DOI QR코드

DOI QR Code

Improvement of the Sequelae of Peripheral Facial Nerve Palsy in a Patient with Hemophilia Mainly Treated with Facial Chuna Manual Therapy: A Case Report

  • Geumm Mi Lee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Jae Hyung Kim (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Ga Young Choi (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Jung Hee Lee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Jae Soo Kim (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Hyun Jong Lee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
  • Received : 2024.05.22
  • Accepted : 2024.06.11
  • Published : 2024.08.01

Abstract

A patient with sequelae of peripheral facial nerve palsy (FNP) was mainly treated with facial chuna manual therapy (FCMT) for over 6 months. The patient was diagnosed with hemophilia B and C, so invasive treatments, such as acupuncture and pharmacopuncture, were precluded. The facial nerve grading system 2.0 (FNGS) and the House-Brackmann Grading Scale (HBGS), Peitersen, Murata, Mehta, and numeric rating scale (NRS) systems were used to measure treatment effectiveness. Each scale showed improvement: FNGS, 3 to 2; HBGS, 3 to 2; Peitersen scale, 2 to 1; Murata scale, 9 to 4; Mehta scale, 14 to 1; and NRS, 8.5 to 2.5. An overall improvement was evident in facial muscle strength, particularly in synkinesis. If acupuncture and pharmacopuncture are unavailable, FCMT alone may be effective in treating FNP sequelae.

Keywords

References

  1. Agostini F, Mangone M, Santilli V, Paoloni M, Bernetti A, Saggini R, et al. Idiopathic facial palsy: umbrella review of systematic reviews and meta-analyses. J Biol Regul Homeost Agents 2020;34:1245-1255. doi: 10.23812/20-339-A
  2. Kim J. Facial nerve and facial paralysis. Daehanmedicine; 2020;45-287.
  3. 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. doi: 10.1080/000164802760370736
  4. Kim JS. Kim's facial chuna manual therapy. Wiz Communications Publisher; 2020;43-205.
  5. Choi JH, Yoon YS, Lee KJ, Park KS, Shin JS, Ha IH. The effect of SJS non-resistance technique-facial palsy on a patient with post-acute phase Bell's palsy unresponsive to conventional treatment: a case report. Explore (NY) 2021;17:203-207. doi: 10.1016/j.explore.2019.12.002
  6. Choi YA, Ryu SM, Lee SM, Heo YJ, Lee EY, Lee CK, et al. Effect of facial chuna manual therapy combined with Korean medicine treatmeant for Bell's palsy. J Acupunct Res 2022;39:222-228. doi: 10.13045/jar.2022.00087
  7. Son JM, Youn HS, Lee EC, Park CH, Kwon SW, Lee JY, et al. Five clinical cases of facial chuna manual therapy with Korean medicine treatment for acute Bell's palsy. J Acupunct Res 2023;40:67-77. doi: 10.13045/jar.2022.00276
  8. Choi GY, Park YK, Woo SH, Lee JH, Lee YK, Lee HJ, et al. Facial chuna manual therapy and acupuncture treatment for the sequelae of peripheral facial nerve palsy: two clinical cases. J Acupunct Res 2022;39:70-75. doi: 10.13045/jar.2021.00269
  9. Ha SJ, Kim BJ, Kim MJ. The effectiveness of Korean medicine treatment including facial chuna manual therapy for the sequelae of Bell'S palsy: four case series. J Korean Med Rehabil 2023;33:87-94. doi: 10.18325/jkmr.2023.33.2.87
  10. Park YK, Lee CI, Lee JH, Lee HJ, Lee YK, Seo JC, et al. A facial chuna manual therapy for peripheral facial nerve palsy. J Acupunct Res 2019;36:197-203. doi: 10.13045/jar.2019.00283
  11. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985;93:146-147. doi: 10.1177/019459988509300202
  12. Vrabec JT, Backous DD, Djalilian HR, Gidley PW, Leonetti JP, Marzo SJ, et al. Facial nerve grading system 2.0. Otolaryngol Head Neck Surg 2009;140:445-450. doi: 10.1016/j.otohns.2008.12.031
  13. Murata K, Nishimoto C, Ohta F. Prediction of sequelae following facial nerve palsy. ORL J Otorhinolaryngol Relat Spec 1990;52:35-39. doi: 10.1159/000276100
  14. Mehta RP, WernickRobinson M, Hadlock TA. Validation of the synkinesis assessment questionnaire. Laryngoscope 2007;117:923-926. doi: 10.1097/MLG.0b013e3180412460
  15. Lee JW, Kwon SA, Kim MJ, Song JY, Kim PK, Seo BK, et al. A study of facial palsy sequelae and evaluating scale. J Korean Acupunct Moxibustion Soc 2011;28:75-87.
  16. Robinson MW, Baiungo J. Facial rehabilitation: evaluation and treatment strategies for the patient with facial palsy. Otolaryngol Clin North Am 2018;51:1151-1167. doi: 10.1016/j.otc.2018.07.011
  17. Cooper L, Lui M, Nduka C. Botulinum toxin treatment for facial palsy: a systematic review. J Plast Reconstr Aesthet Surg 2017;70:833-841. doi: 10.1016/j.bjps.2017.01.009