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난청과 이명을 동반한 외상성 안면신경마비 치험 1례

Clinical Case Study of Facial Nerve Paralysis with Sensorineural Hearing Loss and Tinnitus Caused by Traumatic Temporal Bone Fracture

  • 장여진 (동신대학교 한의학대학 침구의학과) ;
  • 양태준 (동신대학교 한의학대학 침구의학과) ;
  • 신정철 (동신대학교 한의학대학 침구의학과) ;
  • 김혜화 (동신대학교 한의과대학 한방안이비인후피부과) ;
  • 김태광 (동신대학교 한의과대학 재활의학과) ;
  • 정미영 (동신대학교 광주한방병원 간호부) ;
  • 김재홍 (동신대학교 한의학대학 침구의학과)
  • Jang, Yeo Jin (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Yang, Tae Joon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Shin, Jeong Cheol (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Kim, Hye Hwa (Department of Ophthalmology, Otolaryngology & Dermatology Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Kim, Tae Gwang (Department of Rehabilitation Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Jeong, Mi Young (Department of Nursing Service, Dong-Shin University Gwangju Hospital) ;
  • Kim, Jae Hong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Dong-Shin University)
  • 투고 : 2015.11.14
  • 심사 : 2016.03.14
  • 발행 : 2016.03.18

초록

Objectives : The aim of this report was to investigate the effects of Korean medical treatment on facial nerve paralysis with sensorineural hearing loss and tinnitus caused by traumatic temporal bone fracture. Methods : We treated a patient with acupuncture, herbal medicine and physiotherapy. The effect of these treatments was evaluated by House-Brackmann facial grading scale, Yanagihara's unweighted grading system and by Digital Infrared Thermographic Image. Results : After 21 days of Korean medical treatment, House-Brackmann facial grading scale changed from III to II and Yanagihara's unweighted grading score increased from 14 to 27. Digital Infrared Thermographic Image also improved. Conclusions : These results suggest that Korean medical treatments were effective in treating facial nerve paralysis with sensorineural hearing loss and tinnitus caused by traumatic temporal bone fracture. We hope that a more efficient application of this treatment will be the result of clinical data accumulated in future studies.

키워드

참고문헌

  1. Lee WS, Kim J. Facial nerve paralysis and surgical management. J Korean Med Assoc. 2009 ; 52(8) : 807-18. https://doi.org/10.5124/jkma.2009.52.8.807
  2. Pack MC. Clinical sturdy of patient with traumatic temporal and occipital bone fracture. Korean J. Oriental Physiology & Pathology 2004 ; 18(5) : 1533-7.
  3. Lee YK, Lee BR. Clinical studies on 72 cases of patient with facial paralysis. The Acupuncture. 1998 ; 15(1) : 1-12.
  4. Yu HC, Kim HS. Reference research for the cause of facial nerve paralysis. Thesis Collection. 2000 ; 9(1) : 243-58.
  5. Mun KS, Lee SY, Kwon OS, Jang JU, Kwon HS, Youn DH. The Assessments of Prognotic factors on sensorineural hearing loss and the clinical study with acupuncture treatment. Korean J Acupunct. 2006 ; 23(4) : 101-10.
  6. Beak MG, New Otolaryngology. Seoul : Iljogak. 1999 : 128-30.
  7. Lee JM, Kim EM, Song HG et al. Clinical Study of Two Patients with Deveation of the Eye and Mouth Caused by Trauma. The Acupuncture. 2006 ; 23(4) : 81-9.
  8. Korean acupuncture & moxibustion medicine society textbook editing board. The Acupuncture and moxibustion medicine. Seoul : Jipmoondang. 2012 : 626-8.
  9. Kim JI, Seo JC, Lee SH, Choi DY, Kang SK, Koh HK. The clinical observation on BeII's palsy according to facial nerve grading system. The Acupuncture. 2002 ; 19(5) : 112-23.
  10. AMA Council on Scientific Affairs. AMA Council Report : Thermography in neurological and musculoskeletal conditions. Thermology. 1987 ; 2 : 600-7.
  11. Song BY, Sohn IC, Kim KS. Clinical diagnostic study on prognosis of Bell’s palsy with the digital infra-red thermal image. The Acupuncture. 1999 ; 16(2) : 13-35.
  12. Ahn HL, Shin MS. A case report of a patient with facial nerve paralysis caused by traumatic temporal bone fracture. JORM. 2007 ; 17(1) : 159-66.

피인용 문헌

  1. Korean Medicine for Treating Facial Palsy - A Literature Review of Case Reports - vol.21, pp.4, 2016, https://doi.org/10.3831/kpi.2018.21.025