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. 2020 Jun 21;11(3):310–315. doi: 10.34172/jlms.2020.52

Table 1. House-Brackmann Grading .

Grading Function Gross At Rest Motion
Grade I Normal Normal Normal Normal
Grade II Slight dysfunction Slight noticeable weakness on close inspection; may have very slight synkinesis Normal symmetry and tone Forehead - moderate to good function; eye - complete closure with minimum effort; mouth - slight asymmetry.
Grade III Moderate dysfunction Obvious but not disfiguring difference between two sides; noticeable but not severe synkinesis, contracture, and/or hemifacial spasm Normal symmetry and tone, Motion: forehead - slight to moderate movement; eye - complete closure with effort; mouth - slightly weak with maximum effort.
Grade IV Moderate to severe dysfunction Obvious weakness and/or disfiguring asymmetry Normal symmetry and tone Forehead - none; eye - incomplete closure; mouth - asymmetric with maximum effort.
Grade V Severe dysfunction Only rare perceptible motion Asymmetry Forehead - none; eye - incomplete closure; mouth – slight movement.
Grade VI Total paresis, no movement - - -