Return to: Facial Paralysis (surgery for facial nerve paralysis weakness)
See also:
- Facial Reanimation
- Platinum-Gold eyelid weighting
- Gracilis Muscle Transfer for Facial Paralysis
- Unilateral Brow Lift for Facial Paralysis
House-Brackmann Facial Paralysis Scale
| Grade | Impairment |
| I | Normal |
| II | Mild dysfunction (slight weakness, normal symmetry at rest) |
| III | Moderate dysfunction (obvious but not disfiguring weakness with synkinesis, normal symmetry at rest) Complete eye closure w/ maximal effort, good forehead movement |
| IV | Moderately severe dysfunction (obvious and disfiguring asymmetry, significant synkinesis) Incomplete eye closure, moderate forehead movement |
| V | Severe dysfunction (barely perceptible motion) |
| VI | Total paralysis (no movement) |
This scale is used to evaluate facial paralysis at the nerve trunk, and is not a descriptive scale to describe injury to specific distal facial nerve branches.
Spontaneous Nystagmus
- First degree: nystagmus on gaze toward the quick component
- Second degree: nystagmus on gaze toward the quick component and on straight gaze
- Third degree: nystagmus in all directions of gaze
References
House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. Apr 1985;93(2):146-7