Facial Nerve Grading System 2.0

被引：187

作者：

Vrabec, Jeffrey T. ^{[1
]}

Backous, Douglas D. ^{[3
]}

Djalilian, Hamid R. ^{[4
]}

Gidley, Paul W. ^{[5
]}

Leonetti, John P. ^{[6
]}

Marzo, Sam J. ^{[6
]}

Morrison, Daniel ^{[7
]}

Ng, Matthew ^{[8
]}

Ramsey, Mitchell J. ^{[9
]}

Schaitkin, Barry M. ^{[10
]}

Smouha, Eric ^{[11
]}

Toh, Elizabeth H. ^{[12
]}

Wax, Mark K. ^{[13
]}

Williamson, Robert A. ^{[1
]}

Smith, E. O'Brian ^{[2
]}

机构：

[1] Baylor Coll Med, Bobby R Alford Dept Otolaryngol Head & Neck Surg, Houston, TX 77030 USA

[2] Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA

[3] Virginia Mason Med Ctr, Seattle, WA 98101 USA

[4] Univ Calif Irvine, Dept Otolaryngol Head & Neck Surg, Irvine, CA 92717 USA

[5] Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USA

[6] Loyola Univ, Med Ctr, Loyola Ctr Cranial Base Surg, Maywood, IL 60153 USA

[7] Dartmouth Hitchcock Med Ctr, Dept Otolaryngol, Lebanon, NH 03766 USA

[8] Univ Nevada, Sch Med, Dept Surg, Div Otolaryngol, Las Vegas, NV 89154 USA

[9] Tripler Army Med Ctr, Div Otolaryngol, Honolulu, HI 96859 USA

[10] Univ Pittsburgh, Dept Otolaryngol, Sch Med, Pittsburgh, PA 15260 USA

[11] Mt Sinai Med Ctr, Dept Otolaryngol Head & Neck Surg, New York, NY 10029 USA

[12] Lahey Clin Fdn, Dept Otolaryngol, Burlington, MA USA

[13] Oregon Hlth & Sci Univ, Dept Otolaryngol Head & Neck Surg, Portland, OR 97201 USA

来源：

OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2009年 / 140卷 / 04期

关键词：

HOUSE-BRACKMANN; AGREEMENT;

D O I：

10.1016/j.otohns.2008.12.031

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 [耳鼻咽喉科学];

摘要：

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

引用

页码：445 / 450

页数：6

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