Assessing Facial Palsy: Does Feedback Improve Assessment Using the eFACE and Sunnybrook Facial Grading System?

Author:

Bruins Tessa E.1ORCID,Lammens Romy F.1,van Veen Martinus M.1ORCID,Tamási Katalin23,Dijkstra Pieter U.45,Werker Paul M.N.1,Broekstra Dieuwke C.1

Affiliation:

1. Department of Plastic Surgery University of Groningen, University Medical Center Groningen Groningen the Netherlands

2. Department of Epidemiology University of Groningen, University Medical Center Groningen Groningen the Netherlands

3. Department of Neurosurgery University of Groningen, University Medical Center Groningen Groningen the Netherlands

4. Center for Rehabilitation University of Groningen, University Medical Center Groningen Groningen the Netherlands

5. Sirindhorn School of Prosthetics and Orthotics Faculty of Medicine Siriraj Hospital, Mahidol University Bangkok Thailand

Abstract

Objective(s)To explore learning effects when applying the clinician‐graded electronic facial function scale (eFACE) and the Sunnybrook Facial Grading System (Sunnybrook).MethodsSurgeons, facial rehabilitation therapists, and medical students were randomly allocated to the eFACE (n = 7) or Sunnybrook (n = 6) and graded 60 videos (Massachusetts Eye and Ear Infirmary open‐source standard set); 10 persons with normal facial function and 50 patients with a wide variation of facial palsy severity. Participants received an introduction and individual feedback after each set of 10 videos. Scores were compared to the reference score provided with the set. Multilevel analysis was performed to analyze learning effect.ResultsA learning effect was only found for the eFACE, with significant difference scores in set 1 and 2 compared to set 6, and no significant difference scores in the following sets. The difference score was associated with the reference score (severity of facial palsy) for eFACE (β = −0.19; SE = 0.04; p < 0.001) and Sunnybrook (β = −0.15; SE = 0.04; p < 0.001). Age of participants was also associated with the difference score in the eFACE group (β = 0.18; SE = 0.03; p < 0.001). No differences in scores were found between groups of participants.ConclusionThe eFACE showed a learning effect of feedback while the Sunnybrook did not.Level of EvidenceNA Laryngoscope, 134:3105–3111, 2024

Publisher

Wiley

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