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

Locatie
Graad
Beschrijving

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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