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Reliability of the House and Brackmann grading system for facial palsy

Published online by Cambridge University Press:  29 June 2007

Robert A. Evans ,
Meredydd Le. Harries ,
David M. Baguley  and
David A. Moffat
Robert A. Evans
Affiliation:
Cambridge
Meredydd Le. Harries
Affiliation:
Cambridge
David M. Baguley
Affiliation:
Cambridge
David A. Moffat*
Affiliation:
Cambridge
*
David A. Moffat, F.R.C.S., Department of Otolaryngology, Addenbrooke's Hospital, Hills Road, Cambridge
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Abstract

The House and Brackmann grading system has been recommended as a universal standard for assessing the degree of facial palsy. This study examined the inter-observer reliability of this system. Three observers assigned a grade to each patient, examined independently, on the same day. Forty patients with a unilateral facial palsy of varying aetiology and severity were assessed. Of the 120 judgements, eight were in dispute, by a maximum of one grade, giving an inter-observer reliability of 93 per cent.

We conclude that the House and Brackmann grading system is a simple and robust method of assessing facial function.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 11 , November 1989 , pp. 1045 - 1046
Copyright
Copyright © JLO (1984) Limited 1989

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References

Ekman, P. (1986) The psychology and measurement of facial language. In The Facial Nerve (May, M., ed.) Thieme, New York, p. 781–787.Google Scholar
Fisch, U. (1979) Facial Paralysis. In Clinical Otolaryngology (Marah, A. G. D. and Stell, P. M., eds.) Blackwell, Oxford, p. 65–85.Google Scholar
House, J. W. and Brackmann, D. E. (1985) Facial nerve grading system. Otolaryngology—Head and Neck Surgery, 93: 146–147.CrossRefGoogle ScholarPubMed
May, M. (1986) Reporting recovery of facial function. In The Facial Nerve (May, M., ed.) Thieme, New York, p. 311–330.Google Scholar
May, M. (1987) Disorders of the facial nerve in Scott-Brown's Otolaryngology, 5th edition, Volume 3, Otology (Kerr, A. G. and Booth, J. B., eds.) Butterworths, London, p. 560–601.Google Scholar
Moffat, D. A., Croxson, G. R., Baguley, D. M. Hardy and D. G. (1989) Facial nerve recovery after acoustic neuroma removal. Journal of Laryngology and Otology, 103: 169–172.CrossRefGoogle ScholarPubMed