Bell’s palsy: grading systems

Evidence-based neurology checklist on bell’s palsy: grading systems: Brackman House grading system I: normal facial function II: mild dysfunction III: moderate dysfunction IV: moderately severe dysfunction V: severe dysfunction VI: total paralysis Other grading systems Synonyms

Brackman House grading system

  • I: normal facial function
  • II: mild dysfunction
  • III: moderate dysfunction
  • IV: moderately severe dysfunction
  • V: severe dysfunction
  • VI: total paralysis

Other grading systems

Synonyms

References

  1. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985; 93:146-147.
  2. Coulson SE, Croxson GR, Adams RD, O'Dwyer NJ. Reliability of the "Sydney," "Sunnybrook," and "House Brackmann" facial grading systems to assess voluntary movement and synkinesis after facial nerve paralysis. Otolaryngol Head Neck Surg 2005; 132:543-549.
  3. Berg T, Jonsson L, Engström M. Agreement between the Sunnybrook, House-Brackmann, and Yanagihara facial nerve grading systems in Bell's palsy. Otol Neurotol 2004; 25:1020-1026.
  4. Lewis BI, Adour KK. An analysis of the Adour-Swanson and House-Brackmann grading systems for facial nerve recovery. Eur Arch Otorhinolaryngol 1995; 252:265-269.
  5. Tiemstra JD, Khatkhate N. Bell's palsy: diagnosis and management. Am Fam Physician 2007; 76:997-1002.

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