House-Brackmann grade
Neurology
Also known as: House-Brackmann-Klassifikation · Fazialisparese nach House-Brackmann · House-Brackmann sınıflaması · House-Brackmann facial nerve grading system
What it is for
House-Brackmann grade: overall facial nerve function in peripheral facial palsy, from grade I (normal) to grade VI (total paralysis).
Classification
| Category | Description |
|---|---|
| Grade I - normal | normal symmetrical function in all areas. |
| Grade II - mild dysfunction | slight weakness on close inspection; complete eye closure with minimal effort; slight mouth asymmetry; possibly very slight synkinesis. |
| Grade III - moderate dysfunction | obvious but not disfiguring difference between sides; complete eye closure with effort; mouth slightly weak with maximum effort; noticeable synkinesis or spasm. |
| Grade IV - moderately severe dysfunction | obvious weakness and/or disfiguring asymmetry; no forehead movement; incomplete eye closure; asymmetric mouth with maximum effort. |
| Grade V - severe dysfunction | only barely perceptible motion; incomplete eye closure; slight movement at the corner of the mouth. |
| Grade VI - total paralysis | no movement. |
Source
Facial nerve grading system
Otolaryngol Head Neck Surg 1985;93:146–147 (House JW, Brackmann DE)
DOI: 10.1177/019459988509300202
PMID: 3921901
- Edition
- House & Brackmann 1985 (grades I-VI)
- Checked on
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