HOUSE BRACKMANN SCALE PDF

The Nottingham system offers a more objective but easy-to-use facial nerve grading system that has been demonstrated to be valid and that would be easy for the average practitioner to adopt. The authors propose a more systematic evaluation of this system to determine whether its widespread application is appropriate. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable.

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Objective: To determine the reliability of the House-Brackmann facial nerve grading scale in the setting of differential function across its branches. Study design: Prospective.

Subjects and methods: Eleven physicians with different levels of clinical experience and three upper-level medical students were provided with digital video clips of 11 patients with differential facial nerve functioning, and asked to report facial nerve function as a traditional global score and as a regional score on the basis of the House-Brackmann scale for the forehead, eye, nose, and mouth.

Agreements between the traditional global score and the regional scores, as well as inter-rater agreement, were analyzed. Results: In patients with variable facial weakness, a single House-Brackmann score did not fully communicate facial function. There was a marked tendency for reader agreement to increase among those with more clinical experience.

Conclusion: Regional assessment using the House-Brackmann grading scale more fully communicates facial function and increases in reliability with experience. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable.

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Create a file for external citation management software Create file Cancel. Full-text links Cite Favorites. Abstract Objective: To determine the reliability of the House-Brackmann facial nerve grading scale in the setting of differential function across its branches. Similar articles Significance of House-Brackmann facial nerve grading global score in the setting of differential facial nerve function.

Yen TL, et al. Otol Neurotol. PMID: Reliability of the "Sydney," "Sunnybrook," and "House Brackmann" facial grading systems to assess voluntary movement and synkinesis after facial nerve paralysis. Coulson SE, et al. Otolaryngol Head Neck Surg. Graphic-visual adaptation of House-Brackmann facial nerve grading for peripheral facial palsy. Lazarini P, et al.

Clin Otolaryngol. Facial nerve grafts: from cerebellopontine angle and beyond. Gidley PW, et al. Am J Otol. PMID: Review. Facial nerve grading instruments: systematic review of the literature and suggestion for uniformity.

Fattah AY, et al. Plast Reconstr Surg. Show more similar articles See all similar articles. Soni A. Ann Maxillofac Surg. Greene JJ, et al. Parotid tumours: clinical and oncologic outcomes after microscope-assisted parotidectomy with intraoperative nerve monitoring. Carta F, et al. Acta Otorhinolaryngol Ital. Kang JA, et al. Ann Rehabil Med. Epub Jun Another Scale for the Assessment of Facial Paralysis? Di Stadio A.

J Clin Diagn Res. Epub Dec 1. Show more "Cited by" articles See all "Cited by" articles. Publication types Clinical Trial Actions. MeSH terms Adult Actions. Aged Actions. Clinical Competence Actions. Female Actions. Humans Actions. Male Actions. Middle Aged Actions.

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House–Brackmann score

Facial paralysis can result from trauma, infection, congenital, metabolic, neoplastic, toxic, iatrogenic, or idiopathic etiologies. Whatever the cause, the consequences for the patient can be devastating depending on the level of facial dysfunction. Several modalities exist to clinically rate the degree of facial function; including the widely used House-Brackman classification. The House-Brackmann scale is a nerve grading system developed in by Los Angeles otolaryngologists Dr. John W. House and Dr.

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HOUSE-BRACKMANN FACIAL PARALYSIS SCALE

Objective: To determine the reliability of the House-Brackmann facial nerve grading scale in the setting of differential function across its branches. Study design: Prospective. Subjects and methods: Eleven physicians with different levels of clinical experience and three upper-level medical students were provided with digital video clips of 11 patients with differential facial nerve functioning, and asked to report facial nerve function as a traditional global score and as a regional score on the basis of the House-Brackmann scale for the forehead, eye, nose, and mouth. Agreements between the traditional global score and the regional scores, as well as inter-rater agreement, were analyzed. Results: In patients with variable facial weakness, a single House-Brackmann score did not fully communicate facial function. There was a marked tendency for reader agreement to increase among those with more clinical experience.

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Facial Nerve Grading Systems (1985-2002): Beyond the House-Brackmann Scale

Assesses the degree of facial paralysis induced by facial nerve damage. In the text below the calculator you can find more information about the scale and about facial paralysis. The House Brackmann scale is a standardized facial nerve grading system that evaluates how severe facial paralysis is, based on gross function at rest and in effort and on motion function in the area of the forehead, eyes and mouth. The paralysis grading system was described in and is addressed to patients suffering from conditions that involve damage to the facial nerve, such as unilateral Bell palsy, the Ramsay Hunt syndrome or Lyme disease. There are 6 grades in this scale, that are assigned Roman numbers from I to VI, I indicating normal function while VI is suggestive of complete paralysis. During the clinical assessment, measurements of facial modifications are taken and depending on the result, are associated with one of the 6 degrees on the House Brackmann scale. This method has been criticized for not correlating entirely with best or worst function in the studied domains.

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Facial Paralysis House Brackmann Scale

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