• Title/Summary/Keyword: Peripheral Facial paralysis

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The Clinical investigation studies in peripheral facial paralysis using Needle-Embedding Therapy (매선침법(埋線鍼法)을 이용한 구안와사 치료에 대한 임상적 고찰)

  • Kang, Eun-Kyo;Kim, Ji-Hyon;Seo, Hyeong-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.2
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    • pp.118-127
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    • 2009
  • Objectives : This study was performed to investigate the effect of Needle -Embedding Therapy in peripheral facial paralysis. Methods : We investigated 12 patients with peripheral facial paralysis. The patients were treated by basic oriental medicine treatment. Especially Needle-Embedding Therapy was added. We evaluated the effect of Needle-Embedding Therapy by using Yanagihara's unweighted grading system from baseline to final. Results : 1. The final Yanagihara's scores were higher than those of baseline. 2. The longer Needle Embedding Therapy period and the higher the number of the therapy repeated, the greater the effectiveness of the therapy. Conclusions : 1. Needle-Embedding Therapy was efficacious in peripheral facial paralysis. 2. Further studies will be required to identify the beneficial effect of Needle- Embedding Therapy in peripheral facial paralysis.

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2 Case Study Reportings Using Hyeongbangjihwang-tang of a Soyangin Patient Diagnosed with Peripheral Facial Paralysis (형방지황탕(荊防地黃湯)으로 호전된 소양인(少陽人) 말초성 안면신경마비 환자 치험 2례)

  • Jeong, Hae-Yeon;Lee, Sung-Jin;Ham, Seong-Hun;Lim, Eun-Chul
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.2
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    • pp.124-133
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    • 2013
  • Objectives We report a series of 2 treatment cases with Hyeongbangjihwang-tang which is based on Sasang Constitutional Medicine for peripheral facial paralysis in Soyangin. Methods We prescribed Hyeongbangjihwang-tang for their physical symptoms. The improvement of their peripheral facial paralysis was evaluated. Results After the Hyeongbangjihwang-tang was given, the patient's peripheral facial paralysis and physical symptoms were improved. Conclusions These case-studies showed an efficient result of using Hyeongbangjihwang-tang in the peripheral facial paralysis of Soyangin.

Facial Nerve Decompression via Middle Fossa Approach : Report of Three Cases (말초성 안면마비에서 중두개와 접근법에 의한 안면신경 감압술 : 3례 보고)

  • Cho, Joon;Park, Sung-Ho;Kim, Jae-Young
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.479-485
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    • 2001
  • Objective : Several conservative treatments have been tried in peripheral facial nerve paralysis, because 80% of patients recover spontaneously. Surgical decompression may be helpful to the residual, medically intractable patients. We present here our experiences of facial nerve decompression via middle fossa approach, which seems to be one of good surgical therapeutic options for medically refractory peripheral facial nerve paralysis. Method : Three cases of medically intractable peripheral type facial paralysis were microscopically operated via middle cranial fossa approach to decompress the labyrinthine segment of the facial nerve and geniculate ganglion by searching landmarks of middle meningeal artery, greater superficial petrosal nerve and facial hiatus. Results : After operation, two cases of Bell's palsy improved substantially and one case of post-traumatic facial paralysis improved partially. Conclusion : This report is presented to describe the surgical facial nerve decompression via middle fossa for early control of peripheral type facial paralysis. Surgical decompression of edematous peripherally paralysed facial nerve could be preferred to conservative treatment in some patients although more surgical experience should be required.

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Efficacy of Soyeom Pharmacopuncture on Postauricular Pain Accompanied with Peripheral Facial Paralysis (말초성 안면신경마비에 동반된 이후통에 대한 소염약침의 치료 효과)

  • Shin, Hee-Woong;Kang, Jae-Hui;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.26 no.6
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    • pp.41-49
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    • 2009
  • Objectives : This study was designed to evaluate the effect of Soyeom Pharmacopuncture on postauricular pain accompanied acute peripheral facial paralysis. Methods : We observed thirty peripheral facial palsy inpatients with postauricular pain at Cheonan oriental hospital of Daejeon university from Jan. 1st, 2009 to July 31th, 2009. These inpatients were divided into two groups; Group A was treated using general treatment and Group B was treated using general treatment and Soyeom Pharmacopuncture on the posterior ear area. Results : 1. Postauricular pain was significantly decreased in Group B. 2. Duration of postauricular pain was significantly reduced in Group B. 3. Improvement of facial paralysis was not significantly different between Group A and Group B. Conclusions : Soyeom Pharmacopuncture has significant effects on a postauricular pain accompanied with peripheral facial paralysis.

