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Facial palsy grade

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Try out PMC Labs and tell us what you think. Learn More. 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.
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House Brackmann

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Facial nerve grading instruments: systematic review of the literature and suggestion for uniformity

Background: A variety of facial nerve grading scales have been developed over the years with the intended goals of objectively documenting facial nerve function,tracking recovery, and facilitating communication between practitioners. Numerous scales have been proposed; however, all are subject to limitation because of varying degrees of subjectivity, reliability, or longitudinal applicability. At present, such scales remain the only widely accessible modalities for facial functional assessment. The authors' objective was to ascertain which scales s best accomplish the goals of objective assessment. Methods: A systematic review of the English language literature was performed to identify facial nerve grading instruments. Each system was evaluated against the following criteria: convenience of clinical use, regional scoring, static and dynamic measures, features secondary to facial palsy e. Results: From articles, 19 facial nerve grading scales were identified.
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Iowa Head and Neck Protocols

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.
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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.
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