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European Archives of Oto-Rhino-Laryngology

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Open Access 03-08-2023 | Facial Palsy | Otology

Validation of the Spanish version of the Electronic Facial Palsy Assessment (eFACE)

Authors: Teresa Mato‑Patino, Isabel Sánchez‑Cuadrado, Julio Peñarrocha, José Manuel Morales‑Puebla, Jesús Díez‑Sebastián, Javier Gavilán, Luis Lassaletta

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2024

Abstract

Purpose

The clinician-graded electronic facial paralysis assessment (eFACE) is a relatively new digital tool for assessing facial palsy. The present study aimed to determine the validity and reliability of the Spanish version of the eFACE.

Methods

Forward–backward translation from the original English version was performed. Videos and photographs from 65 adult patients with unilateral facial paralysis (any severity, time course, and etiology) were evaluated twice by five otolaryngologists with varying levels of experience in facial palsy evaluation. Internal consistency was measured using Cronbach’s α and the intra- and inter-rater reliability were measured using intraclass correlation coefficient. Concurrent validity was established by calculating Spearman’s rho correlation (ρ) between the eFACE and the House–Brackmann scale (H–B) and Pearson’s correlation (r) between the eFACE and the Sunnybrook Facial Grading System (SFGS).

Results

The Spanish version of the eFACE showed good internal consistency (Cronbach’s α > 0.8). The intra-rater reliability was nearly perfect for the total score (intraclass correlation coefficient: 0.95–0.99), static score (0.92–0.96), and dynamic score (0.96–0.99) and important-to-excellent for synkinesis score (0.79–0.96). The inter-rater reliability was excellent for the total score (0.85–0.93), static score (0.80–0.90), and dynamic score (0.90–0.95) and moderate-to-important for the synkinesis score (0.55–0.78). The eFACE had a very strong correlation with the H–B (ρ = – 0.88 and – 0.85 for each evaluation, p < 0.001) and the SFGS (r = 0.92 and 0.91 each evaluation, p < 0.001).

Conclusion

The Spanish version of the eFACE is a reliable and valid instrument for assessment of facial function in the diagnosis and treatment of patients with facial paralysis.

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Title: Validation of the Spanish version of the Electronic Facial Palsy Assessment (eFACE)
Authors: Teresa Mato‑Patino
Isabel Sánchez‑Cuadrado
Julio Peñarrocha
José Manuel Morales‑Puebla
Jesús Díez‑Sebastián
Javier Gavilán
Luis Lassaletta
Publication date: 03-08-2023
Publisher: Springer Berlin Heidelberg
Keyword: Facial Palsy
Published in: European Archives of Oto-Rhino-Laryngology / Issue 2/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08132-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Validation of the Spanish version of the Electronic Facial Palsy Assessment (eFACE)

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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