Exploring patient values and perceptions with facial nerve palsy to help guide management: An Australian perspective
**Background**: Facial nerve palsy (FNP) leads to a combination of aesthetic and functional deficits with profound psychosocial consequences. Significant advances have been made in restoring dynamic function through a range of facial reanimation solutions. Patient-reported severity scales are predet...
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| Format: | Article |
| Language: | English |
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Australian Society of Plastic Surgeons
2023-08-01
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| Series: | Australasian Journal of Plastic Surgery |
| Online Access: | https://doi.org/10.34239/ajops.74141 |
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| author | Shaheen Hasmat Tsu-Hui (Hubert) Low Joseph R Dusseldorp Payal Mukherjee Jonathan R Clark |
| author_facet | Shaheen Hasmat Tsu-Hui (Hubert) Low Joseph R Dusseldorp Payal Mukherjee Jonathan R Clark |
| author_sort | Shaheen Hasmat |
| collection | DOAJ |
| description | **Background**: Facial nerve palsy (FNP) leads to a combination of aesthetic and functional deficits with profound psychosocial consequences. Significant advances have been made in restoring dynamic function through a range of facial reanimation solutions. Patient-reported severity scales are predetermined metrics that provide limited insight into patient values and perceptions. A qualitative study was conducted to elicit the experiences of patients with FNP and explore their views and motivations for seeking therapy.
**Methods**: Participants were sourced from the Sydney Head and Neck Cancer Institute Database, Australia. Eligibility for the study included age over 18 years and a diagnosis of complete FNP. Semi-structured interviews were conducted and the transcripts were subjected to thematic text analysis.
**Results**: Nineteen patients consented to participate in the study. One was excluded due to an isolated marginal mandibular nerve palsy. Five main themes emerged: eye symptoms, fear of judgement and social withdrawal, aversion to further invasive surgeries, the need for multidisciplinary streamlined care and lack of public awareness.
**Conclusion**: Eye symptoms and the social consequences of FNP carry significant impact on both patients’ personal and professional lives. There is a paucity of services that can support patients across the complex spectrum of problems seen in FNP. |
| format | Article |
| id | doaj-art-942e1360f5fa4e1dac8e1caa8ed0c61d |
| institution | OA Journals |
| issn | 2209-170X |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Australian Society of Plastic Surgeons |
| record_format | Article |
| series | Australasian Journal of Plastic Surgery |
| spelling | doaj-art-942e1360f5fa4e1dac8e1caa8ed0c61d2025-08-20T02:07:25ZengAustralian Society of Plastic SurgeonsAustralasian Journal of Plastic Surgery2209-170X2023-08-016210.34239/ajops.74141Exploring patient values and perceptions with facial nerve palsy to help guide management: An Australian perspectiveShaheen HasmatTsu-Hui (Hubert) LowJoseph R DusseldorpPayal MukherjeeJonathan R Clark**Background**: Facial nerve palsy (FNP) leads to a combination of aesthetic and functional deficits with profound psychosocial consequences. Significant advances have been made in restoring dynamic function through a range of facial reanimation solutions. Patient-reported severity scales are predetermined metrics that provide limited insight into patient values and perceptions. A qualitative study was conducted to elicit the experiences of patients with FNP and explore their views and motivations for seeking therapy. **Methods**: Participants were sourced from the Sydney Head and Neck Cancer Institute Database, Australia. Eligibility for the study included age over 18 years and a diagnosis of complete FNP. Semi-structured interviews were conducted and the transcripts were subjected to thematic text analysis. **Results**: Nineteen patients consented to participate in the study. One was excluded due to an isolated marginal mandibular nerve palsy. Five main themes emerged: eye symptoms, fear of judgement and social withdrawal, aversion to further invasive surgeries, the need for multidisciplinary streamlined care and lack of public awareness. **Conclusion**: Eye symptoms and the social consequences of FNP carry significant impact on both patients’ personal and professional lives. There is a paucity of services that can support patients across the complex spectrum of problems seen in FNP.https://doi.org/10.34239/ajops.74141 |
| spellingShingle | Shaheen Hasmat Tsu-Hui (Hubert) Low Joseph R Dusseldorp Payal Mukherjee Jonathan R Clark Exploring patient values and perceptions with facial nerve palsy to help guide management: An Australian perspective Australasian Journal of Plastic Surgery |
| title | Exploring patient values and perceptions with facial nerve palsy to help guide management: An Australian perspective |
| title_full | Exploring patient values and perceptions with facial nerve palsy to help guide management: An Australian perspective |
| title_fullStr | Exploring patient values and perceptions with facial nerve palsy to help guide management: An Australian perspective |
| title_full_unstemmed | Exploring patient values and perceptions with facial nerve palsy to help guide management: An Australian perspective |
| title_short | Exploring patient values and perceptions with facial nerve palsy to help guide management: An Australian perspective |
| title_sort | exploring patient values and perceptions with facial nerve palsy to help guide management an australian perspective |
| url | https://doi.org/10.34239/ajops.74141 |
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