The facial paralysis is a frequent disease causing important functionals swallowing dysfunctions. The purpose of our study was to evaluate the improvement of the swallowing disorders after surgery by lengthening temporalis myoplasty (LTM) in the facial paralysis. This prospective study has realised on the following of patients affected by facial paralysis treated by LTM. Self-administered questionnaires and clinics tests had realized to analyze three components oh the oral phase of the swallowing ( drooling, mastication and handicap). The evaluations was realized before the surgery and at 3 and 6 months after .
Study Type
OBSERVATIONAL
Enrollment
13
Self-administered questionnaires and non-invasive clinics tests
Service de chirurgie maxillo-faciale, CHRU de TOURS
Tours, France
Change from baseline lips pressure at 6 months
Patients must contracted their lips of the paretic side in a manometer to evaluate the pressure of the lips before surgery and at 3 and 6 months after
Time frame: Baseline, 3 and 6 months
Drooling Severity and Frequency Scale (DSFS)
The Drooling Score equals the sum of the Severity and Frequency sub-scores. the severity sub scores contains five items ( 1= never, 2= mild drooling, 3= moderate drool, 4= severe drool, 5= profuse drool) The frequency sub score contains four items ( 1= no drooling, 2= occasionally, 3=frequently, 4= constant drooling)
Time frame: Baseline, 3 and 6 months
Visual scale of food residue
Patients must eat a melba toast on paretic side and after we evaluate the food residue before surgery and at 3 and 6 months after
Time frame: Baseline, 3 and 6 months
Dysphagia handicap index (DHI)
This self-administered questionnaire allows to evaluate 3 types of handicap (physical, functional and social) It contains 30 questions and the maximum score is 120 (0= never, 1= almost never, 2= occasionally, 3= almost always, 4= always)
Time frame: Baseline, 3 and 6 months
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