ENT Evaluation of acute facial paralysis House-Brackman grade system Normal: normal facial functionin all areas J, Mild dysfunction: slight weakness noticeable only on close inspection At rest: normal symmetry and tone Motion some to normal movement of forehead Ability to close eye with minimal effort a Ability to move corners of mouth with maximal effort and slight asymmetry No synkinesis, contractur, or hemifacial spasmEvaluation of acute facial paralysis ◼ House-Brackman grade system ◼ I, Normal: Normal facial functionin all areas ◼ II, Mild dysfunction: slight weakness noticeable only on close inspection ◼ At rest: normal symmetry and tone ◼ Motion: some to normal movement of forehead ◼ Ability to close eye with minimal effort ◼ Ability to move corners of mouth with maximal effort and slight asymmetry ◼ No synkinesis, contractur, or hemifacial spasm