Facial Nerve Grading System 2.0

Jeffrey T. Vrabec; Douglas D. Backous; Hamid R. Djalilian; Paul W. Gidley; John P. Leonetti; Sam J. Marzo; Daniel Morrison; Matthew Ng; Mitchell J. Ramsey; Barry M. Schaitkin; Eric Smouha; Elizabeth H. Toh; Mark K. Wax; Robert A. Williamson; E. O.Brian Smith

doi:10.1016/j.otohns.2008.12.031

Facial Nerve Grading System 2.0

Jeffrey T. Vrabec, Douglas D. Backous, Hamid R. Djalilian, Paul W. Gidley, John P. Leonetti, Sam J. Marzo, Daniel Morrison, Matthew Ng, Mitchell J. Ramsey, Barry M. Schaitkin, Eric Smouha, Elizabeth H. Toh, Mark K. Wax, Robert A. Williamson, E. O.Brian Smith

Head & Neck Surgery

Research output: Contribution to journal › Article › peer-review

163 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	445-450
Number of pages	6
Journal	Otolaryngology - Head and Neck Surgery
Volume	140
Issue number	4
DOIs	https://doi.org/10.1016/j.otohns.2008.12.031
State	Published - Apr 2009

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

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10.1016/j.otohns.2008.12.031

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@article{c322b25e1df74d3da2fe6d21e6a24c9b,

title = "Facial Nerve Grading System 2.0",

abstract = "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.",

author = "Vrabec, {Jeffrey T.} and Backous, {Douglas D.} and Djalilian, {Hamid R.} and Gidley, {Paul W.} and Leonetti, {John P.} and Marzo, {Sam J.} and Daniel Morrison and Matthew Ng and Ramsey, {Mitchell J.} and Schaitkin, {Barry M.} and Eric Smouha and Toh, {Elizabeth H.} and Wax, {Mark K.} and Williamson, {Robert A.} and Smith, {E. O.Brian}",

year = "2009",

month = apr,

doi = "10.1016/j.otohns.2008.12.031",

language = "English (US)",

volume = "140",

pages = "445--450",

journal = "Otolaryngology - Head and Neck Surgery",

issn = "0194-5998",

publisher = "Mosby Inc.",

number = "4",

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T1 - Facial Nerve Grading System 2.0

AU - Vrabec, Jeffrey T.

AU - Backous, Douglas D.

AU - Djalilian, Hamid R.

AU - Gidley, Paul W.

AU - Leonetti, John P.

AU - Marzo, Sam J.

AU - Morrison, Daniel

AU - Ng, Matthew

AU - Ramsey, Mitchell J.

AU - Schaitkin, Barry M.

AU - Smouha, Eric

AU - Toh, Elizabeth H.

AU - Wax, Mark K.

AU - Williamson, Robert A.

AU - Smith, E. O.Brian

PY - 2009/4

Y1 - 2009/4

N2 - 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.

AB - 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.

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JO - Otolaryngology - Head and Neck Surgery

JF - Otolaryngology - Head and Neck Surgery

IS - 4

ER -

Facial Nerve Grading System 2.0

Abstract

ASJC Scopus subject areas

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