How is facial function assessed in congenital facial paralysis?

Updated: Jan 07, 2019
  • Author: Alan D Bruns, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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No uniform assessment of facial function exists. The House-Brackmann scale is the most widely used, but it has only fair interrater reliability. A standardized program has been developed to permit data entry for facial function that simultaneously produces scores for each of the 6 most commonly used scales. This may progress to a method of acquiring videographs to quantify motion of relevant points of the face to provide a 3-dimensional surface scan to assist in evaluated surgical reanimation surgery.

A web-based data gathering and centralized analysis program with data and “face grams” has also been suggested because the patient population in any given program is small. This would then provide a larger pool of patient for randomized, double-blind studies to determine the effects of steroids or other treatments, thereby creating a better exchange of surgical ideas and innovations.

Other research on nerve growth will also improve clinical outcomes of facial paralysis patients in the future. [55]

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