Facial Nerve Grading System 2.0-Reference-Cited by-同舟云学术

Facial Nerve Grading System 2.0

Published:2009-04 Issue:4 Volume:140 Page:445-450
ISSN:0194-5998
Container-title:Otolaryngology–Head and Neck Surgery
language:en
Short-container-title:Otolaryngol Head Neck Surg

Author:

,Vrabec Jeffrey T.¹,Backous Douglas D.²,Djalilian Hamid R.³,Gidley Paul W.⁴,Leonetti John P.⁵,Marzo Sam J.⁵,Morrison Daniel⁶,Ng Matthew⁷,Ramsey Mitchell J.⁸,Schaitkin Barry M.⁹,Smouha Eric¹⁰,Toh Elizabeth H.¹¹,Wax Mark K.¹²,Williamson Robert A.¹,Smith E.O.'Brian¹³

Affiliation:

1. Bobby R. Alford Department of Otolaryngology–Head and Neck Surgery, Baylor College of Medicine, Houston, TX

2. Virginia Mason Medical Center, Seattle, WA

3. Department of Otolaryngology–Head and Neck Surgery, University of California Irvine, Houston, TX

4. University of Texas MD Anderson Cancer Center, Houston, TX

5. Loyola Center for Cranial Base Surgery, Loyola University Medical Center, Maywood, IL

6. Department of Otolaryngology, Dartmouth Hitchcock Medical Center, Lebanon, NH

7. Department of Surgery, Division of Otolaryngology, University of Nevada School of Medicine, Las Vegas, NV

8. Division of Otolaryngology, Tripler Army Medical Center, Honolulu, HI

9. Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA

10. Department of Otolaryngology–Head and Neck Surgery, Mount Sinai Medical Center, New York, NY

11. Department of Otolaryngology, Lahey Clinic, Burlington, MA

12. Department of Otolaryngology–Head and Neck Surgery, Oregon Health and Sciences University, Portland, OR

13. Department of Pediatrics, Baylor College of Medicine, Houston, TX

Abstract

Objective: To present an updated version of the original Facial Nerve Grading Scale (FNGS), commonly referred to as the House-Brackmann scale. Study Design: Controlled trial of grading systems using a series of 21 videos of individuals with varying degrees of facial paralysis. Results: The intraobserver and interobserver agreement was high among the original and revised scales. Nominal improvement is seen in percentage of exact agreement of grade and reduction of instances of examiners differing by more then one grade when using FNGS 2.0. FNGS 2.0 also offers improved agreement in differentiating between grades 3 and 4. Conclusion: FNGS 2.0 incorporates regional scoring of facial movement, providing additional information while maintaining agreement comparable to the original scale. Ambiguities regarding use of the grading scale are addressed.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1016/j.otohns.2008.12.031

Reference10 articles.

1. Facial Nerve Grading System

2. Development of a Sensitive Clinical Facial Grading System

3. Comparative Value of Facial Nerve Grading Systems

4. The Nottingham System: Objective Assessment of Facial Nerve Function in the Clinic

5. Significance of House-Brackmann Facial Nerve Grading Global Score in the Setting of Differential Facial Nerve Function

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