = 0.17,\n p<\/jats:italic>\n = 0.026). Females had significantly worse mental health (\n ES<\/jats:italic>\n = \u22120.32), vitality (\n ES<\/jats:italic>\n = \u22120.32), and general health (\n ES<\/jats:italic>\n = \u22120.38).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Facial paralysis is associated with reduced QoL on physical, psychological, and social domains. Clinicians should acknowledge this impact and refer patients to specialists in coping with facial disfigurement when appropriate.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/26893614261429293","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T15:05:31Z","timestamp":1773241531000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Quality of Life in Patients with Facial Paralysis: Comparison with the General Population and Associated Factors"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0246-4402","authenticated-orcid":false,"given":"Ietske","family":"Siemann","sequence":"first","affiliation":[{"name":"Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henri","family":"Marres","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Radboud University Medical Center, Nijmegen, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koen","family":"Ingels","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Radboud University Medical Center, Nijmegen, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Prins","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Kwakkenbos","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Behavioural Science Institute, Radboud University Nijmegen, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,3]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24542"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2010.11.022"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12434"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27481"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sbspro.2012.08.080"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjebm-2020-111573"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27772"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2018.07.003"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/07853890109002089"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"issue":"1","key":"e_1_3_2_12_1","first-page":"303","article-title":"Biopsychosocial model\u2013the integrated approach to health and disease","volume":"33","author":"Havelka M","year":"2009","unstructured":"11.Havelka M, , Lucanin JD, , Lucanin D. Biopsychosocial model\u2013the integrated approach to health and disease. Coll Antropol. 2009;33(1):303\u2013310.","journal-title":"Coll Antropol"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12440"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012628"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13760-014-0382-z"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25695"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2016.07.001"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.05.748"},{"key":"e_1_3_2_20_1","unstructured":"19.van der Zee IK Sanderman R. Het meten van de algemene gezondheidstoestand met de RAND-36: Een handleiding. Groningen: Rijksuniversiteit Noordelijk Centrum voor Gezondheidsvraagstukken; 1993."},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-199915020-00003"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-024-00683-w"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181ab31c8"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200103000-00005"}],"container-title":["Facial Plastic Surgery & Aesthetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614261429293","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26893614261429293","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614261429293","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T10:15:31Z","timestamp":1779185731000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26893614261429293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,3]]},"references-count":23,"alternative-id":["10.1177\/26893614261429293"],"URL":"https:\/\/doi.org\/10.1177\/26893614261429293","relation":{},"ISSN":["2689-3614","2689-3622"],"issn-type":[{"value":"2689-3614","type":"print"},{"value":"2689-3622","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,3]]},"article-number":"26893614261429293"}}