A Comparison of Facial Nerve Grading Systems

被引：29

作者：

Lee, Linda N. ^{[1
,2
]}

Susarla, Srinivas M. ^{[3
,4
]}

Hohman, Marc H. ^{[2
,5
]}

Henstrom, Douglas K. ^{[6
]}

Cheney, Mack L. ^{[2
,7
]}

Hadlock, Tessa A. ^{[2
,7
]}

机构：

[1] Massachusetts Eye & Ear Infirm, Dept Otolaryngol, Boston, MA 02114 USA

[2] Harvard Univ, Sch Med, Dept Otol & Laryngol, Boston, MA 02114 USA

[3] Massachusetts Gen Hosp, Dept Surg, Boston, MA 02114 USA

[4] Massachusetts Gen Hosp, Dept Oral Maxillofacial Surg, Boston, MA 02114 USA

[5] Massachusetts Eye & Ear Infirm, Dept Otolaryngol, Div Head & Neck Surg, Boston, MA 02114 USA

[6] Univ Iowa, Dept Otolaryngol, Div Facial Plast & Reconstruct Surg, Iowa, IA USA

[7] Massachusetts Eye & Ear Infirm, Dept Otolaryngol, Facial Nerve Ctr, Div Head & Neck Surg, Boston, MA 02114 USA

来源：

ANNALS OF PLASTIC SURGERY | 2013年 / 70卷 / 03期

关键词：

facial paralysis; facial analysis; House-Brackmann; Facogram; facial nerve; facial nerve grading system; HOUSE-BRACKMANN; PARALYSIS; FACE;

D O I：

10.1097/SAP.0b013e31826acb2c

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose: This study aimed to compare a computerized tool to standard objective clinical scales for global and zone-specific assessment of facial nerve function. Methods: This was a retrospective review of 77 patients with facial paralysis who underwent facial videography. Videos were independently scored by 3 facial nerve specialists using the House-Brackmann Scales (HBI and HBII). Digital scoring was performed with Facogram software. Scores were recorded and compared using intraclass and Pearson (r) correlations. Results: Interobserver correlation was high with HBII, with overall scores in excellent agreement (intraclass correlation range, 0.78-0.95; P <= 0.0001). There were strong correlations between Facogram and HBII (r >= 0.67, P <= 0.0001) and strong intraobserver correlations between HBI and HBII (r >= 0.71, P <= 0.0001). The HBII required more clinician time [mean (SD), 72 (21) seconds per case], compared with Facogram, which did not require any clinician time. Conclusions: An automated, zone-specific facial analysis tool can eliminate clinician subjectivity and allow standardized assessment of facial paralysis.

引用

页码：313 / 316

页数：4

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