• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제26권3호
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• pp.313-317
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• 2000

Return of facial nerve function is important in patients with facial nerve paralysis by trauma. Sometimes, delay in diagnosis of facial nerve paralysis make recovery of facial nerve function difficult. Traumatic facial palsy mostly occur after temporal bone fracture in unilateral. Temporal bone fracture after head trauma are divided into the three group; longitudinal fracture, transverse fracture and mixed fracture. The most common symptoms are hearing impairment, bloody otorrhea, loss of consciousness and facial nerve paralysis. The early care of temporal bone fracture involves facial nerve paralysis. And there has been many discussion and study in the treatment of the immediate or delayed facial palsy ; examply, surgical approach, time and methods. We have managed a patient with unilateral facial nerve paralysis after longitudinal temporal bone fracture in mastoid process and conservative facial nerve decompression was performed. We have obtained good result and report this case with review of literatures.

• 한국산학기술학회논문지
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• 제17권2호
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• pp.123-128
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• 2016

본 연구는 안면부 신경병증 통증 모델에서 간극결합을 분리하는 Carbenoxolone(CBX)과 P2X 수용체의 길항제(iso-PPADS)의 진통작용을 확인하고자 수행되었다. 실험동물은 Sprague-Dawley계 수컷 흰쥐(240~280g)를 사용하였으며, 안면부 신경병증 통증을 유발하기 위해 흰쥐의 하악 왼쪽 두 번째 어금니를 발거하고, 아랫 이틀신경의 손상을 유도하기 위해 소형 치과용 임플란트를 식립하였다. CBX를 복강으로 하루 2번 투여 했을 때, 25ug/kg에서 유의한 진통반응이 나타났다(p<0.05). iso-PPADS 역시 복강으로 하루 2번 투여 했을 때, 25ug/kg에서 유의한 진통반응이 나타났다(p<0.05). 두 약물의 각각의 효과가 나타나지 않은 저 농도에서 함께 투여하였을 때, CBX 1ug/kg, iso-PPADS 2.5ug/kg를 투여 시 유의한 진통 효과가 나타났다(p<0.05). 저 농도의 CBX를 이용한 간극결합의 차단과 저 농도의 P2X 수용체의 길항제를 함께 투여 시 구강 안면신경병증통증기전에서 통증을 억제하는 효과를 확인할 수 있었다. 이러한 결과를 통하여 CBX를 이용한 간극결합의 차단과 P2X 수용체의 길항제의 투여가 안면부 통증조절에 중요한 역할을 담당할 것으로 사료된다.

• Journal of Oral Medicine and Pain
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• 제36권4호
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• pp.253-259
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• 2011

Numb chin syndrome (NCS)은 드문 신경병증으로 이신경이 지배하는 구강안면 영역의 감각둔화를 특징으로 한다. 이러한 신경병증은 비록 드물지만 악성종양과의 관련성 때문에 임상적으로 중요한 의의를 지닌다. 심지어 이러한 구강안면의 증상이 악성종양의 첫 번째 증상으로 나타나는 경우도 있기 때문에 악성종양의 조기발견을 위해서 치과의사의 특별한 관심이 요구된다. 따라서 특별한 원인 없이 이부의 감각마비를 호소하는 경우에는 진단되지 않은 악성종양의 존재 가능성을 염두에 두어야 하며, 이에 대한 조사가 필요하다. 저자들은 구강안면부에서 갑자기 발생한 찌르는 것 같은 통증과 하악 이부 부위의 감각마비를 주소로 경북대학교병원 구강내과에 내원한 환자가 미만성 큰 B-세포 림프종으로 진단된 사례를 보고하는 바이며, 이를 통해서 NCS 진단의 중요성을 강조하고자 한다.

• The Korean Journal of Pain
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• 제12권1호
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• pp.128-131
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• 1999

Stellate ganglion block is a well established method for the management of certain pain syndromes (e.g., chronic regional pain syndrome, facial pain) in the cervicothoracic region and upper extremity. The stellate ganglion resides between the C7 transverse process and the head of the first rib. Anesthetic injections for the stellate ganglion block are typically made at the level of the transverse process of either the C6 or C7 vertebrae to avoid the pleura, vessels, and nerve roots. Method of positioning the needle tip directly at the ganglion has been described, but are problematic because of the risk of injury to or injection into adjacent structures. It is necessary to know the exact anatomic position of the stellate ganglion when permanent blockade is required by means of radiofrequency thermocoagulation. Whereas fluroscopy shows only bony feature, computerized tomography also images nerves, vessels, and lung, allowing accruate needle placement. We report a case of the percutaneous radiofrequency thermocoagulation of the stellate ganglion after computerized tomography-guided localization.

• Journal of Acupuncture Research
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• 제22권4호
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• pp.121-129
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• 2005

Objectives : This study was to evaluate the effect of electroacupuncture on symptoms of peripheral facial paralysis. Methods : We investigated 34 cases of patients with Peripheral Facial Paralysis. We flip a coin and divide into two groups. Electroacupuncture was performed at one group, and the other group didn't do it. we evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System. Results : 1. In Pain back of the ear, we found that two groups have no significant differences. 2. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after 2weeks was marked higher than that before treatment and treatment score after 4weeks treatment was higher than treatment score after 2weeks within each group. 3. After 4weeks treatment, electroacupuncture group showed significant difference on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with acupuncture group. Conclusion : These results suggested that electroacupuncture treatment should be more effective in the patient with peripheral facial paralysis.

