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Clinician and automated assessments of facial function following eyelid weight placement

JAMA Facial Plastic Surgery Sep 26, 2019

Greene JJ, et al. - Researchers sought to determine concordance between the sensitivity of a clinician-based tool (eFACE) and an automated facial-measurement algorithm (Emotrics) in analyzing eyelid weight placement for facial palsy. They performed a retrospective review of 53 patients with unilateral facial palsy who received an eyelid weight at the Massachusetts Eye and Ear Infirmary Facial Nerve Center. Deidentification and randomization of preoperative and postoperative photographs were performed. Three clinicians, as well as the Emotrics program performed analysis of the entire cohort. Outcomes support good concordance between the eFACE tool and automated, objective facial measurements using a machine-learning based algorithm such as Emotrics. The eFACE tool is identified as sensitive to spontaneous recovery and surgical intervention, and may aid in the assessment of rapid regional facial function from a clinician’s perspective following recovery and/or surgical intervention.
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