Hb scale for facial nerve

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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.
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House–Brackmann score

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House–Brackmann score - Wikipedia

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.
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House Brackmann

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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