DEVELOPMENT OF A NEW DOCUMENTATION SYSTEM FOR FACIAL MOVEMENTS AS A BASIS FOR THE INTERNATIONAL REGISTRY FOR NEUROMUSCULAR RECONSTRUCTION IN THE FACE

None of the paresis scoring systems used satisfies an adequate descrip tion of all the details necessary to document the degree of facial par esis before and after any treatment. We developed a new documentation system considering all details of the history of the patient and of th e treatment that could have any influence on the functional result. Th e third part of this ''international registry for neuromuscular recons truction in the face'' concerns paralysis assessment, including quanti tative measurements of the resting and moving face, besides qualitativ e parameters. A map of standardized static and dynamic points in the f ace was designed, and three-dimensional measurements of the movements of these facial points were performed with a VICON system in 16 health y individuals. On the basis of the results, three real static points a nd representative dynamic points were selected as well as relations of these points most representative for the different facial movements. For data collection, a simple instrument (Frey's faciometer) was devel oped. A preliminary report is given on the clinical application of thi s new instrument.