Eye (choose one only)

normal 0
narrow 1
wide 1
eyelid surgery 1
Cheek (naso-lablal fild)
normal 0
absent 2
less pronounced 1
more pronounced 1
Mouth
normal 0
corner dropped 1
corner pulled up/out 1
Standard
Expressions
Forehead
Wrinkle (FRO)
1 2 3 4 5

Gentle eye
closure (OCS)
1 2 3 4 5

Open mouth
smile (ZYG/RIS)
1 2 3 4 5

Snarl
(LLA/LLS)
1 2 3 4 5

Lip Pucker
(OOS/OOl)
1 2 3 4 5

Ross, Fradet, Nedzelski 1992

0 1 2 3

0 1 2 3

0 1 2 3

0 1 2 3

0 1 2 3

Vol
movt
score
Resting
symmetry
score
Sunnybrook Facial Grading System
Sunnybrook Facial Grading System
Resting Symmetry Symmetry of Voluntary Movement Synkinesis
Compared to normal side Degree of muscle EXCURSION
compared to normal side
Rate the degree of INVOLUNTARY MUSCLE
CONTRACTION associated with each expression
U
n
a
b
l
e

t
o

i
n
i
t
i
a
t
e

m
o
v
e
m
e
n
t
/
n
o

m
o
v
e
m
e
n
t

I
n
i
t
i
a
t
e
s

s
l
i
g
h
t


m
o
v
e
m
e
n
t
I
n
i
t
i
a
t
e
d

m
o
v
e
m
e
n
t

w
i
t
h

m
i
l
d

e
x
c
u
r
s
i
o
n
M
o
v
e
m
e
n
t

a
l
m
o
s
t


c
o
m
p
l
e
t
e
M
o
v
e
m
e
n
t

c
o
m
p
l
e
t
e
G
r
o
s
s

A
s
y
m
m
e
t
r
y
S
e
v
e
r
e


A
s
y
m
m
e
t
r
y
M
o
d
e
r
a
t
e

A
s
y
m
m
e
t
r
y
M
i
l
d

A
s
y
m
m
e
t
r
y
N
o
r
m
a
l


S
y
m
m
e
t
r
y
Voluntary movement score: Total X 4

Total

Total

Total X 5

N
O
N
E
:

N
o

s
y
n
k
i
n
e
s
i
s

o
r

m
a
s
s

m
o
v
e
m
e
n
t
M
I
L
D
:

S
l
i
g
h
t

s
y
n
k
i
n
e
s
i
s
M
O
D
E
R
A
T
E
:



O
b
v
i
o
u
s

b
u
t

n
o
t

d
i
s

g
u
r
i
n
g

s
y
n
k
i
n
e
s
i
s
S
E
V
E
R
E
:



D
i
s

g
u
r
i
n
g

s
y
n
k
i
n
e
s
i
s
/


G
r
o
s
s


m
a
s
s

m
o
v
e
m
e
n
t


o
f

s
e
v
e
r
a
l

m
u
s
c
l
e
s

Synkinesis score: Total

Composite score
Patients name
Dx
Date
Resting
symmetry
score
Synk
score
- - =