Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

Characteristics and Treatment Methods of Bell's Palsy in Patients Visiting Korean Medicine Hospitals From August 2018 to July 2021

  • Choi, Hyeon Kyu (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Min Ju (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Young Rok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Cha, Hyun Ji (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jang, Hyun Jin (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, So Jeong (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jeon, Ju Hyun (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Young Il (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • Received : 2022.03.30
  • Accepted : 2022.05.02
  • Published : 2022.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: This study was designed to statistically analyze the data of patients who had Bell's palsy (BP) who visited a Korean Medicine hospital in the last 3 years to determine the tendency or characteristics of their visit. Methods: This study retrospectively analyzed the medical records of 816 patients. Based on the data collected through medical records demographics, condition/disease, and therapeutic characteristics of the patients were analyzed using IBM SPSS Version 23.0. Results: Patients in their teens or younger, and 50s or older had a higher frequency of inpatient treatment, and 20s to 40s had a higher rate of outpatient treatment. The proportion of men who received steroid combination treatment was higher than women. The number of patients with BP, and the total treatment period of the patients has decreased every year. The total treatment period was shorter in the steroid group than the Korean medicine alone group. Inpatients were more likely to receive steroid combination therapy than outpatients. The proportion of patients who received steroid combination therapy was higher than patients with recurrence of BP. Patients with hypertension or diabetes had a higher rate of hospitalization and received more treatments than patients without the condition/disease. Conclusion: Visit characteristics and treatment methods preferred by patients with BP were identified. This research may help to establish a treatment model for BP in Korean Medicine institutions in the future.

