• The Korean Journal of Pain
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• 제9권1호
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• pp.187-190
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• 1996

Facial nerve palsy is not an uncommon disease encountered at the department of otolaryngology or pain clinic. It usually occurs following viral infection(Bell's palsy, BP). However, it is rare to develop bilaterally, and that not simultaneously. We experienced a rare case of bilateral facial nerve palsy. Patient first experienced left side paralysis, then right side paralysis approximately two months later. We treated the patient with serial bilateral stellate ganglion blocks(SGB). When left side paralysis improved, we performed unilatertal SGB for right side paralysis. Patient was also treated with intermittent electro-acupuncture stimulations, to right side first, then left side. Four months of treatment provided good results. This may be the first case, in Korea, of facial nerve paralysis bilaterally within a certain interval, treated with serial SGB and electro-acupuncture stimulation. However, the etiology of this bilateral BP was not fully confirmed as being a cause of viral origin.

• Journal of Oral Medicine and Pain
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• 제34권3호
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• pp.317-324
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• 2009

저작근장애 환자의 근육 평가를 위해 촉진과 압력통각역치가 주로 이용되어 왔으나, 본 연구는 근육의 경도와 탄성도을 정량적으로 측정할 수 있는 촉각센서를 이용하여 저작근을 평가하고, 저작근장애가 안면표정근에 영향을 미칠 수 있는지 조사하고자 하였다. 연구 대상은 단국대학교 치과병원 구강내과를 내원한 환자 중 편측 교근에 통증과 압통이 있는 저작근장애 환자 27명으로서 평균연령 $36.4{\pm}13.8$세였다. 근통 외에 턱관절의 이상이나 다른 통증 질환을 함께 가진 환자는 제외하였다. 촉각센서는 Venustron(Axiom Co., JAPAN)을 사용하여 전측두근, 교근, 전두근, 하안륜근, 대관골근, 상하구륜근, 이근에 대한 경도와 탄성도를 측정하였다. 이환측과 비이환측의 근육 경도와 탄성도를 비교하였으며 진단에 따라 국소근동통군과 근막동통군으로 분류하여 비교하였고, 6개월을 기준으로 급성군과 만성군으로 나누어 비교하였다. 편측 저작근장애가 있는 환자의 이환측과 비이환측을 비교했을 때 이환측의 교근과 대관골근에서 근육 경도가 유의성 있게 증가하였고 탄성도는 유의성 있게 감소하였다(p<0.05). 급성군과 만성군, 국소근동통군과 근막동통군 사이에는 유의한 차이없이 이환측 교근과 대관골근에서 경도가 증가하고 탄성도는 감소하였다. 이상의 결과는 교근에 발생한 저작근통은 교근 뿐아니라 안면표정근인 대관골근의 탄성도과 경도에도 영향을 줄 수 있음을 보여준다.

• The Korean Journal of Pain
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• 제30권4호
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• pp.304-307
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• 2017

A 19-year-old male patient presented with facial hemi-atrophy with unilateral spasms of the masseter and temporalis muscles. Ultrasound therapy and Transcutaneous Electric Nerve Stimulation therapy, known as combination therapy, were given on alternate days for 2 weeks. At the end of 2 weeks of combination therapy the patient reported a drastic reduction in the number of episodes of muscle spasm. The visual analog scale score for tenderness of the masseter and temporalis was also markedly reduced. No one has previously used combination therapy for the treatment of facial hemi-atrophy with hemi-facial spasms. The encouraging results of the combination therapy has prompted us to document this study.

• Journal of Oral Medicine and Pain
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• 제26권2호
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• pp.157-160
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• 2001

Facial nerve paralysis(or Bell's palsy) which commonly occurs unilaterally, gives rise to paralysis of facial expression muscle. This condition is classified into symptomatic facial nerve paralysis due to intracranial tumor, post operative trauma, etc. and idiopathic facial nerve paralysis. To explain the etiology of idiopathic facial nerve paralysis, many hypothesis including ischemic theory, viral infection, exposure to cold, immune theory etc. were suggested, but there is no agreement at this point. The method to evaluate the facial nerve paralysis, when it occurs, consists of three stage scale method, image thechnics like CT and MRI, laboratory test to examine the antibody titers of viral infection, neurophysiologic test to evaluate the degree and prognosis of paralysis. Treatment includes medication, stellate ganglion block(SGB), surgery, physical therapy and other home care therapy. In medication, systemic steroids, vitamins, vasodilating-drug and ATP drugs were used. SGB was also used repeatedly to attempt the improvement of circulation and to stimulate the recovery of nerve function. Physical therapy including electric acupuncture stimulation therapy(EAST) and hot pack was used to prevent the muscle atrophy. When No response was showed to this conservative therapies, surgery was considered. After treating two patients complaining of Bell's palsy with medication(systemic steroids) and EAST, favorable result was obtained. so author report the case of facial nerve paralysis.

• The Korean Journal of Pain
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• 제19권1호
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• pp.104-106
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• 2006

Tolosa-Hunt syndrome is a rare self-limiting disease that's characterized by painful ophthalmoplegia. It has a relapsing and remitting course, and the pain responds promptly to systemic corticosteroid therapy. Yet it is diagnosed by the exclusion of other major causes involving the superior orbital fissure or cavernous sinus, including trauma, neoplasm, aneurysm and inflammation. Further, the associated ophthalmoplegia may follow days to weeks after the onset of orbital or hemifacial pain. Hence, this condition is often misdiagnosed as atypical facial pain, and so improper management could result in unnecessary suffering of the patient. The following case describes a patient suffering with hemifacial pain associated with ipsilateral abducens nerve palsy, which was evident 2 weeks after the onset of pain, and this was misdiagnosed as trigeminal neuralgia and atypical facial pain.

