面神经功能分级：为何应提出一种新的分级系统——MoReSS。
Grading facial nerve function: why a new grading system, the MoReSS, should be proposed.
作者信息
de Ru J Alexander, Braunius Weibel W, van Benthem Peter Paul G, Busschers Wim B, Hordijk Gerrit Jan
机构信息
Department of Otolaryngology-Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands.
出版信息
Otol Neurotol. 2006 Oct;27(7):1030-6. doi: 10.1097/01.mao.0000227896.34915.4f.
OBJECTIVE
To compare the interobserver variability of a new grading system to the currently recommended House-Brackmann Grading Scale.
STUDY DESIGN
Prospective case-control study.
SETTING
Tertiary referral center.
PATIENTS
All patients with a facial nerve paresis/paralysis (whatever the cause).
INTERVENTION
All patients were evaluated for their facial nerve function by three observers, independently, using both the new system and the House-Brackmann Grading Scale.
MAIN OUTCOME MEASURE
The level of agreement between the three observers using both scales.
RESULTS
With the movement, rest, secondary defects, and subjective scoring grading scale, a higher percentage of agreement between the observers was noticed than with the House-Brackmann Grading Scale.
CONCLUSION
The movement, rest, secondary defects, and subjective scoring grading system is more useful for grading facial nerve dysfunction in clinical practice than the House-Brackmann Grading Scale.
目的
比较一种新的分级系统与目前推荐的House-Brackmann分级量表的观察者间变异性。
研究设计
前瞻性病例对照研究。
研究地点
三级转诊中心。
患者
所有面神经麻痹/瘫痪患者（无论病因）。
干预措施
所有患者由三名观察者独立使用新系统和House-Brackmann分级量表对其面神经功能进行评估。
主要观察指标
三名观察者使用两种量表时的一致性水平。
结果
在运动、静止、继发缺陷和主观评分分级量表方面，观察者之间的一致性百分比高于House-Brackmann分级量表。
结论
在临床实践中，运动、静止、继发缺陷和主观评分分级系统在面神经功能障碍分级方面比House-Brackmann分级量表更有用。
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