Facialis parese
Algemene House-Brackmann stadiering
Degree
Function
Repose
Front
Lid Closure
Mouth
I: normal
normal
normal
normal
normal
normal
II: slight paresis
weakness/synkinesia, only recognizable on close observation
normal
reduced
fast normal
low
III: moderate paresis
obvious lateral difference, synkinesia, contracture
normal
not present
complete
small reduced
IV: moderately strong paresis
adjusting asymmetry
normal
no
incomplete
asymmetry
V: strong paresis
No residual mobility detectable
Asymmetry
No
Incomplete
Asymmetry
VI: Paralysis
No residual mobility visible
Tone loss
None
None
None
Regionale House-Brackmann stadiering
Voorhoofd
1
Normal forehead movement
2
Slight weakness in forehead movement
3
Obvious but not disfiguring asymmetry with motion Symmetric at rest
4
Obvious weakness of disfiguring asymmetry with motion Symmetric at rest
5
Barely perceptible motion in forehead Asymmetric at rest
6
No movement
Oog
1
Normal eye closure
2
Mild weakness in eye closure
3
Obvious weakness but able to close eyes
4
Unable to close eye with maximal effort
5
Barely perceptible eyelid movement
6
No movement
Midface
1
Normal midface movement
2
Slight weakness in midface movement
3
Obvious but not disfiguring weakness Symmetric at rest
4
Obvious weakness and disfiguring asymmetry with motion Symmetric at rest
5
Barely perceptible motion in midface Asymmetric at rest
6
No movement
Mond
1
Normal corner of mouth movement
2
Slight weakness of corner of mouth movement
3
Obvious but no disfiguring weakness Symmetric at rest
4
Obvious weakness and disfiguring asymmetry with motion Symmetric at rest
5
Barely perceptible corner of mouth movement Asymmetric at rest
6
No movement
Sunnybrook score

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