• 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.

• 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.

• 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%).

• Archives of Plastic Surgery
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• v.48 no.3
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• pp.269-277
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• 2021

Background The Sunnybrook facial grading scale is a comprehensive scale for the evaluation of facial paralysis patients. Its results greatly depend on subjective input. This study aimed to develop and validate an automated Sunnybrook facial grading scale (SBface) to more objectively assess disfigurement due to facial paralysis. Methods An application compatible with iOS version 11.0 and up was developed. The software automatically detected facial features in standardized photographs and generated scores following the Sunnybrook facial grading scale. Photographic data from 30 unilateral facial paralysis patients were randomly sampled for validation. Intrarater reliability was tested by conducting two identical tests at a 2-week interval. Interrater reliability was tested between the software and three facial nerve clinicians. Results A beta version of the SBface application was tested. Intrarater reliability showed excellent congruence between the two tests. Moderate to strong positive correlations were found between the software and an otolaryngologist, including the total scores of the three individual software domains and composite scores. However, 74.4% (29/39) of the subdomain items showed low to zero correlation with the human raters (κ<0.2). The correlations between the human raters showed good congruence for most of the total and composite scores, with 10.3% (4/39) of the subdomain items failing to correspond (κ<0.2). Conclusions The SBface application is efficient and accurate for evaluating the degree of facial paralysis based on the Sunnybrook facial grading scale. However, correlations of the software-derived results with those of human raters are limited by the software algorithm and the raters' inconsistency.

• Journal of Acupuncture Research
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• v.23 no.2
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• pp.181-189
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• 2006

Objectives : The purpose of this study is to compare the improvement of facial paralysis due to mastoiditis and bells palsy. Methods : Fifteen patients with facial paralysis due to mastoiditis and Fifteen patients with bells palsy who visited the Daejeon Oriental Medical Hospital of Daejeon University were evaluated. Evaluation was carried out by Yanagihara's unweighted grading system. Results : 1. According to bells palsy and facial paralysis due to mastoiditis, in grade comparison between two groups according to cure period, there is no difference between the averages of both groups. 2. According to bells palsy and facial paralysis due to mastoiditis, theraputic effects are similarly increased between two groups. 3. According to bells palsy and facial paralysis due to mastoiditis, In cure score change according to cure period, there is grade difference according to cure period. Conclusion : With this result, when the same treatment is done to bells palsy and facial paralysis due to mastoiditis, there is the same theraputic significance.

• 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.

• 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.

• Journal of Acupuncture Research
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• v.19 no.3
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• pp.207-215
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• 2002

Objective : Oriental medical treatment may be possibility or effect in patients with facial nerve paralysis caused by traumatic temporal bone fracture. Methods : The authors compared objectively improvement state of patient that operated acupuncture, herbal medicine and herbal acupuncture. Results : 1. A Facial nerve travel long and pass by narrow bone canal in temporal bone. so slow progressive paralysis is caused by nerve swelling and impedimental blood circulation in bone canal, if bruise happens. 2. At patients with traumatic facial nerve paralysis, acupuncture(LI TE centered operation), herbal medicine(理氣祛風散, 加味補益湯加滅 etc..) and herbal acupucture(SY-消炎, Hominis Placenta-紫河車, JGH-中氣下陷) are effective to improving symptoms. 3. In general, everyone consider surgical operation first of all, in the case of having traumatic facial nerve paralysis. Through this case, the authors are thought that can attempt access of Oriental medical treatment without doing surgical operation.

• Journal of Korean Clinical Nursing Research
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• v.20 no.2
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• pp.211-222
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• 2014

Purpose: This study was done to identify the effects of Laughter therapy on recovery status from facial paralysis, pain, and stress in Bell's palsy patients. Methods: This research was a nonequivalent control group non-synchronized pre-posttest quasi-experimental research design. Data were collected from August 8, to October 15, 2013 at D university Oriental Medical Center in B city. Participants were 60 patients with Bell's palsy who were assigned to one of two groups: an experimental group of 30 patients and a control group of 30 patients. t-test, $x^2-test$, Fisher's exact test and Welth-Aspin test were used to test the homogeneity between the two groups and t-test, Welth-Aspin test and ANCOVA were used to test the research hypotheses. SPSS program was used for statistical analysis. Results: There were significant increases in recovery status from facial paralysis and decreases in stress after Laughter therapy in the experimental group. Conclusion: The results indicate that Laughter therapy is effective in facilitating recovery status from facial paralysis and decreasing stress. Therefore, Laughter therapy can be used as an effective nursing intervention for patients with facial paralysis and to relieve stress in these patients.

• 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.