DOI QR코드

DOI QR Code

발치 후 병발한 안면마비 환자에 대한 한의학적 치료 사례 보고

A Case Report on Facial Nerve Palsy after Tooth Extraction and Korean Medical Treatments

  • 김대훈 (부산대학교한방병원 침구의학과) ;
  • 김유리 (부산대학교한방병원 침구의학과) ;
  • 배지민 (부산대학교한방병원 침구의학과) ;
  • 홍승표 (부산대학교한방병원 침구의학과) ;
  • 구본길 (본치과 의원) ;
  • 김재규 (부산대학교 한의학전문대학원 임상의학부) ;
  • 이병렬 (부산대학교 한의학전문대학원 임상의학부) ;
  • 양기영 (부산대학교 한의학전문대학원 임상의학부)
  • Kim, Dae Hun (Department of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital) ;
  • Kim, Yu Ri (Department of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital) ;
  • Bae, Ji Min (Department of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital) ;
  • Hong, Seung Pyo (Department of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital) ;
  • Koo, Bon Kil (Bon Dental Clinic) ;
  • Kim, Jae Kyu (Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Lee, Byung Ryul (Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Yang, Gi Young (Division of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 투고 : 2016.05.11
  • 심사 : 2016.06.11
  • 발행 : 2016.06.20

초록

Objectives : Facial nerve palsy is a rare but well-known complication that occurs after a tooth extraction. The paralysis follows the injection of a local anesthetic, but patients typically recover after a few hours. However, there are a number of reports of delayed paralysis, and the cause of delayed facial palsy remains uncertain. This study is the first case report detailing how Korean medicine can be used to treat facial nerve palsy following tooth extraction. This study reports our experience of a patient's favorable recovery. Methods : A 25-year-old male patient experienced acute facial palsy after four premolar teeth were extracted. He was hospitalized in the Pusan National University Korean Medical Hospital. We provided complex Korean traditional medical treatments such as acupuncture, cupping, use of a hot water steamer, and herbal medicine for 18 days. Results : Using the Yanagihara Grading Score, we found improvements in the patient's voluntary facial movement as his score increased from 22 to 34. Furthermore, his accompanying symptoms, such as dry eye and facial pain, disappeared. However, the patient reported transient pain around acupoints after the acupuncture intervention. Conclusion : Our study suggests that Korean medical treatments might be effectively used to treat facial nerve palsy after tooth extraction, although further research should be conducted due to the limited number of cases in this area.

