December 28, 2019   |   by admin

House-Brackman Scale facial nerve palsy The House-Brackmann scale ranges between I normal and VI no movement. Grade I Normal symmetrical function. 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 scale and, four appraisers felt that training is important for the House necessário treinamento prévio; na escala de House & Brackmann.

Author: Turamar Nagis
Country: Namibia
Language: English (Spanish)
Genre: Automotive
Published (Last): 18 May 2010
Pages: 301
PDF File Size: 8.24 Mb
ePub File Size: 14.96 Mb
ISBN: 333-5-68153-810-4
Downloads: 97587
Price: Free* [*Free Regsitration Required]
Uploader: Dozil

Introduced inthe Yanagihara system is a regional scale most frequently used in Japan. In conclusion, FNGS 2.

Grading of facial palsy. Our hoise uses cookies to improve your experience. 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. Otolaryngol Head Neck Surg. In addition to not being widely used outside Japan, this system is too difficult for convenient use as the evaluation criteria are rather complex.

We found that 43 patients For objectivity, measurements should be made on both the normal and the affected side.

House–Brackmann score

Patients were re-evaluated if there was any difference in the results of each ecale system, and the final result was documented. Another limitation of this study was that we did not evaluate patients whose paralysis was due to other causes such as external injury or surgery. House and Dr Derald E. The H-B grading system has marked limitations: Thus, the FNGS 2.


House-Brackman Scale (facial nerve palsy)

These differences are likely due to the more detailed analysis on the FNGS 2. Development of a sensitive clinical facial grading system.

Because every known scale has subjective characteristics, examiners are unable to fully assess facial function [ 4 ]. This study was approved by the Ethical Committee of Kyung Hee University Hospital, and all patients provided written informed scwle.

Reliability of the “Sydney”, “Sunnybrook”, and “House Brackmann” facial grading systems to assess voluntary movement and synkinesis after facial nerve paralysis.

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 or spasm. Future studies are needed to evaluate these grading systems in patients whose paralysis was due to other causes.

When compared with HB grading, the kappa value was 0. Facial nerve grading system. Clinical and Experimental Otorhinolaryngology ; 6 3: A method of selecting acupoints for acupuncture treatment of peripheral facial paralysis by thermography.

The HB grading system, however, has various shortcomings, including its inability to accurately evaluate synkinesis and contracture. This system evaluates movements of 10 facial muscles, assigning each a score of points, resulting in a maximum score of 40 points. To determine the clinical significance of the House-Brackmann facial nerve grading scale HBFNGS in the setting of differential function along the branches of the facial nerve.

The management of peripheral facial nerve palsy: Application of surface EMG test in the prognostic evaluation of peripheral facial paralysis. Alternate grading systems include the “Yanagihara” and “Sunnybrook” scales [ 23 ].


You can find out more about our use of cookies in our “standard cookie policy”including instructions on how to reject and delete cookies if you wish to do so. To minimize these shortcomings, studies have explored the Yanagihara and Sunnybrook grading systems. Our more systematic regional assessment confirmed that the FNGS 2.

House–Brackmann Scale – Physiopedia

First, all patients were evaluated on both systems by a single examiner. The SCC was very high, 0. Retrieved from ” https: We assumed that the difference in grade I may reflect inter-examiner variation. Description of House-Brackmann grades. On the FNGS 2. The maximum score obtainable brxckmann 8, if both structures move the full 1cm.

This study had several limitations. Grade V Motion barely perceptible Incomplete eye closure, slight movement corner mouth Synkinesis, contracture, and spasm usually absent. Had patients been evaluated by two or more examiners, we could have calculated interobserver differences, enhancing the value of our results. The clinical efficacy of warm needling therapy for treating moderate to severe idiopathic facial palsy. This system, which can overcome the brackmsnn of the existing system may be a good tool for the more accurate evaluation of patients.

Of these, 31 patients had Bell palsy on the right side and 29 on the left side.