Abstract
Objective
To develop and validate a patient-reported outcome measure that evaluates oral competence;
speech and swallowing function after facial nerve paralysis (FNP).
Methods
Content validity was informed by extensive literature review, consultation with clinical
experts and patient interview. This resulted in a 16-item Oral Competence Questionnaire
(OCQ) which was completed by forty patients with facial nerve paralysis (FNP) and
forty healthy controls. The sensitivity of the questionnaire was tested against other
validated questionnaires for oral function, speech/ swallowing functions and facial
nerve related disability. Normative data was obtained by administering the OCQ to
a group of healthy volunteers.
Results
A total of 80 participants completed the OCQ (40 FNP, 40 healthy controls). Strong
linear relationships (Pearson correlation coefficients >0.8) were observed between
speech intelligibility ratings, objective speech outcomes and the OCQ. Linear correlations
were also noted between OCQ and FDI (Pearson correlation coefficient >0.4). The mean
OCQ score for participants with FNP was 28.8 and 0.0 for healthy controls.
Conclusions
This succinct, 16-item questionnaire demonstrated good sensitivity for testing oral-competence
and oral function for patients with FNP, and ability discriminate between patients
with FNP from patients with normal facial nerve function.
Keywords
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Article info
Publication history
Accepted:
June 10,
2022
Received:
January 2,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Development and Validation of an Oral Competence Questionnaire for Patients with Facial Nerve Paralysis
Identification
Copyright
© 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
