2015
DOI: 10.1016/j.bjps.2014.12.015
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Is there an ideal outcome scoring system for facial reanimation surgery? A review of current methods and suggestions for future publications

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Cited by 36 publications
(30 citation statements)
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“…The House-Brackmann system (HBS) [8] and the Sunnybrook facial grading system [9] are the two main scales used for the evaluation of FNP. HBS is widely used for scoring facial paralysis due to its reliability, brevity, accuracy and ease of understanding [10], [11]. It grades facial palsy in six scores from normal (Grade 1) to total paralysis (Grade 6) according to functional performance of facial muscle, which is shown in Table Ⅰ.…”
Section: Introductionmentioning
confidence: 99%
“…The House-Brackmann system (HBS) [8] and the Sunnybrook facial grading system [9] are the two main scales used for the evaluation of FNP. HBS is widely used for scoring facial paralysis due to its reliability, brevity, accuracy and ease of understanding [10], [11]. It grades facial palsy in six scores from normal (Grade 1) to total paralysis (Grade 6) according to functional performance of facial muscle, which is shown in Table Ⅰ.…”
Section: Introductionmentioning
confidence: 99%
“…We encountered 14 different grading systems in our review. In a recent article, Niziol et al 27 reviewed the current scoring methods for facial reanimation surgery and called for a consensus in the grading system of facial palsy restoration. Traditionally, the House-Brackmann scale has been used for evaluation of total facial function; however, that scale lacks qualitative measures, is observer dependent, and cannot be applied to patients after microsurgical reconstruction.…”
Section: Discussionmentioning
confidence: 99%
“…Traditionally, the House-Brackmann scale has been used for evaluation of total facial function; however, that scale lacks qualitative measures, is observer dependent, and cannot be applied to patients after microsurgical reconstruction. 27 , 28 The lack of current consensus for objectively evaluating postoperative smiling outcomes has resulted in the introduction of a variety of classification systems, thus making comparisons between centers and surgical techniques increasingly difficult. 4 , 25 , 29 31 Manktelow et al 14 advocate the use of a handheld ruler, and the FACE-gram program quantifies average excursion of the oral commissure by examining postoperative photographs.…”
Section: Discussionmentioning
confidence: 99%
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“…Facial nerve paralysis/weakness results in varying degrees of dysfunction. "The ideal method for the assessment of facial nerve should be sensitive, specific and reliable (1) Over the years, various methods have been proposed for the assessment of facial palsy (1)(2)(3)(4)(5)(6)(7)(8)(9) however, each has its own limitations (10) . The House-Brackmann (11,12) and the Sunnybrook Facial Grading System (13) are the two main scales for the evaluation of facial palsy.…”
Section: Introductionmentioning
confidence: 99%