HouseBrackmann面神經(jīng)分級(jí)標(biāo)準(zhǔn)

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面神經(jīng)分級(jí)標(biāo)準(zhǔn)分級(jí)觀察項(xiàng)目I正常和部各部位運(yùn)越功能均正常，輕度功能-障礙肉眼爍仔船檢査可見輕度無(wú)hT可能有輕度的聯(lián)靜止兩側(cè)及肌張力對(duì)粽=運(yùn)動(dòng);額，中度空較好；眼1用最小力量完全閉眼；口輕度不對(duì)稱III.中度功龍障礙肉眼爍兩測(cè)明顯末r譏但不是毀容性不同:聯(lián)帶運(yùn)叮、攣狷和皿一惻面肌抽描明顯但不嚴(yán)重。靜止：面部?jī)蓚?cè)尺肌張丿丿時(shí)稱口運(yùn)動(dòng)：軌輕度至中度運(yùn)動(dòng):眼用力能閉眼；匚川區(qū)大力量輕度無(wú)力11.中度嚴(yán)重功能障礙直眼虬明顯無(wú)丄1籾/或毀容性不對(duì)稱匚靜止;面部?jī)蓚?cè)及肌張丿丿時(shí)稱口運(yùn)動(dòng):骷無(wú)運(yùn)孫眼,不能完全閉眼；口，用最天力量.口角不對(duì)稱V.嚴(yán)重功能障礙直眼觀:仔細(xì)檢査可見微弱運(yùn)靜止不對(duì)稱*運(yùn)動(dòng)辛軌無(wú)運(yùn)動(dòng)：眼r能完全閉II氐口，輕微達(dá)動(dòng)1.完全麻痹無(wú)運(yùn)勸House-Brackmann面神經(jīng)分級(jí)標(biāo)準(zhǔn)分為6等級(jí)，1級(jí)：正常，切級(jí)：完全麻痹。每個(gè)等級(jí)有測(cè)量面神經(jīng)運(yùn)動(dòng)部位的具體內(nèi)容。測(cè)量抬眉及口角的運(yùn)動(dòng)幅度，并與健側(cè)進(jìn)行比較，再將這些結(jié)果轉(zhuǎn)換成6等級(jí).I級(jí)：面部運(yùn)動(dòng)功能正常，沒(méi)有無(wú)力及聯(lián)帶運(yùn)動(dòng)。II級(jí)：面部運(yùn)動(dòng)功能僅有輕度不對(duì)稱，可能有輕度的聯(lián)帶運(yùn)動(dòng)。III級(jí)：有明顯