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Influence of Dysgeusia on Prognosis of Peripheral Facial Paralysis (미각장애(味覺障碍)가 말초성안면신경마비(末梢性顔面神經麻痺)의 예후에 미치는 영향)

  • Yang, Ka-Ram;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.24 no.3
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    • pp.1-8
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    • 2007
  • Objectives : This study was to evaluate the influence of dysgeusia on prognosis of peripheral facial paralysis. Methods: We investigated 40 cases of patients with Peripheral Facial Paralysis, and classified them as existence of dysgeusia. we evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System before treatment and after final treatment. Results: 1. Postauricular pain showed the highest frequency in symptoms at onset. 2. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after final treatment was marked higher than that before treatment within each group. 3. After final treatment, non-dysgeusia group showed signficant difference on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with dysgeusia group. Conclusions: These results suggested that non-dysgeusia group should be get better than dysgeusia group in the patient with peripheral facial paralysis.

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Effect of Cupping Complex Therapy on Peripheral Facial Paralysis (말초성 안면신경마비에 대한 섬관법 복합치료 효과)

  • Oh, Hyun-Jun;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.28 no.4
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    • pp.119-125
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    • 2011
  • Objectives : This study was to investigate the effectiveness of cupping therapy on peripheral facial paralysis. Methods : We investigated 39 cases of patients with peripheral facial paralysis, and devided patients into two groups : We treated one group by complex oriental medical treatment with cupping therapy, and did the other group by complex oriental medical treatment without cupping therapy. To evaluate the effectiveness of treatment applied for two groups, we used gross grading system of House-Brackmann(HB score), Yanagihara's unweighed grading system(Y score) at baseline and final. Results : 1. In cupping group and non-cupping group, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, cupping group showed significant decrease on HB score and significant increase on Y score compared with non-cupping group. Conclusions : Cupping therapy can be available for relieving symptoms related with peripheral facial paralysis.

A Comparative Study on the Effect of Cupping Therapy Combined with Korean Medicine Treatment in Peripheral Facial Paralysis

  • Choi, Chul-Hoon;Kim, Deok-Hyun;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.35 no.4
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    • pp.187-192
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    • 2018
  • Background: The aim of this study was to compare the effects of different cupping therapy methods combined with Korean medicine treatments for peripheral facial paralysis. Methods: 105 patients treated for peripheral facial paralysis with cupping therapy and other Korean medicine treatment at Gil Korean medicine hospital, Gachon University between May 19, 2014 and June 30, 2018 were selected and their medical charts retrospectively analyzed. 48 patients who met the inclusion criteria were divided into 2 groups: wet cupping (WC) therapy, or dry cupping (DC) therapy combined with Korean medicine treatment. The duration of treatment ranged from 2 weeks for inpatient treatment to 2 months for outpatient treatment. Both WC and DC therapy were performed on TE13, 3 times per week during the treatment period. The effect of cupping therapy was evaluated by using the Gross Grading System of the House-Brackmann (HB score) and the Yanagihara's Unweighted Grading System (Y score). Results: For both WC and DC treatment of symptoms related to peripheral facial paralysis, HB scores showed a significant decrease and Y scores showed a significant increase from baseline to end of treatment, indicating a beneficial improvement in patient symptoms for both WC and DC. Conclusion: In this study, both DC and WC treatment had significant improvements on peripheral facial paralysis symptoms, with WC having significantly greater beneficial effects than DC.

