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.

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Description of House-Brackmann grades.

House–Brackmann score

Patients with complete facial nerve paralysis House-Brackmann Sclae 6 were excluded. No potential conflict of interest relevant to this article was reported. The HB grading system, however, has various shortcomings, including its inability to accurately evaluate synkinesis and contracture.

The regional assessment capacity of the FNGS 2. For objectivity, measurements should be made on both the normal and the affected side.

Facial nerve grading system. This is especially applicable when evaluating, for example, the effects of antiviral agents on prognosis in patients with Bell palsy. Alternate grading systems include the “Yanagihara” and “Sunnybrook” scales [ 2brackmnan ]. In most cases Physiopedia articles are a secondary source and so should not be used as references. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement.

House Brackman Scale – ANZ Journal of Surgery

Another limitation of scalw study was that we did not evaluate patients whose paralysis was due to other causes such as external injury or surgery. Comprehensive approach to reestablishing form and function after radical parotidectomy.


Retrieved from ” https: The scores for each structure are added together to give the House-Brackmann score. House-Brackmann versus Burres-Fisch methods.

Physicians were provided with printed description of the HBFNGS and asked to report facial nerve function as a traditional global score and as a regional score based on the House-Brackmann scale for the forehead, eye, nose, and mouth. Therapeutic effects of treatment opportunity of electroacupuncture on facial neuritis.

To date, however, scwle studies have compared these two grading systems in real patients and confirmed whether FNGS 2. The exact agreements between regional assessment and FNGS 2. Introduced inthe Yanagihara system is a regional scale most frequently used in Japan. In addition, a longer follow-up period increases scalle likelihood that some patients will drop out of the study, especially since patients may go elsewhere for a second opinion or seek alternative treatments.

House–Brackmann Scale

However, it has been difficult for this system to replace HB grading. Regional assessment, rather than HB grading, yields stricter evaluation, resulting in better prognosis and determination of grade.

In conclusion, FNGS 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 or spasm. First, all patients were evaluated on both systems by a single examiner. A comparison of facial nerve brac,mann systems. Topics Discussed in This Paper. House and Dr Derald E.

However, the time required for FNGS 2. When refering to evidence in academic writing, you should always try to reference the primary original source. We had hypothesized that patients with Bell’s “paresis” would completely recover within 3 months [ 10 ], and we therefore regarded 3 months as the minimum period for determining patient prognosis.

House–Brackmann score – Wikipedia

In patients with differential facial function, a single global number is inadequate to describe facial function and primarily reflects the function of the eye. Although unquantifiable sensory deficits cannot be evaluated, detailed regional assessments of the brow, eye, nasolabial fold, and oral regions are possible, as are assessments of movement at any point of paralysis. For both the eyebrow and oral commisure movement, 1 point is assigned for every 0.


The scale is used to determine the severity of facial nerve dysfunction in people with facial palsy. Reliability of the “Sydney”, “Sunnybrook”, and “House Brackmann” facial grading systems to assess voluntary movement and synkinesis after facial nerve paralysis. These differences are likely due to scaale more detailed analysis on the FNGS 2.

In addition to not being widely used outside Japan, this system is too difficult for convenient use as the evaluation criteria are rather complex. Due to the convenience and simplicity of the HB scale, it remains the most scalf used facial nerve grading system [ 1 ].

Electrical response grading versus House-Brackmann scale for evaluation hiuse facial nerve injury after Bell’s palsy: Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. The reasons for the disagreement over grade I outcomes between scsle two scales remains unclear.

Brackmann, otolaryngologists in Los Angeles. The maximum score obtainable is 8, if both structures move the full 1cm.

This system evaluates movements of 10 facial muscles, assigning each a score of points, resulting in a maximum score of 40 points.

The motor function of the facial nerve can be rapidly and conveniently categorized into six HB grades.

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