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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House–Brackmann score

brackmann The content on or accessible through Physiopedia is for informational purposes only. Finally, the difference was confirmed by comparing the final results of the two grading systems and the results of regional assessments of the brow, eye, nasolabial fold, and oral region.

When we compared the results of regional assessment with the final grade, it differed from results observed using existing “regional” HB grading [ 5 ]. Significance of House-Brackmann facial nerve grading global score in the setting of differential facial nerve function.

When refering to evidence in academic writing, you should always try to reference the primary original source. Comprehensive approach to reestablishing form and function after radical parotidectomy. Clinical and Experimental Otorhinolaryngology ; 6 3: Otolaryngol Head Neck Surg. Reliability of the “Sydney”, “Sunnybrook”, and “House Brackmann” facial grading systems to assess voluntary movement and synkinesis after facial nerve paralysis.


House Brackman Scale – ANZ Journal of Surgery

Prediction of nonrecovery in Bell’s palsy using Sunnybrook grading. Patients were excluded if they 1 presented with Bell palsy more than 1 week after onset; 2 were suspected of brackmann Varicella zoster virus infection, based on physical and serologic examinations; 3 had a history of trauma or otologic surgery; 4 had other types of neurologic deficits; 5 had recurrent facial palsy; or 6 had a psychiatric disease.


Brackmann, otolaryngologists bravkmann Los Angeles. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License http: Facial nerve grading system.

Agreement between the Sunnybrook, House-Brackmann, and Yanagihara facial nerve grading systems in Bell’s palsy. 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.

Toggle navigation p Physiopedia. Agreement between the traditional global score and the regional scores was analyzed. Regional assessments using the HB grading system may enhance communication between researchers [ 5 ].

Application of surface EMG test in the prognostic evaluation of peripheral facial paralysis. Agreement between the grading systems and their evaluation of patient prognosis were calculated by intraclass correlation coefficient ICCSpearman correlation analysis SCCand overall percentage agreement. For both the eyebrow and oral commisure movement, brackmxnn point is assigned for every 0. Facial nerve grading system. References Publications referenced by this paper.

Retrieved from ” https: We found that 43 patients We therefore analyzed the rate of agreement of the two scales and confirmed the properties and usefulness of FNGS 2.

House–Brackmann Scale

Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article.

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. These problems may be overcome and long term results obtained by a multi-center study with larger numbers of patients.


Synkinesis was graded as none, mild, or severe. This study had several limitations. In conclusion, FNGS 2. However, the time required for FNGS 2. Because every known scale has subjective characteristics, examiners are unable to fully assess facial function [ 4 ]. 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.

But its main limitation for physiotherapists is that it is not sensitive enough to detect the small changes that occur during a course of rehabilitation. Our site uses cookies to improve your experience. Another limitation of this study was that we did not evaluate patients whose paralysis was due to other causes such as external injury or hojse. A comparison and conversion table of ‘the House-Brackmann facial houxe grading system’ and ‘the Yanagihara grading system’.

Introduced inthe Yanagihara system is a regional scale most frequently used in Japan.

The ICC between the two scales was 0. In contrast, one patient showed full recovery on the FNGS 2. Grade I at 3 months was considered the standard for complete recovery for evaluation of prognosis. House-Brackmann versus Burres-Fisch methods.