• 동의신경정신과학회지
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• 제28권2호
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• pp.83-94
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• 2017

Objectives: The purpose of this study was to conduct a characteristic study on Bell's palsy patients using the Core Seven Emotion Inventory (CSEI) followed by correlation analysis with BAI and BDI. Methods: This study was conducted by analyzing medical records of 30 patients that had visited ${\bigcirc}{\bigcirc}$ University Oriental hospital and completed the Core Seven Emotions Inventory (CSEI), BAI and BDI. A total of 30 patients diagnosed with Bell's palsy were analyzed using SPSS (Statistical Package for the Social Science, IBM, United States of America, Version 22.0). Descriptive statistics, Independent t-test, One-way repeated measure, ANOVA and Pearson Correlation analysis were used for data analysis. Results: 1. Kyeong (驚), Bi (悲) and Gong (恐) emotions were relatively higher than U (憂), Hui (喜). 2. According to sex, female patients exhibited higher Kyeong (驚) and Gong (恐) emotions than male patients. 3. According to age, patients older than 60 exhibited higher Hui (喜) emotion than patients younger than 59. 4. According to the correlation between prognosis and age in patients older than 60 revealed negative correlation in Kyeong (驚) and Gong (恐) emotions. Conclusions: Using the Core Assessment Instrument based on Chiljeong for Bell's palsy patients is effective relative to diagnostic and clinical aspects of Bell's palsy.

• 한방안이비인후피부과학회지
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• 제16권1호
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• pp.130-140
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• 2003

Objectives : Lately the oriental medical treatment of Bell's palsy is various. In various treatments. this study reports the effect of our clinical treatment using aqua-acupuncture with hominis placenta and electroacupuncture treatment for Bell's palsy, The other purpose of this study is to compare the outcome of inpatient group with that of outpatient group. Materials and Methods : From March 1, 2003 to June 30, 2003, we observe 25 patients who visited to the department of oriental medical surgery, ophthalmology & otolaryngology, in oriental medicine hospital Sang-ji university with Bell's palsy. limited to patients who receive treatment more than 5th times and 4 weeks poured aqua-acupunture with homonis placenta both inpatient group and outpatient group, Inpatient group used electroacupunture treatment after 1 week after onset and outpatient group used electroacupunture treatment after 4 weeks after onset. Results and Conclusions : 40$\%$ were male and 60$\%$ female. Of 25 cases. 30's and 50's were 24$\%$ respectively, 40's, 60's and over 70 were 16$\%$ respectively, 20's were 4$\%$. 50$\%$ of male and 60$\%$ of female had the affected side at left side and right occured at 50$\%$ of male and 40$\%$ of female. The most common cause of Bell's palsy was nonspecific 36$\%$, followed by labor 28$\%$, stress 20$\%$, In 48$\%$ of all cases, 2~3 days were spent before a patient visited the hospital after onset, followed by 4~7 days (24$\%$), 44$\%$ were treated 11~20 times followed by those who received 21~30 times (28$\%$). The results of treatment with aqua-acupunture wth hominis placenta and electroacupunture treatment showed that 21 of 25(84$\%$) patients achived fair or more recovery. the overall therapeutic rate of inpatient group was 90.9$\%$, which was higher than that of outpatient group(78.6$\%$).

• 대한의료기공학회지
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• 제15권1호
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• pp.109-136
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• 2015

