Facial nerve grading systems (1985-2002): Beyond the House-Brackmann scale

OBJECTIVE To assess methods of evaluating the function of the facial nerve that have been introduced over the past 15 years, particularly in comparison with the House-Brackmann scale. DATA SOURCES A Medline search was undertaken of the English-language medical literature between 1983 and 2000 to ide...

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Veröffentlicht in:Otology & neurotology 2002-09, Vol.23 (5), p.767-771
Hauptverfasser: KANG, Thomas S, VRABEC, Jeffrey T, GIDDINGS, Neil, TERRIS, David J
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container_issue 5
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container_title Otology & neurotology
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creator KANG, Thomas S
VRABEC, Jeffrey T
GIDDINGS, Neil
TERRIS, David J
description OBJECTIVE To assess methods of evaluating the function of the facial nerve that have been introduced over the past 15 years, particularly in comparison with the House-Brackmann scale. DATA SOURCES A Medline search was undertaken of the English-language medical literature between 1983 and 2000 to identify proposed methods of evaluating facial nerve function. STUDY SELECTION Although all grading systems were considered, attention was focused on the systems that provided improvements in either precision or ease of use. CONCLUSIONS Because of the limitations and subjectivity of the House-Brackmann scale, several new scales of various degrees of objectivity and ease of use have been introduced. The Nottingham system offers a more objective but easy-to-use facial nerve grading system that has been demonstrated to be valid and that would be easy for the average practitioner to adopt. The authors propose a more systematic evaluation of this system to determine whether its widespread application is appropriate.
doi_str_mv 10.1097/00129492-200209000-00026
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Stomatology</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KANG, Thomas S</creatorcontrib><creatorcontrib>VRABEC, Jeffrey T</creatorcontrib><creatorcontrib>GIDDINGS, Neil</creatorcontrib><creatorcontrib>TERRIS, David J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otology &amp; neurotology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KANG, Thomas S</au><au>VRABEC, Jeffrey T</au><au>GIDDINGS, Neil</au><au>TERRIS, David J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Facial nerve grading systems (1985-2002): Beyond the House-Brackmann scale</atitle><jtitle>Otology &amp; neurotology</jtitle><addtitle>Otol Neurotol</addtitle><date>2002-09-01</date><risdate>2002</risdate><volume>23</volume><issue>5</issue><spage>767</spage><epage>771</epage><pages>767-771</pages><issn>1531-7129</issn><eissn>1537-4505</eissn><abstract>OBJECTIVE To assess methods of evaluating the function of the facial nerve that have been introduced over the past 15 years, particularly in comparison with the House-Brackmann scale. 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source Journals@Ovid Ovid Autoload; MEDLINE
subjects Biological and medical sciences
Cerebellar Neoplasms - complications
Cerebellar Neoplasms - pathology
Cerebellar Neoplasms - surgery
Cerebellopontine Angle - pathology
Cerebellopontine Angle - surgery
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Facial Nerve Diseases - classification
Facial Nerve Diseases - etiology
Facial Nerve Diseases - physiopathology
Humans
Medical sciences
Non tumoral diseases
Otorhinolaryngology. Stomatology
Severity of Illness Index
title Facial nerve grading systems (1985-2002): Beyond the House-Brackmann scale
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