Tabel.
Klasifikasi House-Brackmann8
Grade Defin
1 Normal Normal facial f
2 Mild dysfunction Slight weakness noticeable only on close inspection. At rest: normal sym
asymmetry, ability to move corners of mouth with maximal effort and sli
3 Moderate dysfunction Obvious, but not disfiguring difference between 2 sides, no functional im
hemifacial spasm. At rest: normal symmetry and tone. Motion: slight to n
obvious asymmetry, ability to move corners of mouth with maximal effo
disfiguring synkinesis, contracture, and/or hemifacial spasm are grade II
4 Moderately severe dysfunction Obvious weakness and/or disfiguring asymmetry. At rest: normal symme
completely with maximal effort. Patients with synkinesis, mass action, a
grade IV regardless of motor activity.
5 Severe dysfunction Only barely perceptible motion. At rest: possible asymmetry with droop
Motion: no movement of forehead, incomplete closure of eye and only s
of mouth. Synkinesis, contracture, and hemifacial spasm usually absent.
6 Total paralysis Loss of tone; asymmetry; no motion; no synkinesis, contracture, or hemi