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academies
September 10-11, 2018 | Paris, France
&
Joint Event
Otolaryngology: ENT Surgery
6th International Conference on
Cell & Stem Cell Research
World Congress and Expo on
Journal of Otolaryngology Online Journal | Volume 8
A new assessment for evaluating the facial disability in patients with Bell’s Palsy
Arianna Di Stadio
Sapienza University of Rome, Italy
Introduction: Several authors have proposed different methods
for evaluating movement’s disease in patient affected by facial
palsy. Despite theseefforts theHouseBrackmann is still themost
used assessment especially in the Otolaryngology community.
Aim: Theaimof our study is toassess anewratingassessment,
the ADS, for the clinical evaluation of facial paralysis.
Materials and Methods: Sixty patients affected by unilateral
facial Bell paralysis were enrolled in a prospective study
from 2012 to 2014. Their facial nerve function was evaluated
by three physicians with our assessment by analysing
facial district that were divided in upper, middle and lower
third of the face. We analysed different facial expressions.
Each movement studied represents the action of different
muscles. The action of each muscle was scored from 0 to 1: 0
represents a complete flaccid paralysis, 1 indicates a normal
muscle’s. Synkinesis was considered in the assessment by
reducing 0.5 from final score. Our results considered the easy
and the speed in the evaluation process of the assessment,
the accuracy to identify the muscle deficit and, the ability to
calculate synkinesis by using a score.
Results: All the three observers agreed 100% in the highest
degreeof foundsomediscrepancies in intermediate
score with 92% agreement in upper face, 87% in middle and
80% in lower face, where more muscles were involved in each
movement.
Conclusion: Our scale had some limitations linked to the small
group of patients evaluated and we have had a little difficulty
for understanding the intermediate score of 0.3 and 0.7.
However, this was an accurate tool to quickly evaluate facial
nerve function? This has potential as an alternative scale to
diagnose facial nerve disorders.
Speaker Biography
Arianna Di Stadio is an Otolaryngologist, specialized in otology/neurotology, facial
plastic surgery, and microsurgery. She is currently responsible for the otolaryngology
research line at the San Camillo Hospital IRCCS in Venice, Italy. She collaborates with
the Columbia University of New York and the Wayne University in Detroit. She is the
reviewer for several international peer-reviewed journals and she is the author of
several articles published in international journals.
e:
Arianna Di Stadio, ENT and Stem Cell 2018, Volume 8
DOI: 10.4066/2250-0359-C1-002