[Comparative evaluation of speech disorders and verbal and non verbal communication within two groups of patients: patients with facial paralysis (FP) and those who had undergone hypoglosso-facial anastomosis (HFA)].
BACKGROUND
Speech disorders were often allotted to hypoglossal-facial anastomosis (HFA) without being clearly shown. We have compared patients with a peripheral facial paralysis at those with HFA.


OBJECTIVE
Retrospective study comparing verbal communication (articulation) and non-verbal within two groups of patients: patients with patient FP versus with HFA.


METHODS
10 patients with idiopathic FP versus 7 patients with HFA took part in this study. The series of tests includes an evaluation of the motor possibilities, bilabial pressure measurement (for the patients with FP), speech capacities and finally an evaluation of the verbal and non-verbal communication from a scale of satisfaction.


RESULTS
The results highlight: the presence of real speech disorders (permanent) among patients with FP and their absence among patients having profited from HFA; a real satisfaction of the HFA versus FP on the quality of life compared to daily tasks, more specifically concerning verbal and food skills.


CONCLUSIONS
The HFA is not responsible for speech disorders, and makes undeniable improvements confirmed subsequently by the patients.
Gatignol
P
P
Orthophoniste, Fédération de Neurologie, Service des Pr Agid et Lyon-Caen, Groupe Hospitalier Pitié-Salpêtrière, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France. peggy.gatignol@psl.ap-hop-paris.fr
Tankere
F
F
Clero
D
D
Lobryau
Ch
Ch
Soudant
J
J
Lamas
G
G
D000714:Anastomosis, Surgical; D003142:Communication; D005154:Facial Nerve / Q000601:surgery*; D005158:Facial Paralysis / Q000150:complications*; D005260:Female; D006801:Humans; D007002:Hypoglossal Nerve / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D009633:Nonverbal Communication; D012189:Retrospective Studies; D013064:Speech Disorders / Q000209:etiology*