Objects : The purpose of this study is to investigate the effect of Su-Gi therapy for Bell's palsy by using Y-system(Yanagihara's unweighted grading system). Methods : We investigated 25 patients with Bell's palsy who had visited in the M, H Korean medicine hospital in Gyeonggi Province from December 27th, 2010 to April 8th, 2015. The Su-Gi therapy was done by 1 times daily. And each patients had been treated more than 25 days. We evaluated the change of them by using Y-system. Results : 1. We investigated 25 patients with Bell's palsy. 80% of the patients were females(20 patients), 20% of the patients were male(5 patients). The average age of patients was 47±15.15. The average period of Adm. treatment was 64% of the patients(16 patients) have left facial palsy, 36% of the patients(9 patients) have right facial palsy. 2. The mean Y-system score before treatment was 17.80±6.2, and the mean score after 25th days treatment was 33.68±4.0. Changes in the mean Y-system Score for each case according to the treatment days was increased significantly. 3. The mean Y-system score after 4th days treatment had increased by an 1.24±2.7 as compared to before treatment, the score after 10th days treatment was 8.7±4.7, the score after 14th days treatment was 11.84±5.8, the score after 20th days treatment is 14.72±6.7, and the score after 25th days treatment was 15.88±6.9. Every score was significantly increased. Conclusions: 1. Su-Gi therapy can be defined that is mainly using the hands to touch or movement of the human body skin, meridians and acupuncture points, muscles, joints and so on. And that is the treatment to communicate and harmonize to the meridians and acupuncture points, and to prevent of diseases, and to keep health. 2. All names of An-Gyo, An-Ma, Jum-Hyul, Chu-Na, massage, and so on should be referred to as Su-Gi therapy. And that individual names are to be classified and separated as the type or method of Su-Gi therapy. 3. The results of the treatment of Hwidam's Su-Gi therapy for Bell's palsy by using Y-system were significant.

• Annals of Clinical Neurophysiology
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• 제10권1호
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• pp.38-42
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• 2008

Background: Idiopathic facial nerve palsy, or Bell's palsy (BP), is a common and important disease. Recurrent Bell's palsy has been known as a rare entity with only a few cases in the literature. Methods: A total of 111 consecutive patients with acute BP patients were enrolled at Daegu Catholic University Hospital from July 2005 to March 2007. We classified the patients into two groups - single BP and recurrent BP - and compared them by demographic data, clinical features, MRI findings and prognosis. The degree of BP was graded according to the House and Brackmann facial nerve grading system. Results: Recurrent BP was observed in 10 (9%) patients. The number of recurrence was varied from 2 to 5. The mean age of first attack in recurrent BP was $35.70{\pm}23.65$ years old and was earlier than that of the single BP ($50.94{\pm}16.21$ year). The larger proportion of the single BP had an abnormal enhancement of affected facial nerve (91.3%) than the recurrent BP (50%). The recurrent BP showed worse prognosis than the single BP. The associated conditions, etiology, and clinical features were similar between two groups. Conclusions: In comparison with single BP, recurrent BP showed earlier onset of first BP attack, less frequent abnormal enhancement of facial nerve on MRI, and worse prognosis.

• 대한약침학회지
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• 제6권2호
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• pp.91-104
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• 2003

Objective : This study was carried to make out the connection between cerebral artery blood flow velocity and ischemic theory that presumed the cause of Bell's palsy. Method : We measured cerebral artery blood flow velocity each external carotid artery, internal carotid artery, common carotid artery, siphon, superficial temporal artery by TCD to 20 patients who diagnosed as facial nerve palsy from march 2001 to July 2001 and all objectives devided two groups as palsy side. A group is right side facial nerve palsy and B group is left facial nerve palsy. Results : 1. There is no effective change of blood flow in external carotid artery either A, B group. 2. There is no effective change of blood flow in internal carotid artery either A, B group. 3. There is no effective change of blood flow in common carotid artery either A, B group. 4. There is no effective change of blood flow in siphon artery either A, B group. 5. There is no effective change of blood flow in superficial temporal artery either A, B group.

• Clinical and Experimental Pediatrics
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• 제50권3호
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• pp.272-276
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• 2007

목 적 : 벨 마비(Bell's palsy)는 특별한 원인이나 외상없이 얼굴 근육의 움직임을 지배하는 제7번 뇌신경에 이상이 생겨 안면운동이 마비되는 질환으로, 70-80%는 수일 또는 수 주일에 걸쳐 완전히 회복되나 일부는 후유증을 남긴다. 우리나라에서 소아의 벨 마비의 임상적 고찰에 대한 보고서가 부족한 상황이다. 이에 본원에서는 소아에서 나타난 벨 마비의 임상 양상과 나이에 따른 예후를 알아보고자 본 연구를 시행하였다. 방 법 : 1998년 1월부터 2006년 7월까지 원광대학병원에 안면마비를 주소로 내원한 15세 이하의 소아 61명을 대상으로 남녀 비율, 좌우 비율, 계절별 발생빈도, 치료 기간, 나이에 따른 완치율 등을 후향 적으로 분석하였다. 결 과 : 총 61명 중 남아는 31명, 여아는 30명으로 차이는 없었으며 좌우 병변 부위의 비율은 1:1.44 로 우측이 우세하였다. 월별에 따른 발병 빈도는 3개월(12월, 1월, 2월)에 22(36.0%)명으로 다른 월보다 높은 발병률을 보였다. 스테로이드 치료에 따른 완치 정도 및 완전 회복기간에 있어 유의한 차이는 없었다. 하지만 6세 미만에서 6세 이상에 비하여 완전 회복 기간이 4주 미만인 경우가 유의하게 많았다. 결 론 : 본 연구에서 소아 벨 마비의 발병빈도는 겨울에 높았고 예후는 나이가 어릴수록 좋았다.

