Thursday, June 25, 2015

House-Brackmann scale

The House-Brackmann scale is a facial nerve grading system, at one end of the scale there is normal facial nerve function and at the other there is complete paralysis.

Grade
FunctionLevel
Symmetry at RestEye(s)Mouth Forehead
INormalNormalNormalNormal Normal
IIMildNormalEasy and complete closure Slightly asymmetrical Reasonable function
IIIModerate Normal With effort, complete closure Slightly affected with effort Slight to Moderate movement 
IVModerately Severe Normal Incomplete closure Asymmetrical with maximum effortNone 
Severe Asymmetry Incomplete closure Minimal Movement None 
VITotal Paralysis 
Total Paralysis

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