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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On the FNGS 2. First, all patients were evaluated on both systems by a single examiner. None of the patients received an antiviral agent.

House–Brackmann score – Wikipedia

To date, however, few studies have compared these two grading systems in real patients and confirmed whether FNGS 2. We therefore analyzed the rate of agreement of the two scales and confirmed the properties and usefulness of FNGS 2. Chi squared analysis was used to determine any difference between the two scales in judging recovery. This study had several limitations.

Grading facial nerve function: In patients with variable facial weakness, the single House-Brackmann score did not fully communicate their facial function. Regional assessment, rather than Vrackmann grading, yields stricter evaluation, resulting in better prognosis and determination of grade. By continuing to browse this site you agree to us using cookies as described in our “standard cookie policy”. In most cases Physiopedia articles are a secondary source and so should not be used as references.

In patients with differential facial function, a single global number is inadequate to describe facial function and primarily reflects the function of the eye. Otolaryngol Head Neck Surg.


Our previous studies found that observing the electrical response of specific facial muscles provided reasonable correlation with the prognosis of electroacupuncture treatment.


Introduced inthe Yanagihara system is a regional scale most frequently used in Japan. Moreover, among patients with incomplete recovery, grades II and III were distributed differently on the two scales.

However, this system provides only brackmanj impressions, thus limiting its usefulness. The H-B grading uouse has marked limitations: 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 ].

Clinical and Experimental Otorhinolaryngology ; 6 3: Thus, the FNGS 2.

This system, which can overcome the shortcomings of the existing system may be a good tool for the more accurate evaluation of patients. Regional assessments using the HB grading system may enhance communication between researchers [ 5 ].

A comparison and conversion table of ‘the House-Brackmann facial nerve grading system’ and ‘the Yanagihara grading system’. Application of surface EMG test in the prognostic evaluation of peripheral facial paralysis.

House-Brackman Scale (facial nerve palsy)

Current issue Free braackmann Submit an article. All statistical analyses were performed using SPSS ver. HB grading has several shortcomings, including: This system is sensitive in assessing changes in facial recovery [ bracimann ] and has been reported highly reliable, with intra- and inter-rater reliability similar for beginners and experts [ 9 ].

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 Scale – Physiopedia

The future use of the FNGS scals. The scores for each structure are added together to give the House-Brackmann score. 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.


Topics Discussed in This Paper. To determine the clinical significance of the Scle facial nerve grading scale HBFNGS in the setting of differential function along the branches of the facial nerve. Although brackmxnn identical, as the evaluation criteria differ for the “regional” grading system and FNGS 2.

Facial nerve grading system. Comprehensive approach to reestablishing form and function after radical parotidectomy. In conclusion, FNGS 2. There is no specific evaluation of synkinesis aberrant linking of movements which is a sequelae of moderate to severe facial nerve damage.

House–Brackmann Scale

References Publications referenced by this paper. Prospective study of 38 patients with facial palsy who demonstrated differential facial function. Description of House-Brackmann grades.

Development of a sensitive clinical facial grading system. Alternate grading systems include the “Yanagihara” and “Sunnybrook” scales [ 23 ]. For both the eyebrow and oral commisure movement, 1 point is assigned for every 0. When compared with HB grading, the kappa value was 0. 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 its simplicity and convenience, the HB grading system will be difficult to replace. Therapeutic effects of treatment opportunity of electroacupuncture on facial neuritis. This is especially applicable when evaluating, for example, the effects of antiviral agents on prognosis in patients with Bell palsy. Grading of facial palsy.