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. 2022 Feb 17;9(2):273. doi: 10.3390/children9020273

Table 3.

House-Brackmann facial nerve grading system.

Stage Description
I No paresis: normal function
II Mild paresis: no deformity at rest
III Moderate paresis: obvious difference from the other side, no deformity at rest, synkinesis, total closure of eyelids at maximum effort
IV Moderately severe paresis: disfiguring asymmetry, synkinesis, eye closure incomplete at maximum effort
V Severe paresis: asymmetry at rest (ptosis of the labial commissure, effacement of the nasolabial fold), some visible residual movements
VI Complete paralysis: atony at rest, no active movement