The House–Brackmann score is a score to grade the degree of nerve damage in a facial nerve A modification of the original House–Brackmann score, called the “Facial Nerve Grading Scale ” (FNGS) was proposed in KEYWORDS. Facial paralysis;. Evaluation;. Scales;. Classification; necessário treinamento prévio; na escala de House & Brackmann, . Assessment of facial movement according to House & Brackmann (). Grade. House-Brackman Scale facial nerve palsy The House-Brackmann scale ranges between I normal and VI no movement. Grade I Normal symmetrical function.
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We assumed that the difference in grade I may reflect inter-examiner variation.
Our more systematic regional assessment confirmed that the FNGS 2. Patients with facial nerve dysfunction from any cause. Agreement between the Facial Nerve Grading System 2. Grade III Obvious weakness, but not disfiguring May not be able to lift eyebrow Complete eye closure and strong but asymmetrical mouth movement Obvious, but not disfiguring synkinesis, mass movement hoise spasm.
In patients with differential facial function, a single global number is inadequate to describe facial function and primarily reflects the function of the eye.
In contrast, one patient showed full recovery on the FNGS 2. Our skin and laser specialist treats a wide range of skin conditions through a combination of therapies, including lasers, skin peels, injectables, dermabrasion and Obagi skin care products. Further, the single grade did not always correlate with the best or worst function along the four facial regions. Development of a sensitive clinical facial grading system.
The Sunnybrook system grades paralysis by evaluating symmetry at rest and during voluntary movements, and, following a series of calculations, is used to gauge synkinesis on a point scale. scalf
House Brackmann – Facial Nerve Grading System
Current issue Free content Submit an article. Head Neck Surg ; This is especially applicable when evaluating, for example, the effects of antiviral agents on prognosis in patients with Bell palsy.
Facial nerve grading system.
These differences are likely due to the more detailed analysis on the FNGS 2. Otolaryngol Head Neck Surg. We had hypothesized that patients with Bell’s facal would completely recover within 3 months [ 10 ], and we therefore regarded 3 months as the minimum period for determining patient prognosis. Patients were also evaluated by both scales at each follow-up time point, with each patient evaluated at least twice for both systems by an otolaryngologist who understood both grading systems well.
Facial nerve grading system. Reliability of the Sunnybrook Facial Grading System by novice users. All statistical analyses were performed using SPSS ver.
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Grade II Slight weakness noticeable only on close inspection Complete eye closure with minimal effort Slight asymmetry of smile with maximal effort Synkinesis barely noticeable, contracture, or spasm absent. Among them, one patient scored 2 points in the brow region, and the other four scored 2 points in the oral region in FNGS 2.
This system is sensitive in assessing changes in facial recovery [ 2 ] and has been reported highly reliable, with intra- and inter-rater reliability similar for beginners and experts [ 9 ]. Grade V – Severe Dysfunction Gross: We specialise in plastic surgery, cosmetic surgery, reconstructive surgery of the face, microsurgery, scalle and oculoplastic surgery, gradding nerve surgery, breast surgery and breast augmentation.
Since the main objective of this study was to assess the difference between the two facial nerve grading systems, the follow-up period itself was not a huge limitation. Regional assessments using the HB grading system may enhance communication between researchers [ 5 ]. Moreover, among patients with incomplete recovery, grades II and III were distributed differently on the two scales. We found that the brafkmann of complete recovery was lower on the FNGS 2. To objectively describe facial function, clinicians use a number of standardised scales – the most common being the House-Brackmann facial nerve grading system.
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License http: These problems may be overcome and long term results obtained by a multi-center study with larger numbers of patients.