Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Improvement of Facial Paralysis after Parotidectomy with Integrated Korean Medicine Treatment: A Case Report

  • Choong Hyun Han (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Young Han Nam (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Young Kyung Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Youn Young Choi (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Eun Sol Won (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Hwa Yeon Ryu (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jae Hui Kang (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Hyun Lee (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • Received : 2024.04.01
  • Accepted : 2024.04.29
  • Published : 2024.05.31
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Abstract

This study presents a case of facial nerve injury that occurred after parotidectomy for a benign tumor of the parotid gland that improved with integrated Korean medicine (IKM). On June 24, 2023, the patient presented with facial nerve injury based on a facial nerve conduction study after parotidectomy, with a score of five on Yanagihara's unweighted grading system (Y-system) and a grade of five on the House-Brackmann facial grading scale (H-B scale). During the 15 days of admission, IKM treatments, including acupuncture, pharmacopuncture, moxibustion, herbal steam therapy, physiotherapy, herbal medicine, and thread embedding acupuncture treatment, were performed. After treatment, the strength of the orbicularis oculi, orbicularis oris, and masticatory muscles improved, with a Y-system score of 17 and an H-B scale of III. In conclusion, the findings of this study confirm the applicability and effectiveness of IKM in the treatment of facial paralysis following parotidectomy.

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References

  1. Sarafoleanu D, Bejenariu A. Facial nerve paralysis. Rom J Rhinol 2020;10:68-77. doi: 10.2478/rjr-2020-0016
  2. Kim MJ, Song JY, Sung WS, Kim PK, Ryu HK, Park YC, et al. Clinical study on peripheral facial nerve injury. J Korean Acupunct Moxib Med Soc 2012;29:23-34.
  3. Dulguerov P, Marchal F, Lehmann W. Postparotidectomy facial nerve paralysis: possible etiologic factors and results with routine facial nerve monitoring. Laryngoscope 1999;109:754-762. doi: 10.1097/00005537-199905000-00014
  4. Jeong HI, Kim KH, Oh YT, Choi YM, Song BY, Kim JU, et al. Korean medicine for treating facial palsy: a literature review of case reports. J Pharmacopuncture 2018;21:214-215. doi: 10.3831/KPI.2018.21.025
  5. Ko MJ, Goo B, Kim JH, Nam SS. Clinical effect and safety of thread embedding acupuncture on facial nerve palsy sequelae: a retrospective observational study. Medicine (Baltimore) 2023;102:e32773. doi: 10.1097/MD.0000000000032773
  6. Yanagihara N. Grading of facial palsy. Paper presented at: Facial Nerve Surgery, Proceedings: Third International Symposium on Facial Nerve Surgery; 1976 Aug 9-12; Zurich, Switzerland. Kugler Medical Publications, 1977. p. 533-535.
  7. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985;93:146-147. doi: 10.1177/019459988509300202
  8. Bae HB, Ko WS, Yoon HJ. Study on the possibility of Digital Infrared Thermographic Imaging as a prognosis evaluation tool for patients with facial palsy. J Korean Med Ophthalmol Otolaryngol Dermatol 2017;30:62-75. doi: 10.6114/jkood.2017.30.3.062
  9. Siddiqui AH, Shakil S, Rahim DU, Shaikh IA. Post parotidectomy facial nerve palsy: a retrospective analysis. Pak J Med Sci 2020; 36:126-130. doi: 10.12669/pjms.36.2.1706
  10. Thielker J, Grosheva M, Ihrler S, Wittig A, Guntinas-Lichius O. Contemporary management of benign and malignant parotid tumors. Front Surg 2018;5:39. doi: 10.3389/fsurg.2018.00039
  11. Zhan KY, Khaja SF, Flack AB, Day TA. Benign parotid tumors. Otolaryngol Clin North Am 2016;49:327-342. doi: 10.1016/j.otc.2015.10.005
  12. Chiesa-Estomba CM, Larruscain-Sarasola E, Lechien JR, Mouawad F, Calvo-Henriquez C, Diom ES, et al. Facial nerve monitoring during parotid gland surgery: a systematic review and meta-analysis. Eur Arch Otorhinolaryngol 2021;278:933-943. doi: 10.1007/s00405-020-06188-0
  13. Park JH, Jang SH, Lee CH, Ku JY, Jeun DS, Ahn CB, et al. The clinical research of the effectiveness of pharmacopuncture complex therapy on peripheral facial paralysis -Hominis Placenta pharmacopuncture therapy and sweet bee venom therapy. J Korean Acupunct Moxib Soc 2010;27:79-87.
  14. Park SY, Kim JS, Jeong MY, Kim JH, Choi JH. The clinical study for peripheral facial paralysis treated with herbal stream therapy. J Korean Med Ophthalmol Otolaryngol Dermatol 2014;27:131-140. doi: 10.6114/jkood.2014.27.4.131
  15. Teixeira LJ, Valbuza JS, Prado GF. Physical therapy for Bell's palsy (idiopathic facial paralysis). Cochrane Database Syst Rev 2011;12:CD006283. doi: 10.1002/14651858.CD006283.pub3
  16. Thakar A, Gupta MP, Srivastava A, Agrawal D, Kumar A. Nonsurgical treatment for posttraumatic complete facial nerve paralysis. JAMA Otolaryngol Head Neck Surg 2018;144:315-321. doi: 10.1001/jamaoto.2017.3147
  17. Danner CJ. Facial nerve paralysis. Otolaryngol Clin North Am 2008;41:619-632, x. doi: 10.1016/j.otc.2008.01.008
  18. Ruohoalho J, Makitie AA, Aro K, Atula T, Haapaniemi A, Keski-Santti H, et al. Complications after surgery for benign parotid gland neoplasms: a prospective cohort study. Head Neck 2017;39:170-176. doi: 10.1002/hed.24496
  19. Marchese-Ragona R, De Filippis C, Marioni G, Staffieri A. Treatment of complications of parotid gland surgery. Acta Otorhinolaryngol Ital 2005;25:174-178.
  20. Park H, Lee SH, Lee Y, Choi DJ, Lee J, Jo H, et al. Integrative Korean medicine treatments for traumatic facial palsy following mandibular fracture: a case report and literature review. Healthcare (Basel) 2023;11:2546. doi: 10.3390/healthcare11182546