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Facial Reanimation, Bell's Palsy & Smile Surgery2016

Weighting of Facial Grading Variables to Disfigurement in Facial Palsy

Banks CA, Jowett N, Hadlock CR, Hadlock TA

JAMA Facial Plast Surg

What Is This Study About?

This study determined which specific facial features contribute most to perceived disfigurement in facial palsy patients. By weighting different grading variables against perceived severity, the research identifies which aspects of facial paralysis matter most for quality of life.

Key Findings

  • Identified which facial movement deficits contribute most to perceived disfigurement
  • Oral commissure (smile) excursion was the most heavily weighted variable
  • Synkinesis (involuntary movement) was a significant contributor to perceived disfigurement

What This Means for Patients

Understanding which aspects of facial paralysis most affect patients’ quality of life helps surgeons prioritize the most impactful treatments first.

Citation & Links

Citation: Banks CA, Jowett N, Hadlock CR, Hadlock TA. JAMA Facial Plast Surg. 2016 Jul 01; 18(4):292-8.

PMID: 27124886