The Influence of Moxibustion and Basic Compound Therapy on Peripheral Facial Paralysis (말초성안면신경마비(末梢性顔面神經麻痺) 구치료(灸治療) 및 복합치료(複合治療)가 미치는 영향(影響))

  • Kwon, Soon-Jung;Song, Ho-Sueb;Kim, Kee-Hyun
    • Journal of Acupuncture Research
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    • v.17 no.4
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    • pp.160-171
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    • 2000
  • Thirty cases were observed among the peripheral facial paralysis patients who admitted. the Department of Acupuncture and Moxibustion of Seoul Oriental Hospital between Feb. 2nd, 1995 and Aug. 14th, 2000. These patients were divided into two groups; the first group was treated with indirect facial moxibustion., while the second with basic oriental-westem medicine treatment. Object : To improve the therapeutic rate of peripheral facial paralysis by applying basic oriental-western medicine treatment and indirect facial moxibustion. Method : Inpatients suffering from peripheral paralysis of facial nerve were divided into two groups; both groups recieved basic oriental-western medicine treatment; the experimental group additionally received indirect facial moxibustion onto Tuyu(頭維) and Chich'ang(地倉) once or twice daily. Result : In the therapeutic result from moxibustion treatment group, 3 excellent, 7 good, 3 fair, and 1 poor case were observed. From compound treatment group, 2 excellent, 5 good, 5 fair and 4 poor cases were observed. Among the excellent and good patients of both groups, therapeutic rate of moxibustion treatment group (71.4%) was higher than that of compound treatment group(43.8%). Conclusion : The overall therapeuric rate of the moxibustion treatment group was 92.8%, which was higher than that of the compound treatment group(75.1%).

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Effect of Moxibustion on Peripheral Facial Paralysis According to Selection Method of Acupoints (말초성(末梢性) 안면신경마비(顔面神經麻痺)의 취혈부위(取穴部位)에 따른 구치료(灸治療) 효과(效果) 비교(比較))

  • Choi, Chul-Hoon;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.25 no.3
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    • pp.87-94
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    • 2008
  • Objectives : This study was to compare the effect of moxibustion therapy on peripheral facial para- lysis according to location of acupoint. Methods : We investigated 41 cases of inpatients with Peripheral Facial Paralysis, and divided them into two groups, One group was treated by moxibustion on local point(ML), and the other was treated by moxibustion on distant point(MD). We evaluated the effect of moxibustion in each group by using Gross Grading System of House-Brackmann(HB score) and Yanagihara's Unweighed Grading System(Y score). Results : 1. In ML and MD, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, ML showed significant decrease on HB score and significant increase on Y score compared with MD. Conclusions : These results suggested that ML should be more useful for improving symptoms related with peripheral facial paralysis than MD.

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Clinical Observation of Effect on Severity of Symptoms and Safety of Auto-microneedle Therapy in Patients with Peripheral Facial Paralysis (자동 미세침이 말초성 안면마비 환자의 증상 정도 및 안전성에 미치는 영향에 대한 임상 관찰)

  • Lee, Ung-In;Kwon, You-Jung;Kim, Hyun-Ho;Yoo, Je-Hyuk;Kim, Kyung-Wook;Kang, Jung-Won;Lee, Sang-Hoon
    • Journal of Acupuncture Research
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    • v.29 no.4
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    • pp.35-42
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    • 2012
  • Objectives : This study was to observe clinical application of auto-microneedle therapy system (AMTS) in patients with peripheral facial paralysis. Methods : 27 peripheral facial paralysis patients were observed after taking AMTS at Facial Palsy Center, Kyung Hee University Oriental Medicine Hospital from March 1, 2011 to January 9, 2012. We assessed the symptoms of facial paralysis with Yanagihara unweighted grading system, Sunnybrook facial grading system(SBGS) and facial disability index(FDI), and observed adverse events and total safety of the treatment. Results : The scores of facial palsy scales increased after AMTS in Yanagihara grading system and Sunnybrook facial grading system. AMTS-related adverse events were mild pain(5.9%) and fatigue(3.5%), which needed no extra treatment. The total safety evaluation was between 'safe' and 'nearly safe' level. There were no other serious adverse events. In addition, patients were satisfied with subjective improvement including facial tingling and numbness. Conclusions : AMTS can be applied as an adjunctive treatment for patients with peripheral facial paralysis due to its safety and clinical usefulness. It is easier to stimulate wide skin area in a short time. Further clinical research is required to investigate the effectiveness of ATMS in a more rigorous RCTs.