• Journal of Acupuncture Research
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• 제21권4호
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• pp.125-134
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• 2004

Objective : The study was designed to evaluate the effects of treatment of Bell's palsy patients with posterior ear pain by the Sa-Am acupuncture. Methods : From December 5th 2003 to May 22th 2004, the clinical comparison studies were carried out 30 cases of Bell's palsy patients with posterior ear pain treated by Sa-am acupuncture Sojangjeonggyeok(Group 1) & General acupuncture(Group 2), who had been treated in Dept. of acupuncture and moxibustion, Oriental Medical Hospital, Dae-Jeon University. Results : The result obtained as follows; 1. There was no significant difference between the two groups in the degree of improvement by H-B grade(p>0.05). 2. Group 1 is more effective than Group 2 in the VAS score after 5, 10 days of each treatment about mastoid pain($p{\leq}0.05$). Conclusion : In this study, although Sa-am acupuncture Sojangjeonggyeok was effective treatment of the posterior ear pain, there was no significant difference between the Group 1 and Group 2 in the degree of improvement of facial palsy. So further research is needed continuously.

• 한방안이비인후피부과학회지
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• 제16권2호
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• pp.189-211
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• 2003

The clinical data and thermographic imaging were analyzed on the 38 cases of Bell's palsy who were treated admission in the Oriental Medicine Hospital of Wonkwang University from January 2002 to May 2003. 38 patients with Bell's palsy were within one week after the onset of the paralysis, and thermal type in the DITI were hypo or hyper generally. Nerve conduction test(ENOG and EMG) examined in two weeks after onset. We studied interaction effect between thermal type and paralysis grade on admission day. We studied each main effect ; paralysis grade on admission day - nerve conduction test, nerve conduction test - thermal type, thermal type - paralysis grade after 4 weeks, paralysis grade on admission day - paralysis grade after 4 weeks, sasang constitution - nerve conduction test. The following results were obtained that interaction effect between thermal type and paralysis grade on admission day showed no significance, each main effect ; paralysis grade on admission day - nerve conduction test, paralysis grade on admission day - paralysis grade after 4 weeks, showed significance, each main effect ; nerve conduction test - thermal type, thermal type - paralysis grade after 4 weeks, sasang constitution - nerve conduction test, showed no significance.

• Annals of Clinical Neurophysiology
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• 제7권2호
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• pp.114-116
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• 2005

Idiopathic facial nerve palsy, or Bell's palsy(BP) is an acute paralysis of the facial muscles innervated by the seventh cranial nerve. The cause and prognosis of recurrent BP are various. The frequency and heterogenicity of etiology suggest a predisposing factor or immune mechanisms. About 10% to 15% of patients with BP will suffer a recurrence, and less than 1.5% will have more than 4 episodes. We report four patients of chronic recurrent BPs.

• The Korean Journal of Pain
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• 제2권1호
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• pp.49-56
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• 1989

Bell's palsy is not a serious disease and recovery is spontaneous in more half of the patients, but this recovery is long delayed in many instances and the cosmetic effect of an altered facial appearance is psychologically distressing. The etiology is unknown, but Kettle's ischemic hypothesis has been widely accepted. The aim of treatment is to reduce edema and improve circulation to the facial nerve. Stellate ganglion block (SGB) resulted in abolishing cerebral vascular spasm and in increasing cerebral blood flow. Thus, stellate ganglion block is effective in treatment of Bell's palsy. From 1978 to Oct. 1988, we have treated 222 patients (20 patients were recurred cases) with facial palsy by SGB and analysed the effect of SGB. We noticed that SGB was very effective in early repetitive treatment (90% recovery). This study is reported and the literature is reviewed.