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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 39(12); 1996 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(12): 1966-74.
Quantitative Assessment of Facial Paralysis Applying Lip Length & Snout Indices
Sang Hyun Lee, MD, Seung Yeob Woo, MD, Do Il Kim, MD, Jung Hak Lee, Ph.D, Yong Bok Kim, MD, and Moon Suh Park, MD
Department of Otorhinolaryngology, College of Medicine, Hallym University, Seoul, Korea
Lip Length & Snout Indices를 응용한 안면신경마비의 정량적 측정
이상현 · 우승엽 · 김도일 · 이정학 · 김용복 · 박문서
한림대학교 의과대학 이비인후과학교실
ABSTRACT

The description of facial paralysis is usually based on the subjective observation as compared with normal side. It is difficult to objectify and get the statistical analysis of the degree of facial paralysis. We got the normative data for change of the length which were taken from facial expression of 20 healthy volunteers. Lip-length & snout indices as were used the bases of our study parameters and reinforced test parameters to enhance the reliability. We measured the paramerters which were 6 facial landmarks during lip-lengthening & snouting by 3 observers repeatedly as 3 times. We also measured the parameters of facial paralysed patients using the above methods, then we taken the statistically significant parameters after compared with H-B grading system. It was easy and reliable method to measure the length between 6 facial landmarks during lip-lengthening and snouting. Interobserver's and intraobserver's variations were negligible. 4 of 12 lip-length & snout indices were highly correlated with House-Brackmann grading system. The facial expression index based on four indices, had also highly correlated with the House-Brackmann grading system.

Keywords: Facial nerve paralysisFacial nerve grading system.
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