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Facial Nerve Grading System 2.0.

Authors :
Vrabec JT
Backous DD
Djalilian HR
Gidley PW
Leonetti JP
Marzo SJ
Morrison D
Ng M
Ramsey MJ
Schaitkin BM
Smouha E
Toh EH
Wax MK
Williamson RA
Smith EO
Source :
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2009 Apr; Vol. 140 (4), pp. 445-50.
Publication Year :
2009

Abstract

Objective: To present an updated version of the original Facial Nerve Grading Scale (FNGS), commonly referred to as the House-Brackmann scale.<br />Study Design: Controlled trial of grading systems using a series of 21 videos of individuals with varying degrees of facial paralysis.<br />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.<br />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.

Details

Language :
English
ISSN :
0194-5998
Volume :
140
Issue :
4
Database :
MEDLINE
Journal :
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
Publication Type :
Academic Journal
Accession number :
19328328
Full Text :
https://doi.org/10.1016/j.otohns.2008.12.031