키워드

참고문헌

  1. Dept. of Acupuncture & Moxibustion. Kyunghui Korean Medical Hospital. Manual of Acupuncture & Moxibustion. Seoul : Woori Medical Book. 2015 : 189-210.
  2. Korea Institute of Oriental Medicine. Facial Palsy Korean Medicine Clinical Practice Guideline. Daejeon : Hanmi Medical Science. 2014 : 38.
  3. Holmes P. J., Koehler J., McGwin G. Jr., Rue L. W. 3rd. Frequency of maxillofacial injuries in all-terrain vehicle collisions. J Oral Maxillofac Surg. 2004 ; 62(6) : 697-701. https://doi.org/10.1016/j.joms.2003.12.011
  4. Gray R. L. Peripheral facial nerve paralysis of dental origin. Br J Oral Surg. 1978 ; 16(2) : 143-50. https://doi.org/10.1016/0007-117X(78)90024-0
  5. Tiwari I. B., Keane T. Hemifacial palsy after inferior dental block for dental treatment. Br Med J. 1970 ; 1(5699) : 798. https://doi.org/10.1136/bmj.1.5699.798
  6. Park CE, Choi MS, Chung DH, Byun JY. A Case of Facial Palsy Following Tooth Extraction. Korean J Otorhinolaryngol-Head Neck Surg. 2009 ; 52(11) : 924-7. https://doi.org/10.3342/kjorl-hns.2009.52.11.924
  7. Choi MK, Oh SH, Kwon KH, Yang CY, Ji YD, Koh SW. Facial Nerve Palsy Following Dental Extraction : A Case Report. J Korean Assoc Maxillofac Plast Reconstr Surg. 2003 ; 25(5) : 452-60.
  8. Burke R. H., Adams J. L. Immediate cranial nerve paralysis during removal of a mandibular third molar. Oral Surg Oral Med Oral Pathol. 1987 ; 63(2) : 172-4. https://doi.org/10.1016/0030-4220(87)90307-0
  9. Cakarer S., Can T., Cankaya B. et al. Peripheral facial nerve paralysis after upper third molar extraction. J Craniofac Surg. 2010 ; 21(6) : 1825-7. https://doi.org/10.1097/SCS.0b013e3181f43dcf
  10. Guler D. Peripheric facial and trigeminal paralysis originating from the impacted third molar. Istanbul Univ Dishekim Fak Derg. 1970 ; 1(4) : 321-4.
  11. Owsley D., Goldsmith J. P. Bell's palsy following primary tooth extraction. A case report. N Y State Dent J. 2012 ; 78(3) : 32-3.
  12. Petz R., Hunecke H. Complications occurring during the treatment of wisdom teeth and how to prevent them. Dtsch Stomatol. 1967 ; 17(6) : 431-8.
  13. Sedan J., Pellegrin J. Facial paralysis in a leprotic after tooth extraction. Rev Otoneuroophtalmol. 1953 ; 25(8) : 503-5.
  14. Tazi M., Soichot P., Perrin D. Facial palsy following dental extraction : report of 2 cases. J Oral Maxillofac Surg. 2003 ; 61(7) : 840-4. https://doi.org/10.1016/S0278-2391(03)00162-9
  15. Vasconcelos B. C., Bessa-Nogueira R. V., Maurette P. E., Carneiro S. C. Facial nerve paralysis after impacted lower third molar surgery : a literature review and case report. Med Oral Patol Oral Cir Bucal. 2006 ; 11(2) : E175-8.
  16. Kim KH, Shin DG, Kim DG. A Case of Facial Palsy and Hearing Disturbance Caused by Traumatic Disorder. J Kor Ori Ped. 2003 ; 17(2) : 137-48.
  17. Ahn HL, Shin MS. A Case Report of a Patient with Facial Nerve Paralysis Caused by Traumatic Temporal Bone Fracture. J Oriental Rehab Med. 2007 ; 17(1) : 159-66.
  18. Kim MJ, Song JY, Sung WS et al. Clinical Study on Peripheral Facial Nerve Injury. The Acupuncture. 2012 ; 29(6) : 23-34. https://doi.org/10.13045/kamms.2012083
  19. Yanagihara N. Grading of Facial Palsy. Proceedings of the third international symposium on facial nerve surgery. Amstelveen : Kugler Medical Publications. 1977 : 533-5.
  20. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture Medicine. Seoul : Hanmi Medical Science. 2016 : 638-42.
  21. Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain. 1951 ; 74(4) : 491-516. https://doi.org/10.1093/brain/74.4.491
  22. Pogrel M. A., Bryan J., Regezi J. Nerve damage associated with inferior alveolar nerve blocks. J Am Dent Assoc. 1995 ; 126(8) : 1150-5. https://doi.org/10.14219/jada.archive.1995.0336
  23. Baugh Reginald F., Basura Gregory J., Ishii Lisa E. et al. Clinical Practice Guideline : Bell's Palsy. Otolaryngology Head and Neck Surgery. 2013 ; 149(3 suppl) : S1-27.
  24. Kim MB, Kim JH, Shin SH, Yoon HJ, Ko WS. A study of facial nerve grading system. J Korean Orient Med Ophthalmol Otolaryngol Dermatol. 2007 ; 20(3) : 147-60.

피인용 문헌

  1. 턱관절 자세 음양 교정술을 병행한 한방치료가 벨마비에 미치는 영향 vol.33, pp.4, 2016, https://doi.org/10.14406/acu.2016.021