• The Korean Journal of Pain
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• 제26권1호
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• pp.62-64
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• 2013

Hemifacial spasm is defined as unilateral, involuntary, irregular twitching of all or parts of the muscles innervated by facial nerves. Here, we present a case of recurrent hemifacial spasm after microvascular decompression (MVD) treated with pulsed radiofrequency (PRF) treatment with good results. A 35-year-old woman suffered from recurrent hemifacial spasm after MVD that was refractory to medical treatment and botulinum toxin injections. We attempted a left facial nerve block twice. Then, we applied PRF at a maximum temperature of $42^{\circ}C$ for 120 sec. Some response was observed, so we applied PRF two additional times. The frequency of twitch decreased from 3-4 Hz to < 0.5 Hz, and subjective severity on a visual analogue scale also decreased from 10/10 to 2-3/10. PRF treatment might be an effective medical treatment for refractory hemifacial spasm and has fewer complications and is less invasive compared with those of surgery.

• 구강회복응용과학지
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• 제37권2호
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• pp.81-87
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• 2021

목적: 특발성 안면 통증 환자에서 수면 이갈이의 임상적 특징을 알아보기 위함이다. 연구 재료 및 방법: 특발성 안면 통증을 호소한 210명의 환자 중 수면 이갈이가 존재하는 28명의 환자의 성별, 나이, 통증의 기간, 위치 및 강도, 통증에 영향을 받은 부위를 포함한 차트 분석을 시행하였다. 결과: 특발성 안면 통증이 있는 수면 이갈이 환자는 남성(14.3%)보다 여성(85.7%)이 많았다. 평균 연령은 48.9세였으며 가장 흔한 안면 통증 부위는 우측 상악 치아(28.6%)와 하악 치아(25.0%) 부위였다. 2개의 치아에 통증이 발생한 경우가 가장 많았으며(50.0%), 1개 치아(28.6%), 3개 치아 이상(21.4%) 순으로 통증이 나타났다. 평균 통증 강도는 visual analogue scale (범위: 0 - 10) 기준 5.9였다. 20명의 환자에서 통증은 자발통의 양상으로 나타났으며(71.4%), 평균 통증 기간은 24.4개월이었다. 결론: 특발성 안면 통증 환자에서 수면 이갈이가 있는 환자들의 임상적 특징은 다양한 특발성 안면 통증 환자의 진단에 유용할 수 있으며, 상기 통증을 줄이기 위해 시행하는 불필요한 치료를 감소시키는데도 효과적이다. 보다 체계화된 진단 방법 및 개발을 위한 치료 지침을 위해 후속 연구는 충분한 기간 및 다수의 환자를 대상으로 진행될 필요가 있을 것이다.

• 대한한방내과학회지
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• 제40권5호
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• pp.760-767
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• 2019

Objective: This study reports the efficacy of using integrative Korean medicine treatments for a patient with facial paralysis and accompanying trigeminal neuralgia. Methods: A 45-year-old male patient with left side facial palsy and facial pain due to Bell's palsy with trigeminal neuralgia was treated with herbal medicine, acupuncture, pharmacopuncture, and cupping for 18 days. The treatment effect was evaluated by measuring the scores for the numerical rating scale (NRS) of facial pain, the House-Brackmann scale, and the Yanagihara scale. Results: After the hospital treatment, the patient's facial pain NRS score was decreased, and the House-Brackmann scale and Yanagihara scale scores improved after the administration of the Korean medicine treatments. Conclusions: The integrative Korean medicine treatments appeared to be effective in treating facial nerve palsy and associated trigeminal neuralgia.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제40권5호
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• pp.246-249
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• 2014

Eagle syndrome is a rare condition caused by elongation of the styloid process or calcification of the stylohyoid ligament. Patients with Eagle syndrome typically present with dysphagia, dysphonia, cough, voice changes, otalgia, sore throat, facial pain, foreign body sensation, headache, vertigo, and neck pain. Here we report a case in which the patient initially presented with sore throat, left-sided facial pain, and cough. This case report provides a brief review of the diagnosis and nonsurgical management of this rare syndrome.

• Journal of Acupuncture Research
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• 제40권4호
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• pp.319-328
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• 2023

Facial nerve palsy refers to sudden, unilateral lower motor neuron facial paralysis. This study aimed to determine the importance of neck treatment in the treatment of facial paralysis. A literature search was performed on six online databases and other sources until January 15, 2023. A total of 426 papers were retrieved. After excluding duplicated and inconsistent papers, papers not including cervical treatment, and experimental papers on animals, two papers were finally selected. The type of treatment method, therapeutic effects, assessment of the risk of bias in randomized controlled trials, and non-randomized controlled trials and side effects were evaluated. Chiropractic, manual therapy, facial meridian massage, and acupotomy were applied to the face and cervical spine region. The results showed that each treatment had a significant therapeutic effect through evaluation index measurement methods, such as the visual analog scale and Yanagihara's unweighted regional grading system. This study demonstrated the importance of the cervical spine area in the treatment of facial paralysis. However, this study has many limitations. Thus, high-quality randomized controlled comparative studies on the treatment of the cervical spine area only or studies that include cervical spine area treatment as an interventional treatment while performing oriental or comprehensive treatment are needed.