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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The maximum score obtainable is 8, if both structures move the full 1cm. Clinical and Experimental Otorhinolaryngology ; 6 3: A method of selecting acupoints for acupuncture treatment of peripheral facial paralysis by thermography. Previously, evaluators focused primarily on whether the eye closed during different degrees of paralysis of each branch of the facial nerve [ 5 ].

Thus, the FNGS 2. The SCC was very high, 0.

The House-Brackmann grading system has been found to be of high reliability, however examination of individual grades revealed wide variations between trained observers. By clicking accept or continuing to use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License. References Publications referenced by this paper.

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House–Brackmann score

However, this system provides only gross impressions, thus limiting its usefulness. Sczle is no specific evaluation bracjmann synkinesis aberrant linking of movements which is a sequelae of moderate to severe facial nerve damage. Prospective study of 38 patients with facial palsy who demonstrated differential facial function. Contents Editors Categories Share Cite. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider.


Therapeutic effects of treatment opportunity of electroacupuncture on facial neuritis. Regional assessments using the HB grading system may enhance communication between researchers [ 5 ].

House–Brackmann score – Wikipedia

Introduced inthe Yanagihara system is a regional scale most frequently used in Japan. Electrical response grading versus House-Brackmann scale for evaluation of facial nerve injury after Bell’s palsy: When we compared the results of regional assessment with the final grade, it differed from results observed using existing “regional” HB grading [ 5 ].

Grade IV Obvious disfiguring weakness Inability to lift brow Incomplete eye closure and asymmetry of mouth with maximal effort Severe synkinesis, mass movement, spasm. Further, the single grade did not always correlate with the best or worst function along the xcale facial regions. Patients with facial nerve dysfunction from any cause. Significance of House-Brackmann facial nerve grading global score in the setting of differential facial nerve function.

House-Brackman Scale (facial nerve palsy)

Because every known scale has subjective characteristics, examiners are unable to fully housf facial function [ 4 ]. Grading facial nerve function: For objectivity, measurements should be made on both the normal and the affected side. Although unquantifiable sensory deficits cannot be evaluated, detailed regional assessments of the brow, eye, nasolabial fold, and oral regions are possible, as are assessments scalee movement at any point of paralysis.

We found that 43 patients Synkinesis was graded as none, mild, or severe. These problems may be overcome and long term results obtained by a multi-center study with larger numbers of patients.


Grade V Motion barely perceptible Incomplete eye closure, slight movement corner mouth Synkinesis, contracture, and spasm usually absent. Thus, this scale cannot be used for systematic regional assessment and is limited in determining prognosis.

Application of surface EMG test in the prognostic evaluation of peripheral facial paralysis. In patients with variable facial weakness, the single House-Brackmann score did not fully communicate their facial function.

House Brackman Scale – ANZ Journal of Surgery

Use of the two scales in patient prognosis Recovery status was evaluated at 3 months, with grade I of both grading systems defined as complete recovery. Chi scalee analysis was used to determine any difference between the two scales in judging recovery.

In patients with differential facial function, a single global number brackman inadequate to describe facial function and primarily reflects the function of the eye. Due to the convenience and simplicity of the HB scale, it remains the most widely used facial nerve grading system [ 1 ].

Brackmann, otolaryngologists in Los Angeles. To minimize these shortcomings, studies have explored the Yanagihara and Sunnybrook grading systems. Second, the final follow-up was performed 3 months after treatment; however, this period is too short to make decisions on facial paralysis.