Agreement between the Facial Nerve Grading System 2.0 and the House-Brackmann Grading System in Patients with Bell Palsy

이호윤; 변재용; 정지현; 나세영; 여승근; 박문서

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자료유형: 학술저널

저자정보: 이호윤 변재용 정지현 나세영 여승근 박문서

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제6권 제3호

발행연도: 2013.1

수록면: 135 - 139 (5page)

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Objectives. We have analyzed the correlation between the House-Brackmann (HB) scale and Facial Nerve Grading System 2.0 (FNGS 2.0) in patients with Bell palsy, and evaluated the usefulness of the new grading system. Methods. Sixty patients diagnosed with Bell palsy from May 2009 to December 2010 were evaluated using the HB scale and FNGS 2.0 scale during their initial visit, and after 3 and 6 weeks and 3 months. Results. The overall intraclass correlation coefficient (ICC) was 0.908 (P=0.000) and the Spearman correlation coefficient (SCC) was 0.912 (P<0.05). ICC and SCC displayed differences over time, being 0.604 and 0.626, respectively, at first visit; 0.834 and 0.843, respectively, after 3 weeks; 0.844 and 0.848, respectively, after 6 weeks; and 0.808 and 0.793, respectively, after 3 months. There was a significant difference in full recovery, depending on the scale used (HB, P=0.000; FNGS 2.0, P<0.05). The exact agreements between regional assessment and FNGS 2.0 for the mouth,eyes, and brow were 72%, 63%, and 52%, respectively. Conclusion. FNGS 2.0 shows moderate agreement with HB grading. Regional assessment, rather than HB grading, yields stricter evaluation, resulting in better prognosis and determination of grade.

#House-Brackmann scale #Facial Nerve Grading System 2.0 #Bell palsy

참고문헌 (12)

참고문헌 신청

Berg T / 2004 / Agreement between the Sunnybrook, House-Brackmann, and Yanagihara facial nerve grading systems in Bell’s palsy / Otol Neurotol 25 (6) : 1020 ~ 1026

Coulson SE / 2005 / Reliability of the “Sydney,” “Sunnybrook,” and “House Brackmann” facial grading systems to assess voluntary movement and synkinesis after facial ne

Croxson G / 1990 / Grading facial nerve function: House- Brackmann versus Burres-Fisch methods / Am J Otol 11 (4) : 240 ~ 246

House JW / 1985 / Facial nerve grading system / Otolaryngol Head Neck Surg 93 (2) : 146 ~ 147

Hu WL / 2001 / Reliability of the Sunnybrook Facial Grading System by novice users / J Otolaryngol 30 (4) : 208 ~ 211