Validation of the Turkish Translation of the Facial Clinimetric Evaluation Scale in Patients with Peripheral Facial Paralysis

Objective: To transcribe and validate the Facial Clinimetric Evaluation (FaCE) scale to be able to use it in a Turkish-speaking patient population with peripheral facial paralysis (PFP). Material and Methods: The original English FaCE scale was translated according to international guidelines. Then a validation study was conducted on 37 patients with facial paralysis. The patients completed the scale twice at a 1-week interval. Internal consistency was evaluated with the Cronbach alpha coefficient. The correlations between the FaCE scale and the House-Brackmann Grading System (HBGS), the Sunnybrook Grading System (SBGS), and the Facial Disability Index (FDI) scores and structure validity were evaluated by calculating the Spearman rho correlation coefficient.Results: The FaCE scale showed internal consistency with an excellent Cronbach α value of 0.828. Test-retest reliability was shown with an Intraclass Correlation Coefficient (ICC) in the range of 0.51-0.95. The FaCE scale was determined to be well correlated with the HBGS and SBGS points (r=-0.51, r=0.65, respectively). The FaCE scale face movement score showed the highest correlation with HBGS (r=-0.61). SBGS had the highest correlation with the oral function score (r=0.61). The study determined there to be a good correlation between the FaCE scale and the social/well-being function and physical function of the FDI (r=0.69, r=0.66, respectively).Conclusion: The FaCE scale is a reliable and valid tool for assessing the quality of life of PFP patients. The Turkısh version of the FaCE Scale showed good psychometric properties. By showing high validity and reliability, the Turkish FaCE scale can be used in Turkish-speaking patients with peripheral facial paralysis.

