Table 2 House-Brackmann facial nerve grading system
From: Acute otitis media-related facial nerve palsy in a child: a case report and a literary review
Grade | Description | Clinical characteristics |
|---|---|---|
I | Normal | No paresis |
II | Mild paresis | No abnormalities at rest |
III | Moderate paresis | No deformity at rest. Facial synkinesis. With maximum effort the patient can totally close eyelids |
IV | Moderate-severe paresis | Obvious asymmetry. Facial synkinesis. With maximum effort the patient cannot completely close eyelids |
V | Severe paresis | Obvious asymmetry at rest (ptosis of labial commissure, disappearance of the nasolabial fold). Incomplete eyelid closure. Asymmetry in mouth motion |
VI | Complete paralysis | Atony at rest. No facial function |