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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However, the time required for FNGS 2. Results The overall intraclass correlation coefficient ICC was 0. Reliability of the “Sydney”, “Sunnybrook”, and “House Brackmann” facial grading systems to assess voluntary movement and synkinesis after facial nerve paralysis.

Facial nerve grading system.

Although this possibility cannot be excluded, we believe that the principal reason for the difference between the scales is the ambiguity of HB grading in most cases, preventing accurate analysis without strict regional assessment [ 4 ]. All patients were hospitalized for 7 days and followed-up as outpatients at 3 weeks, 6 weeks, and 3 months. The management of peripheral facial nerve palsy: Frequent patient concerns relate to brow position, movement abnormalities, eyelid closure issues, inability to smile, mid-facial asymmetries, poor oral function and lower lip asymmetry.

Regional assessments using the HB grading system may enhance communication between researchers [ 5 ]. This is especially applicable when evaluating, for example, the effects of antiviral agents on prognosis in patients with Bell palsy.

Facial nerve grading system. You can find out more about our use of cookies in our “standard cookie policy” gradinng, including instructions on how to reject and delete cookies if you wish to do so. Clinical and Experimental Otorhinolaryngology ; 6 3: Search the site Search.


This system, which can overcome the shortcomings of the existing system may be a bracmann tool for the more accurate evaluation of patients. 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.

House-Brackmann versus Burres-Fisch methods. Facial Nerve Grading System 2. Due to the convenience and simplicity of the HB scale, it remains the houes widely used facial nerve grading system [ 1 ]. Regional assessment, rather than HB grading, yields stricter evaluation, resulting in better prognosis and determination of grade.

Facial nerve grading system.

Head Neck Surg, [93] — On the FNGS 2. Plastic and Reconstructive Surgery, All rights reserved. Patients with facial nerve dysfunction from any cause.

Development of a sensitive clinical facial grading system. Future studies are needed to evaluate these grading systems in patients whose paralysis was due to other causes.

In addition, a longer follow-up period increases the likelihood that some patients will drop out of the study, especially since patients may go elsewhere for a second opinion or seek alternative treatments. Agreement between the Sunnybrook, House-Brackmann, and Yanagihara facial nerve grading systems in Bell’s palsy. To date, however, few studies have compared these two grading systems in real patients and confirmed whether FNGS 2.

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.


House Brackman Scale – ANZ Journal of Surgery

Agreement hrading the Facial Nerve Grading System 2. The Sunnybrook system grades paralysis by evaluating symmetry at rest and during voluntary movements, and, following graring series of calculations, is used to gauge synkinesis on a point scale. Further, the single grade did not always correlate with the best or worst function along the four facial regions. The ICC between the two scales was 0. We therefore analyzed the rate of agreement of the two scales and confirmed the properties and usefulness of FNGS 2.

We found that the rate of complete recovery was lower on the FNGS 2. In contrast, one patient showed full recovery on the FNGS 2. Patients were re-evaluated if there was any difference in the results of each grading system, and the final result was documented.

Although not identical, as the evaluation criteria differ for the “regional” grading system and FNGS 2. Standarised assessment of facial function House-Brackmann HB is one of several analysis tools developed to quantify facial function and bgackmann reproducible information.

It is a widely accepted system, simple, sensitive, accurate and reliable – grading facial function in six steps from normal HB I to total paralysis HB VI. In conclusion, FNGS 2.