For FMEP Treatment Application

House-Brackmann Grading System

Posted on 2009-05-11 03:05:30

Facial paralysis can result from trauma, infection, congenital, metabolic, neoplastic, toxic, iatrogenic, or idiopathic etiologies.

Whatever the cause, the consequences for the patient can be devastating depending on the level of facial dysfunction. Several modalities exist to clinically rate the degree of facial function; including the widely used House-Brackman classification.

HOUSE-BRACKMANN Classification of Facial Function

GRADE

CHARACTERISTICS

I. Normal Normal facial function in all areas
II. Mild Dysfunction Gross
· Slight weakness noticeable on close inspection
· May have slight synkinesis
· At rest, normal symmetry and tone

Motion
· Forehead - Moderate-to-good function
· Eye - Complete closure with minimal effort
· Mouth - Slight asymmetry

III. Moderate Dysfunction

Gross
· Obvious but not disfiguring difference between the two sides
· Noticeable but not severe synkinesis, contracture,or hemifacial spasm
· At rest, normal symmetry and tone

Motion
· Forehead - Slight-to-moderate movement
· Eye - Complete closure with effort
· Mouth - Slightly weak with maximum effort

IV. Moderately Severe Dysfunction Gross
· Obvious weakness and/or disfiguring asymmetry
· At rest, normal symmetry and tone

Motion
· Forehead - None
· Eye - Incomplete closure
· Mouth - Asymmetric with maximum effort

V. Severe Dysfunction Gross
· Only barely perceptible motion
· At rest, asymmetry

Motion
· Forehead - None
· Eye - Incomplete closure
· Mouth - Slight movement

VI. Total Paralysis No movement











































 

Source: http://www.facialparalysisinstitute.com/4/house_brackmann_grading_syste.html