House-brackamn grade 5 right facial hemiparesis

The overall intraclass correlation coefficient ICC was 0. The exact agreements between regional assessment and FNGS 2. FNGS 2. Regional assessment, rather than HB grading, yields stricter evaluation, resulting in better prognosis and determination of grade. The House-Brackmann HB scale, which was first introduced in and selected as the standard by the Facial Nerve Disorders FND Committee in , provides a gross impression by classifying facial motor function into 6 grades when diagnosing a patient with facial palsy. Due to the convenience and simplicity of the HB scale, it remains the most widely used facial nerve grading system [ 1 ].

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Progressive bilateral peripheral facial palsy

House-Brackmann Grading System

Details of the molecular biological features of facial nerve palsy have not been widely reported in textbooks. Microarray analysis of gene expression was performed using specimens from both the healthy and affected sides, and gene expressions were compared. I observed changes of gene expression; in particular, genes for muscle, neuron, and energy function showed changes with the severity of facial nerve palsy. Selected Topics in Facial Nerve Disorders. It leads to the partial or complete inability to voluntarily move facial muscles on the affected side of the face and may be occurring with equal frequency on the right and left sides of the face. Incomplete recovery of facial expression may have a long-term impact on quality of life. Physicians take the bold course of operation as a last resort.
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House–Brackmann score

Dr Archana Dambal "Journal of clinical and diagnostic research is a welcome change in publishing practices. It aims to reach out to the grass-root level researchers who do not lack in experience, clinical material and ideas, but lack in their knowledge in English language and statistics. The journal achieves it's aim by supporting in these exact domains. It also gives due credit to all research designs like descriptive and qualitative studies while many journals ignore these important study designs.
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It is rare with blunt football injury but commonly seen with vehicular accidents. The fracture line across the facial nerve canal is excellently depicted in CT scan. Though, it is controversial, best out-come is anticipated with earlier transmastoid facial nerve decompression, in injury distal to geniculate ganglion. We report a case of year-old amateur football player sustained a blunt left side head trauma while responding to football in the air. He had left side longitudinal fracture of the temporal bone and delayed left facial nerve paralysis House — Brackmann H-B grade IV.
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