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 Wax, Robert A. Williamson, E. O Brian Smith

Research output: Contribution to journalArticle

88 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)445-450
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume140
Issue number4
DOIs
StatePublished - Apr 2009

Fingerprint

Facial Nerve
Facial Paralysis

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Vrabec, J. T., Backous, D. D., Djalilian, H. R., Gidley, P. W., Leonetti, J. P., Marzo, S. J., ... Smith, E. O. B. (2009). Facial Nerve Grading System 2.0. Otolaryngology - Head and Neck Surgery, 140(4), 445-450. https://doi.org/10.1016/j.otohns.2008.12.031

Facial Nerve Grading System 2.0. / Vrabec, Jeffrey T.; Backous, Douglas D.; Djalilian, Hamid R.; Gidley, Paul W.; Leonetti, John P.; Marzo, Sam J.; Morrison, Daniel; Ng, Matthew; Ramsey, Mitchell J.; Schaitkin, Barry M.; Smouha, Eric; Toh, Elizabeth H.; Wax, Mark; Williamson, Robert A.; Smith, E. O Brian.

In: Otolaryngology - Head and Neck Surgery, Vol. 140, No. 4, 04.2009, p. 445-450.

Research output: Contribution to journalArticle

Vrabec, JT, Backous, DD, Djalilian, HR, Gidley, PW, Leonetti, JP, Marzo, SJ, Morrison, D, Ng, M, Ramsey, MJ, Schaitkin, BM, Smouha, E, Toh, EH, Wax, M, Williamson, RA & Smith, EOB 2009, 'Facial Nerve Grading System 2.0', Otolaryngology - Head and Neck Surgery, vol. 140, no. 4, pp. 445-450. https://doi.org/10.1016/j.otohns.2008.12.031
Vrabec JT, Backous DD, Djalilian HR, Gidley PW, Leonetti JP, Marzo SJ et al. Facial Nerve Grading System 2.0. Otolaryngology - Head and Neck Surgery. 2009 Apr;140(4):445-450. https://doi.org/10.1016/j.otohns.2008.12.031
Vrabec, Jeffrey T. ; Backous, Douglas D. ; Djalilian, Hamid R. ; Gidley, Paul W. ; Leonetti, John P. ; Marzo, Sam J. ; Morrison, Daniel ; Ng, Matthew ; Ramsey, Mitchell J. ; Schaitkin, Barry M. ; Smouha, Eric ; Toh, Elizabeth H. ; Wax, Mark ; Williamson, Robert A. ; Smith, E. O Brian. / Facial Nerve Grading System 2.0. In: Otolaryngology - Head and Neck Surgery. 2009 ; Vol. 140, No. 4. pp. 445-450.
@article{5fa350587f1a4389b3aef35863e7a8f2,
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 Mark Wax and Williamson, {Robert A.} and Smith, {E. O Brian}",
year = "2009",
month = "4",
doi = "10.1016/j.otohns.2008.12.031",
language = "English (US)",
volume = "140",
pages = "445--450",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

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

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.

UR - http://www.scopus.com/inward/record.url?scp=62849094282&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=62849094282&partnerID=8YFLogxK

U2 - 10.1016/j.otohns.2008.12.031

DO - 10.1016/j.otohns.2008.12.031

M3 - Article

C2 - 19328328

AN - SCOPUS:62849094282

VL - 140

SP - 445

EP - 450

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

SN - 0194-5998

IS - 4

ER -