• Journal of Acupuncture Research
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• 제30권3호
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• pp.51-59
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• 2013

Objectives : This study was designed to evaluate clinical evidence of acupuncture treatment for peripheral facial palsy in South Korea. Methods : All process was independently proceeded by two investigators. Literature search was performed in 9 databases from their inception to February 2013. Searched reports was twice excluded for title, abstract and body. And then, data extract and analysis was done before assessing risk of bias by Cochrane Handbook. Results : 10 randomized controlled trials(RCT) were finally included. 4 RCT handled postauricular pain with facial palsy. All articles at least used in combination with two treatments. Interventions like pharmacopuncture, electroacupuncture, scalp acupuncture etcetera were conducted as treatment to evaluate efficacy, and some study reported advantageous effects of treatment group compared to baseline or control group. Adverse events didn't referd to in any studies. In assessing risk of bias, indefinite and uncertain information made all included trials to have a high risk of bias. Conclusions : Because of methodological deficit, there is no sufficient evidence to allow any conclusion about the efficacy of acupuncture for peripheral facial palsy. Therefore, well designed trials with high quality is needed from now on.

• 한방안이비인후피부과학회지
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• 제14권2호
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• pp.198-206
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• 2001

Recurrent Bell's palsy is a very rare case and have been reported that shows the incidence to be approximately 10 per cent in the Bell's palsy patents. It is generally accepted that facial paralysis caused by compression of the facial nerve by tumor develops slowly and has an unremitting course, however, reported cases have described the rare association of recurrent facial paralysis and intracranial tumor, and the same recovery rate. Usual symptoms of Bell's palsy include subacute facial palsy, hyperacusis on the affected side, postauricular pain on the affected side, altered sensation of taste, and partial trigeminal distribution hypesthesias. Complete resolution of symptoms is usually seen in 2-3months in $75-85\%$ of cases, with $25-35\%$ showing varying degrees of residual effects. We report a case of 4th ipsilateral recurrent Bell's palsy in a 14-year-old women, which was occurred in every winters. We treated her with acupuncture, moxibustion, herbal medication, carbon and silver spike point, and used House-Brackmnn grading system(HBGS) and the Fisch Detailed Evaluation of Facial Symmetry(DEFS) to assess the degree of paralysis in each part of face.

• The Korean Journal of Pain
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• 제9권2호
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• pp.423-425
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• 1996

Tic convulsif is a syndrome restricted to paroxysmal dysfunction of the fifth and seventh cranial nerves. It occurs predominantly in women over the age of 50 years and is usually associated with an ectatic vertebrobasilar artery - less frequently an arteriovenous malformation or cholesteatoma - which compresses the trigeminal and facial nerve roots in the postetior fossa. In rare instances this syndrome may be caused by brain tumor. Because of the high incidence of posterior fossa lesions in painful tic convulsif, a complete neurological evaluation including computerised transaxial tomography should be performed in every case. We experienced a case of trigeminal neuralgia(mandibular division)and contralateral hemifacial spasm.

• The Korean Journal of Pain
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• 제8권2호
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• pp.304-307
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• 1995

1,666 patients treated by nerve block from September 1994 to August 1995 we statistically analyzed according to sex, age, diseases, and kinds of nerve blocks. Most patients were in the range from 30 to 60 year old, with a distribution of 43.9% male and 56.1% female. Diseases and ailments were as follows: low back pain 30.6%, frozen shoulder 14.0%, facial spasm 10.0%, cervical syndrome 9.7%, headache 7.3%, and hyperhidrosis 7.2%. Most common nerve blocks were stellate ganglion block 30.9%, epidural block 25.6%, trigger point injection 16.1%, and suprascapular nerve block 6.7%. Nerve blocks under fluoroscopic guide were as follows: facet joint block 28.6%, spinal root block 22.9%, thoracic sympathetic ganglion block 21.7%, and lumbar sympathetic ganglion block 15.4%.

• Journal of Oral Medicine and Pain
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• 제44권3호
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• pp.123-126
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• 2019

Vestibular schwannoma, also known as acoustic neuroma, is a rare benign brainstem tumor surrounding the vestibular division of the 8th cranial nerve. The presenting symptoms are hearing loss, tinnitus, and dizziness. Unabated growth can compress 5th (trigeminal nerve) and 7th (facial nerve) cranial nerve, which can cause nerve dysfunction such as orofacial pain, sensory abnormalities, or trigeminal neuralgia. We report a 51-year-old woman who presented with orofacial dysesthesia on her left side of the face with abnormal findings on 5th cranial nerve and 8th (vestibulocochlear nerve) cranial nerve examination. Brain magnetic resonance imaging scan revealed cerebellopontine angle tumor. She was referred to a neurosurgeon and diagnosed with vestibular schwannoma.