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 House-Brackmann grading system has been found to be of high reliability, however examination of individual grades revealed wide variations between trained observers. Agreement between the Facial Nerve Grading System 2. Agreement between the traditional global score and the regional scores sccale analyzed.

Reliability of the “Sydney”, “Sunnybrook”, and “House Brackmann” facial grading systems to assess voluntary movement and synkinesis after facial nerve paralysis. When compared with HB grading, the kappa value was scake. House-Brackmann versus Burres-Fisch methods. The content on or accessible through Physiopedia is for informational purposes only.

House–Brackmann score – Wikipedia

This huse, which can overcome the shortcomings of the existing system may be a good tool for the more accurate evaluation of patients. HB grading has several shortcomings, including: Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article. Had patients been evaluated by two or more examiners, we could have calculated interobserver differences, enhancing the value of our results.

Patients with facial nerve dysfunction from any cause. Although unquantifiable sensory deficits cannot be brackjann, detailed regional assessments of the brow, eye, nasolabial fold, and oral regions are possible, as are assessments of movement at any point of paralysis.

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The reasons for the disagreement over grade I outcomes between the two scales remains unclear. Contents Editors Categories Share Cite. Vrackmann management of peripheral facial nerve palsy: Application of surface EMG test in the prognostic evaluation of peripheral facial paralysis. Prediction of nonrecovery in Bell’s palsy using Sunnybrook grading. However, this system provides only gross impressions, thus limiting its usefulness.

The exact agreements between regional assessment and FNGS 2.

House–Brackmann Scale – Physiopedia

We had hypothesized that patients with Bell’s “paresis” would completely recover within 3 months [ 10 ], and we therefore regarded brackman months as the minimum period for determining patient prognosis. By continuing to browse this site you agree to us using cookies as described in our “standard cookie policy”.

Grade I at 3 months was considered the standard for complete recovery for evaluation of prognosis.

Since the main objective of this study was to assess the difference between the brackmqnn facial nerve grading systems, the follow-up period itself was not a huge limitation. 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.

Showing of 18 references. Our previous studies found that observing the electrical response of houae facial muscles provided reasonable correlation with the prognosis of electroacupuncture treatment.

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. In patients with variable facial weakness, the single House-Brackmann score did not fully communicate their facial function.

Clinical and Experimental Otorhinolaryngology ; 6 3: In patients with differential facial function, a single global number is inadequate to describe facial function and primarily reflects the function of the eye. First, all patients were evaluated on both systems by a single examiner. Agreement between the Sunnybrook, House-Brackmann, and Yanagihara facial nerve grading systems in Bell’s palsy. Further, the single grade did not always correlate with the best or worst function along the four facial regions.


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

House-Brackman Scale (facial nerve palsy)

The SCC was very high, 0. From This Paper Figures, tables, and topics from this paper. On the FNGS 2. Description of House-Brackmann grades.

House–Brackmann Scale

There is no specific evaluation of synkinesis aberrant linking of movements which is a sequelae of moderate to severe facial nerve damage.

Second, the final follow-up was performed 3 months after treatment; however, this period is too short to make decisions on facial paralysis. The HB grading system, however, has various shortcomings, including its inability to accurately evaluate synkinesis and contracture. In most cases Physiopedia articles are a secondary source and so should not be used as references. In 3 of 5 patients with synkinesis and an obligatory Grade 3 or higher in the global House-Brackmann grading system, the regional facial function was Grade 2 or better at one or more areas of the face.

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