6.4 AMA5 Table 11-5 (p 256) should be replaced with Table 6.1, below, when assessing permanent impairment due to facial disorders and/or disfigurement.
Table 6.1: Criteria for rating permanent impairment due to facial disorders and/or disfigurement
0-5% impairment of the whole person
6-10% impairment of the whole person
11-15% impairment of the whole person
16-50% impairment of the whole person
Facial abnormality limited to disorder of cutaneous structures, such as visible scars (not hypertrophic or atrophic) or abnormal pigmentation (refer toAMA5 Chapter 8 for skin disorders)
mild, unilateral, facial paralysis affecting most branches
nasal distortion that affects physical appearance
partial loss or deformity of the outer ear.
Facial abnormality involves loss of supporting structure of part of the face, with or without cutaneous disorder (eg depressed cheek, nasal, or frontal bones)
near complete loss of definition of the outer ear.
Facial abnormality involves absence of normal anatomic part or area of face, such as loss of eye or loss of part of nose, with resulting cosmetic deformity, combine with any functional loss, eg vision (AMA4 Chapter 8)
severe unilateral facial paralysis affecting most branches
mild, bilateral, facial paralysis affecting most branches.
Massive or total distortion of normal facial anatomy with disfigurement so severe that it precludes social acceptance
severe, bilateral, facial paralysis affecting most branches
loss of a major portion of or entire nose.
Note: Tables used to classify the examples in AMA5 Section 11.3 (pp 256-59) should also be ignored and assessors should refer to the modified table above for classification.
6.5 In AMA5 example 11-11 (p 257), add the words ‘visual impairment related to enophthalmos must be assessed by an Ophthalmologist’.