HouseBrackmann面神经分级标准

1、House-BrackmannscoreTheHouse-Brackmannscoreisascoretogradethedegreeofnervedamageinafacialnervepalsy.Themeasurementisdeterminedbymeasuringtheupwards(superior)movementofthemid-portionofthetopoftheeyebrow,andtheoutwards(lateral)movementoftheangleofthemouth.Eachreferencepointscores1pointforeach0.25cmmov

2、ement,uptoamaximumof1cm.Thescoresarethenaddedtogether,togiveanumberoutof8.1GradeDescriptionMeasurementFunction%EstimatedFunction%INormal8/8100100IISlight7/876-9980IIIModerate5/8-6/851-7560IVModeratelySevere3/8-4/826-5040VSevere1/8-2/81-2520VITotal0/800editReferencesAHouseJW,BrackmannDE(1985).Facialn

3、ervegradingsystem.OtolaryngolHeadNeckSu3:146147.PMID3921901.House-BrackmanScale(facialnervepalsy)TheHouse-BrackmannscalerangesbetweenI(normal)andVI(nomovement).GradeINormalsymmetricalfunctionGradeIISlightweaknessnoticeableonlyoncloseinspectionCompleteeyeclosurewithminimaleffortSlightasymmetryofsmile

4、withmaximaleffortSynkinesisbarelynoticeable,contracture,orspasmabsentGradeIIIObviousweakness,butnotdisfiguringMaynotbeabletolifteyebrowCompleteeyeclosureandstrongbutasymmetricalmouthmovementObvious,butnotdisfiguringsynkinesis,massmovementorspasmGradeIVObviousdisfiguringweaknessInabilitytoliftbrowInc

5、ompleteeyeclosureandasymmetryofmouthwithmaximaleffortSeveresynkinesis,massmovement,spasmGradeVMotionbarelyperceptibleIncompleteeyeclosure,slightmovementcornermouthSynkinesis,contracture,andspasmusuallyabsentGradeVINomovement,lossoftone,nosynkinesis,contracture,orspasmReferenceHouseJW,BrackmannDE.Fac

6、ialnervegradingsystem.Otolaryngol.HeadNeckSurg1985;93:146147.House-BrackmanfacialparalysisscaleGradImpairmenteINormalIIMilddysfunction(slightweakness,normalsymmetryatrest)Moderatedysfunction(obviousbutnotdisfiguringweaknesswithsynkinesis,normalIIIsymmetryatrest)Completeeyeclosurew/maximaleffort,good

7、foreheadmovementModeratelyseveredysfunction(obviousanddisfiguringasymmetry,significantsynkinesis)Incompleteeyeclosure,moderateforeheadmovementSeveredysfunction(barelyperceptiblemotion)Totalparalysis(nomovement)SpontaneousnystagmusFirstdegree:nystagmusongazetowardthequickcomponentSeconddegree:nystagm

8、usongazetowardthequickcomponentandonstraightgazeThirddegree:nystagmusinalldirectionsofgazeHouse-Bracknwnii面神经分级标准分级观察项目I正常和部各部位运越功能均正常，轻度功能-障碍肉眼烁仔船检査可见轻度无hT可能有轻度的联静止两侧及肌张力对粽=运动;额，中度空较好；眼1用最小力量完全闭眼；口轻度不对称III.中度功龍障碍肉眼烁两测明显末r讥但不是毁容性不同:联带运叮、挛狷和皿一惻面肌抽描明显但不严重。静止：面部两侧尺肌张丿丿时称口运动：轨轻度至中度运动:眼用力能闭眼；匚川區大力量轻度无力11.中度严重功能障碍直眼虬明显无丄1籾/或毀容性不对称匚静止;面部两侧及肌张丿丿时称口运动:骷无运孙眼,不能完全闭眼；口，用最天力量.口角不对称V.严重功能障碍直眼观:仔细检査可见微弱运静止不对称*运动辛轨无运动：眼r能完全闭II氐口，轻微达动1.完全麻痹无运劝House-Brackmann面神经分级标准分为6等级，1级：正常，切级：完全麻痹。每个等级有测量面神经运动部位的具体内容。测量抬眉及口角的运动幅度，并与健侧进行比较，再将这些结果转换成6等级.I级：面部运动功能正常，没有无力及联带运动。II级：面部运动功能仅有轻度不对称，可能有轻度的联带运动。III级：有明显