Keywords

References

  1. Tiemstra JD, Khatkhate N. Bell's Palsy: Diagnosis and management. Physician 2007;76:997-1002.
  2. Yoo MC, Soh YS, Chon JM, Lee JH, Jung JY, Kim SS et al. Evaluation of factors associated with favorable outcomes in adults with Bell's palsy. JAMA Otolaryngol Head Neck Surg 2020;146:256-263. [in Korean]. https://doi.org/10.1001/jamaoto.2019.4312
  3. Heckmann JG, Urban PP, Pitz S, Guntinas-Lichius O, Gagyor I. The diagnosis and treatment of idiopathic facial paresis (Bell's Palsy). Dtsch Arztebl Int 2019;116:692-702.
  4. Zandian A, Osiro S, Hudson R, Ali IM, Matusz P, Tubbs SR et al. The neurologist's dilemma: A comprehensive clinical review of Bell's Palsy, with emphasis on current management trends. Med Sci Monit 2014;20:83-90. https://doi.org/10.12659/MSM.889876
  5. Kenneth WL, Ian B. Neurology and neurosurgery illustrated. 4th edit; Seoul: E-public; 2004. p. 222-228.
  6. Ikeda M, Abiko Y, Kukimoto N, Omori H, Nakazato H, Ikeda K. Clinical factors that influence the prognosis of facial nerve paralysis and the magnitudes of influence. Laryngoscope 2005;115:855-860. https://doi.org/10.1097/01.MLG.0000157694.57872.82
  7. Kim SY, Oh DJ, Park BJ, Choi HG. Bell's Palsy and obesity, alcohol consumption and smoking: A nested case-control study using a national health screening cohort. Sci Rep 2020;10:4248. [in Korean]. https://doi.org/10.1038/s41598-020-61240-7
  8. Naohito M, Ryo Y, Kazuhiko S, Ota S. Prognostic factors of synkinesis after Bell's Palsy and Ramsay Hunt syndrome. Auris Nasus Larynx 2013;40:431-434. https://doi.org/10.1016/j.anl.2013.01.001
  9. Gearge P, Grigorios GD, Anastasia S, Didangelos T, Perifanis V, Kaiafa G et al. Evaluation of Effects of Diabetes Mellitus, Hypercholesterolemia and Hypertension on Bell's Palsy. J Clin Med 2021;10:2357. https://doi.org/10.3390/jcm10112357
  10. National Teacher Training Center for Health Personnel. Family medicine. Seoul (Korea): Seoul National University Press; 2001. p. 519-524. [in Korean].
  11. An BJ, Song HS. Effects of electroacupuncture on patients with peripheral facial paralysis. Acupunct 2005;22:121-129. [in Korean].
  12. Lee CW, Kim HG, Heo SW, Jung KK. The Clinical Study about Honilirls Placenta Herbal Acupuncture on Bell's Palsy. J Pharmacopuncture 2005;8:87-97. [in Korean]. https://doi.org/10.3831/KPI.2005.8.3.087
  13. Kang EK, Kim JH, Seo HS. The clinical investigation studies in peripheral facial paralysis using Needle-embedding therapy. J Korean Med Ophthalmol Otolaryngol Dermatol 2009;22:118-127. [in Korean].
  14. Lee ES, Jeong JY, Seo DG, Shin SY, Seo JC, Seo YJ et al. Clinical research of cervical acupotomy effects with acupuncture on facial & trigeminal nerve branch on peripheral facial paralysis and postauricular pain. Acupunct 2014;31:143-154. [in Korean]. https://doi.org/10.13045/acupunct.2014061
  15. Jeong JY, Lee ES, Seo DG, Shin SY. The clinical research of cervical treatment's effects on Bell's Palsy. Acupunct 2014;31:45-55. [in Korean]. https://doi.org/10.13045/acupunct.2014042
  16. Han DG, Kang AH, Seo HJ, Sung JY, Oh JH, Lee HC et al. A Case Report of Facial Nerve Palsy Treated with Korean Medicine Treatment. J Int Korean Med 2018;39:277-285. [in Korean]. https://doi.org/10.22246/jikm.2018.39.2.277
  17. Sung JY, Kang AH, Han DK, Seo HY, Oh JH, Lee YR et al. A Case of Traditional Korean Medical Treatment of a Patient with Facial Nerve Palsy Hospitalized at a Korean Medicine Hospital. J Int Korean Med 2018;395:1075-1083. [in Korean].
  18. Peitersen E. Bell's Palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl 2002;549:4-30. https://doi.org/10.1080/000164802760370736
  19. Holland NJ, Weiner GM. Recent developments in Bell's Palsy. BMJ 2004;329:553-557. https://doi.org/10.1136/bmj.329.7465.553
  20. Jeong JH, Yoon SR, Lim HS, Oh JW, Choi HS. Risk factors for Bell's Palsy based on the Korean National Health Insurance Service National Sample Cohort data. Sci Rep 2021;11:23387. https://doi.org/10.1038/s41598-021-02816-9
  21. Mancini P, Bottaro V, Capitani F, Soccio GD, Prosperini L, Restaino P et al. Recurrent Bell's Palsy: Outcomes and correlation with clinical comorbidities. Acta Otorhinolaryngol Ital 2019;39:316-321. https://doi.org/10.14639/0392-100X-2415
  22. Sullivan FM, Swan IR, Donnan PT. Early treatment with prednisolone or acyclovir in Bell's Palsy. N Engl J Med 2007;357:1598-1607. https://doi.org/10.1056/NEJMoa072006
  23. Hato N, Matsumoto S, Kisaki H. Efficacy of early treatment of Bell's Palsy with oral acyclovir and prednisolone. Otol Neurotol 2003;24:948-951. https://doi.org/10.1097/00129492-200311000-00022
  24. Hato N, Yamada H, Kohno H, Matsumoto S, Honda N, Gyo K et al. Valacyclovir and prednisolone treatment for Bell's Palsy: a multicenter, randomized, placebo-controlled study. Otol Neurotol 2007;28:408-413. https://doi.org/10.1097/01.mao.0000265190.29969.12
  25. Kwon NH, Shin YJ, Kim CY, Ko PS, Lee WI, Cho BJ et al. Comparative Clinical Study between Oriental Medical and Oriental-Western Medical Treatment on Bell's Palsy. The Acupunct 2008;25:19-28. [in Korean].
  26. Park IB, Kim SW, Lee CW, Kim HG, Heo SW, Youn HM et al. Comparative Clinical Study between Oriental Medicine and Oriental-Western Medicine Treatment on Bell's Palsy. The Acupunct 2004;21:191-203. [in Korean].
  27. Kim JH, Song JJ, Hong SU. A clinical study of oriental-Western medicine treatment on facial nerve paralysis. J Korean Med Ophthalmol Otolaryngol Dermatol 2009;22:148-156. [in Korean].
  28. Kim ST, Kim YI. 2018 National Health Insurance Statistical Yearbook. Seoul (Korea): National Health Insurance Service, Health Insurance Review & Assessment service; 2018. 676 p. [in Korean].
  29. Kim SM, Kim YI. 2019 National Health Insurance Statistical Yearbook. Seoul (Korea): National Health Insurance Service, Health Insurance Review & Assessment service; 2019. 656 p. [in Korean].
  30. Kim SM, Kim YI. 2020 National Health Insurance Statistical Yearbook. Seoul (Korea): National Health Insurance Service, Health Insurance Review & Assessment service; 2020. 658 p. [in Korean].
  31. Lee KC, Lee DK, Seok JI, Yu JH. Clinical Analysis of Bell's Palsy in One University Hospital. J Korean Nerol Assoc 2011;29:285-290. [in Korean].
  32. Spengos K, Sameli S, Stouraitis G, Kolias A, Koulouri O, Kokkinos Z et al. Seasonal variation of Bell's palsy in Athens, Greece. A hospital based retrospective evaluation over fifteen years. Eur Neurol 2006;55:84-88. https://doi.org/10.1159/000092779
  33. Murthy JM, Saxena AB. Bell's Palsy: Treatment guidelines. Ann Indian Acad Neurol 2011;14:70-72. https://doi.org/10.4103/0972-2327.83092
  34. Dong SH, Jung AR, Jung JY, Jung SY, Byun JY, Park MS et al. Recurrent Bell's Palsy. Clin Otolaryngol 2019;44:305-312. [in Korean]. https://doi.org/10.1111/coa.13293
  35. Jung HC, Park HM, Lee SD. Nationwide Study on the Characteristics of Patients Visiting and Using Korean Medical Facilities by Sex. J Korean Med 2014;35:75-87. [in Korean]. https://doi.org/10.13048/jkm.14008
  36. Ellis SL, Carter BL, Leehey MA, Conry CM. Bell's palsy in an older patient with uncontrolled hypertension due to medication nonadherence. Ann Pharmacother 1999;33:1269-1273. https://doi.org/10.1345/aph.19129
  37. Yeo SW, Lee DH, Jun BC, Chang KH, Park YS. Analysis of Prognostic Factors in Bell's Palsy and Ramsay Hunt Syndrome. Auris Nasus Larynx 2007;34:159-164. https://doi.org/10.1016/j.anl.2006.09.005
  38. Yoon MH. Clinical use of steroid. Korean J Pain 2004;17:45-53. [in Korean].
  39. Kim CH, Lee DK. Clinical analysis of recurrent Bell's Palsy in one university hospital. Korean J Clin Neurophysiol 2013;15:1-6. [in Korean]. https://doi.org/10.14253/kjcn.2013.15.1.1