面神经功能评定方法

Approaches of Facial Nerve Function Evaluation(review)

面神经功能评定在特发性面神经麻痹诊疗过程中有至关重要的作用,是评估预后的主要工具。基于易掌握、易推广、成本低等因素,主观评估系统是目前使用最广泛的方法。客观评估系统在指标量化、可重复性、评价者间一致性等方面具有明显的优势,即使受限于技术、成本等因素,也会成为未来应用的主流,具有广阔的开发前景。本文回顾不同时期和类型的面神经功能评估系统在面神经功能评定中的临床应用,对现有各种面神经功能评价方法进行总结,为科学、合理地在特发性面神经麻痹疾病中制定、筛选和应用面神经功能评价系统提供参考与借鉴。

Facial nerve grading system（FNG） plays a crucial role in the diagnosis and treatment of idiopathic facial paralysis,and also serves as a primary tool for prognosis.Subjective grading systems are currently the most widely used methods due to their easy accessibility,popularization and low costs.Objective grading systems,which have obvious advantages in terms of index quantization,repeatability and consistency between evaluators,will become the mainstream in future application and possess development prospect despite their limitation of technology and cost.This article reviewd the clinical application of different types of FNGs in facial nerve grading among different periods,and made a summarization of currently-existing facial nerve grading methods.It may provide a scientific and reasonable reference to the constitution,filter and application of facial nerve grading systems in treating idiopathic facial paralysis.