title: Quality of life after facial nerve repair.
abstract: OBJECTIVE
  Analyze the postoperative quality of life (QoL) in patients after surgical nerve repair for facial nerve lesion.
  
  
  METHODS
  Descriptive study using questionnaire data and medical chart review.
  
  
  METHODS
  Forty-nine patients answered the Short Form-36 (SF-36), the European Organization for Research and Treatment (EORTC) questionnaires QLQ-C30 and QLQ-HN35, and a modification of the Acoustic Neuroma Hospital of Norway Survey. Facial function was self-evaluated by the patients using the House-Brackmann (HB) scale and the Stennert index (SI). The questionnaire data were analyzed in relation to the medical chart data.
  
  
  RESULTS
  The follow-up time ranged from 12 to 202 months. The underlying disease was benign in 34 (61%) patients and malignant in 15 (39%) patients. Facial nerve repair was successful in all patients, with a mean HB scale of 3.1, a mean SI of 4.9, and a mean May grading of 2.7. The facial function self-evaluation was not significantly different. Seventy-five percent of the patients were satisfied with the operation. The SF-36 demonstrated a significantly lower social functioning, emotional role, general mental health, and vitality lower than in the normal German population. In the EORTC QLQ C30, emotional function was low and the insomnia rate high. EORTC QLQ HN35 showed a high rate of trouble with social eating, less sexuality, problems opening mouth, and weight gain problems. Age 45 years or older, female sex, May grading 3 or greater, SI self-assessment 5 or greater, HB self-assessment greater than 2 had a significant negative effect on some QoL items, but not factors such as type or histology of the disease or delayed reconstruction.
  
  
  CONCLUSIONS
  Although grading of facial function after nerve repair revealed satisfying results, the patients experience a reduced QoL.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Koeln, Germany. orlando.guntinas@med.uni-jena.de
authors.forename: Orlando
authors.initials: O
authors.lastname: Guntinas-Lichius
authors.forename: Arianna
authors.initials: A
authors.lastname: Straesser
authors.forename: Michael
authors.initials: M
authors.lastname: Streppel
mesh_terms: D000328:Adult; D000368:Aged; D004576:Electromyography; D005154:Facial Nerve / Q000503:physiopathology / Q000601:surgery*; D005155:Facial Nerve Diseases / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome