Facial nerve grading systems (1985-2002): Beyond the House-Brackmann scale

Thomas S. Kang, Jeffrey T. Vrabec, Neil Giddings, David J. Terris

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

Objective: To assess methods of evaluating the function of the facial nerve that have been introduced over the past 15 years, particularly in comparison with the House-Brackmann scale. Data Sources: A Medline search was undertaken of the English-language medical literature between 1983 and 2000 to identify proposed methods of evaluating facial nerve function. Study Selection: Although all grading systems were considered, attention was focused on the systems that provided improvements in either precision or ease of use. Conclusions: Because of the limitations and subjectivity of the House-Brackmann scale, several new scales of various degrees of objectivity and ease of use have been introduced. The Nottingham system offers a more objective but easy-to-use facial nerve grading system that has been demonstrated to be valid and that would be easy for the average practitioner to adopt. The authors propose a more systematic evaluation of this system to determine whether its widespread application is appropriate.

Original languageEnglish (US)
Pages (from-to)767-771
Number of pages5
JournalOtology and Neurotology
Volume23
Issue number5
DOIs
StatePublished - Sep 2002

Fingerprint

Facial Nerve
Information Storage and Retrieval
Language

Keywords

  • Burres-Fisch system
  • Facial nerve function
  • Facial nerve grading
  • House-Brackmann grading scale
  • Nottingham system
  • Sunnybrook scale

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology

Cite this

Facial nerve grading systems (1985-2002) : Beyond the House-Brackmann scale. / Kang, Thomas S.; Vrabec, Jeffrey T.; Giddings, Neil; Terris, David J.

In: Otology and Neurotology, Vol. 23, No. 5, 09.2002, p. 767-771.

Research output: Contribution to journalArticle

Kang, Thomas S. ; Vrabec, Jeffrey T. ; Giddings, Neil ; Terris, David J. / Facial nerve grading systems (1985-2002) : Beyond the House-Brackmann scale. In: Otology and Neurotology. 2002 ; Vol. 23, No. 5. pp. 767-771.
@article{49ca080184e04c05afffab57e463ed9e,
title = "Facial nerve grading systems (1985-2002): Beyond the House-Brackmann scale",
abstract = "Objective: To assess methods of evaluating the function of the facial nerve that have been introduced over the past 15 years, particularly in comparison with the House-Brackmann scale. Data Sources: A Medline search was undertaken of the English-language medical literature between 1983 and 2000 to identify proposed methods of evaluating facial nerve function. Study Selection: Although all grading systems were considered, attention was focused on the systems that provided improvements in either precision or ease of use. Conclusions: Because of the limitations and subjectivity of the House-Brackmann scale, several new scales of various degrees of objectivity and ease of use have been introduced. The Nottingham system offers a more objective but easy-to-use facial nerve grading system that has been demonstrated to be valid and that would be easy for the average practitioner to adopt. The authors propose a more systematic evaluation of this system to determine whether its widespread application is appropriate.",
keywords = "Burres-Fisch system, Facial nerve function, Facial nerve grading, House-Brackmann grading scale, Nottingham system, Sunnybrook scale",
author = "Kang, {Thomas S.} and Vrabec, {Jeffrey T.} and Neil Giddings and Terris, {David J.}",
year = "2002",
month = "9",
doi = "10.1097/00129492-200209000-00026",
language = "English (US)",
volume = "23",
pages = "767--771",
journal = "Otology and Neurotology",
issn = "1531-7129",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Facial nerve grading systems (1985-2002)

T2 - Beyond the House-Brackmann scale

AU - Kang, Thomas S.

AU - Vrabec, Jeffrey T.

AU - Giddings, Neil

AU - Terris, David J.

PY - 2002/9

Y1 - 2002/9

N2 - Objective: To assess methods of evaluating the function of the facial nerve that have been introduced over the past 15 years, particularly in comparison with the House-Brackmann scale. Data Sources: A Medline search was undertaken of the English-language medical literature between 1983 and 2000 to identify proposed methods of evaluating facial nerve function. Study Selection: Although all grading systems were considered, attention was focused on the systems that provided improvements in either precision or ease of use. Conclusions: Because of the limitations and subjectivity of the House-Brackmann scale, several new scales of various degrees of objectivity and ease of use have been introduced. The Nottingham system offers a more objective but easy-to-use facial nerve grading system that has been demonstrated to be valid and that would be easy for the average practitioner to adopt. The authors propose a more systematic evaluation of this system to determine whether its widespread application is appropriate.

AB - Objective: To assess methods of evaluating the function of the facial nerve that have been introduced over the past 15 years, particularly in comparison with the House-Brackmann scale. Data Sources: A Medline search was undertaken of the English-language medical literature between 1983 and 2000 to identify proposed methods of evaluating facial nerve function. Study Selection: Although all grading systems were considered, attention was focused on the systems that provided improvements in either precision or ease of use. Conclusions: Because of the limitations and subjectivity of the House-Brackmann scale, several new scales of various degrees of objectivity and ease of use have been introduced. The Nottingham system offers a more objective but easy-to-use facial nerve grading system that has been demonstrated to be valid and that would be easy for the average practitioner to adopt. The authors propose a more systematic evaluation of this system to determine whether its widespread application is appropriate.

KW - Burres-Fisch system

KW - Facial nerve function

KW - Facial nerve grading

KW - House-Brackmann grading scale

KW - Nottingham system

KW - Sunnybrook scale

UR - http://www.scopus.com/inward/record.url?scp=0036734766&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036734766&partnerID=8YFLogxK

U2 - 10.1097/00129492-200209000-00026

DO - 10.1097/00129492-200209000-00026

M3 - Article

C2 - 12218632

AN - SCOPUS:0036734766

VL - 23

SP - 767

EP - 771

JO - Otology and Neurotology

JF - Otology and Neurotology

SN - 1531-7129

IS - 5

ER -