Facial Assessment Scales: Defining Selective Movement
Gross facial grading systems, such as the commonly used House grading system , do not provide the detailed functional information that is required by the surgeon who is performing a procedure affecting a specific area or areas of the face or by the therapist who must be concerned with selective motor retraining. The present functional assessment scales (FAS) have been developed over the past 15 years by the first author to regionally assess retraining of postsurgical and other types of facial paralysis patients (e.g., cancer, trauma, acoustic neuroma, Bell’s palsy, herpes zoster, congenital defects). The FAS have been used with up to 23 movements and gestures on hundreds of facial retraining patients. The methodology of facial retraining has been published elsewhere [2, 3].
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