___

  • 1. Owusu JA, Stewart CM, Boahene K. Facial Nerve Paralysis. Med Clin North Am 2018;102(6):1135-43. google scholar
  • 2. Lorch M, Teach SJ. Facial nerve palsy: etiology and approach to diagnosis and treatment. Pediatr Emerg Care 2010;26(10):763-9; quiz 70-3. google scholar
  • 3. Luijmes RE, Pouwels S, Beurskens CH, Kleiss IJ, Siemann I, et al. Quality of life before and after different treatment modalities in peripheral facial palsy: A systematic review. Laryngoscope 2017;127(5):1044-51. google scholar
  • 4. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985;93(2):146-7. google scholar
  • 5. Ross BG, Fradet G, Nedzelski JM. Development of a sensitive clinical facial grading system. Otolaryngol Head Neck Surg 1996;114(3):380-6. google scholar
  • 6. Kahn JB, Gliklich RE, Boyev KP, Stewart MG, Metson RB, et al. Validation of a patient-graded instrument for facial nerve paralysis: the FaCE scale. Laryngoscope 2001;111(3):387-98. google scholar
  • 7. VanSwearingen JM, Brach JS. The Facial Disability Index: reliability and validity of a disability assessment instrument for disorders of the facial neuromuscular system. Phys Ther 1996;76(12):1288-98; discussion 98-300. google scholar
  • 8. Györi E, Przestrzelski C, Pona I, Hagmann M, Rath T, et al. Quality of life and functional assessment of facial palsy patients: A questionnaire study. Int J Surg 2018;55:92-7. google scholar
  • 9. Tavares-Brito J, van Veen MM, Dusseldorp JR, Bahmad F, Jr., Hadlock TA. Facial Palsy-Specific Quality of Life in 920 Patients: Correlation With Clinician-Graded Severity and Predicting Factors. Laryngoscope 2019;129(1):100-4. google scholar
  • 10. Bruins TE, van Veen MM, Mooibroek-Leeuwerke T, Werker PMN, Broekstra DC, et al. Association of Socioeconomic, Personality, and Mental Health Factors With Health-Related Quality of Life in Patients With Facial Palsy. JAMA Otolaryngol Head Neck Surg 2020;146(4):331-7. google scholar
  • 11. Garcia-Iza L, Chiesa-Estomba CM, Rosell-Romero N, Ibarguren-Esnal E, Soriano-Reixach M, et al. Translation and Validation of the Facial Clinimetric Evaluation Scale to Spanish. Otolaryngol Head Neck Surg 2020:194599820969622. google scholar
  • 12. Barry P, Mancini J, Alshukry A, Salburgo F, Lavieille JP, et al. Validation of French versions of the Facial Disability Index and the Facial Clinimetric Evaluation Scale, specific quality of life scales for peripheral facial palsy patients. Clin Otolaryngol 2019;44(3):313-22. google scholar
  • 13. Kleiss IJ, Beurskens CH, Stalmeier PF, Ingels KJ, Marres HA. Quality of life assessment in facial palsy: validation of the Dutch Facial Clinimetric Evaluation Scale. Eur Arch Otorhinolaryngol 2015;272(8):2055-61. google scholar
  • 14. Volk GF, Steigerwald F, Vitek P, Finkensieper M, Kreysa H, et al. [Facial Disability Index and Facial Clinimetric Evaluation Scale: validation of the German versions]. Laryngorhinootologie 2015;94(3):163-8. google scholar
  • 15. Marsk E, Hammarstedt-Nordenvall L, Engström M, Jonsson L, Hultcrantz M. Validation of a Swedish version of the Facial Disability Index (FDI) and the Facial Clinimetric Evaluation (FaCE) scale. Acta Otolaryngol 2013;133(6):662-9. google scholar
  • 16. Pavese C, Cecini M, Camerino N, De Silvestri A, Tinelli C, et al. Functional and social limitations after facial palsy: expanded and independent validation of the Italian version of the facial disability index. Phys Ther 2014;94(9):1327-36. google scholar
  • 17. Li Y, Jiang H, Wang K, Feng GD, Ding XY, et al. [Quality of life survey on patients with peripheral facial paralysis by using Chinese version of the FaCE scale]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2013;48(1):11-6 google scholar
  • 18. Özden F, Karaman ÖN, Tuğay N, Savaş Ö, Sözen T, et al. The reliability and validity of the Turkish version of the Facial Disability Index. Disabil Rehabil 2020:1-10. google scholar
  • 19. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993;46(12):1417-32. google scholar
  • 20. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 2000;25(24):3186-91. google scholar
  • 21. Field A. Discovering statistics using IBM SPSS statistics: sage; 2013 22. D^az-Aristizabal U, Valdes-Vilches M, Fernândez-Ferreras TR, Calero-Munoz E, Bienzobas-Allue E, et al. Correlations between impairment, psychological distress, disability, and quality of life in peripheral facial palsy. Neurologia 2019;34(7):423-8. google scholar
  • 23. Ho AL, Scott AM, Klassen AF, Cano SJ, Pusic AL, Laeken NV. Measuring quality of life and patient satisfaction in facial paralysis patients: a systematic review of patient-reported outcome measures. Plast Recons Surg 2012;130(1):91-9. google scholar
  • 24. Cross T, E. Sheard C, Garrud P, Nikolopoulos TP, O’Donoghue GM. Impact of facial paralysis on patients with acoustic neuroma. Laryngoscope 2000;110(9):1539-42. google scholar
  • 25. Lee J, Fung K, Lownie SP, Parnes LS. Assessing impairment and disability of facial paralysis in patients with vestibular schwannoma. Arch Otolaryngol Head Neck Surg 2007;133(1):56-60. google scholar
  • 26. Tavares-Brito J, Fonseca ACO, Torres RP, van Veen MM, Greene J, et al. Facial Clinimetric Evaluation Scale and Synkinesis Assessment Questionnaire Translation into Brazilian Portuguese: A Validation Study. Int Arch Otorhinolaryngol 2020;24(1):e24-30. google scholar
  • 27. Ng JH, Ngo RY. The use of the facial clinimetric evaluation scale as a patient-based grading system in Bell’s palsy. Laryngoscope. 2013;123(5):1256-60. google scholar