Hb scale for facial nerve

Symptoms of facial nerve injury may vary due to age, facial anatomy and the extent of nerve-damage. Frequent patient concerns relate to brow position, movement abnormalities, eyelid closure issues, inability to smile, mid-facial asymmetries, poor oral function and lower lip asymmetry. A light degree of facial nerve weakness may only be visible as subtle asymmetries following repeated and exhausting muscle function, whereas severe dysfunction can be easily recognised even at rest. Many of these symptoms will change over time, for example following a spontaneous recovery of nerve function or as a result of different therapeutic modalities i. House-Brackmann HB is one of several analysis tools developed to quantify facial function and provide reproducible information. It is a widely accepted system, simple, sensitive, accurate and reliable - grading facial function in six steps from normal HB I to total paralysis HB VI.

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House Brackmann - Facial Nerve Grading System

The overall intraclass correlation coefficient ICC was 0. The exact agreements between regional assessment and FNGS 2. FNGS 2. Regional assessment, rather than HB grading, yields stricter evaluation, resulting in better prognosis and determination of grade. The House-Brackmann HB scale, which was first introduced in and selected as the standard by the Facial Nerve Disorders FND Committee in , provides a gross impression by classifying facial motor function into 6 grades when diagnosing a patient with facial palsy. Due to the convenience and simplicity of the HB scale, it remains the most widely used facial nerve grading system [ 1 ]. The HB grading system, however, has various shortcomings, including its inability to accurately evaluate synkinesis and contracture.
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House Brackmann

Objective: To determine the clinical significance of the House-Brackmann facial nerve grading scale HBFNGS in the setting of differential function along the branches of the facial nerve. Study design: Prospective study of 38 patients with facial palsy who demonstrated differential facial function. Setting: Tertiary referral center. Patients: Patients with facial nerve dysfunction from any cause.
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The House—Brackmann score is a score to grade the degree of nerve damage in a facial nerve palsy. The measurement is determined by measuring the upwards superior movement of the mid-portion of the top of the eyebrow , and the outwards lateral movement of the angle of the mouth. Each reference point scores 1 point for each 0. The scores are then added together, to give a number out of 8. The score carries the name of the Dr John W.
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