• Title/Summary/Keyword: paralysis

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A Comparative Study on the Measurement Value of Yangdorak in Idiopathic Facial Paralysis and Normal Group (특발성안면신경마비환자군과 건강검진군의 양도락 진단결과에 대한 비교연구)

  • Lee, Dong-Hyun;Jeong, Yeong-Pyo;Jeong, Hyo-Keun;Kim, Hyeon-Su;Ryu, Chung-Ryul;Cho, Myung-Rae;Chae, Woo-Seok;Sul, Jae-Uk;Na, Gun-Ho
    • Journal of Acupuncture Research
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    • v.23 no.4
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    • pp.27-38
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    • 2006
  • Objectives : The aim of the present study was to evaluate Yandorak for the wide inflection and establishment of a diagnostic system. Methods : We analyzed the measurement value of Yandorak on fifty one patients with idiopathic facial paralysis and eighty four healthy persons from April 1, 2005 to March 1, 2006 by using Yangdorak(YDRAK-94N, Sord Medicom Co., Korea). Statistical analysis was performed using the SPSS 11.0 for Windows, Mann-Whitney test for the comparisons followed side(Right and Left), sex, palsy localization in Idiopathic facial paralysis and normal group and one-way ANOVA(Kruskal Wallis) for the comparisons followed age. p < .05 was considered significant statistically. Results The difference of the electric current value of all meridian except Bladder(BL) of normal group on both side extremity was not significant statistically, Electric current value of all meridian except Gall-Bladder(GB) was more higher in idiopathic facial paralysis group than in normal group. The measurement value of Yandorak followed sex and palsy localization were not significant statistically. Conclusion : It is suggested that the measurement value of six Hand Yang & Eum channel, Liver Meridian of Foot Gworeum(厥陰) and Stomach Meridian of Foot Yangmyeong(陽明) is more higher in idiopathic facial paralysis group than in normal group.

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Clinical Research of Cervical Acupotomy Effects with Acupuncture on Facial & Trigemial Nerve Branch on Peripheral Facial Paralysis and Postauricular Pain (경항부 침도요법과 병행된 안면신경 및 삼차신경 분지에 따른 침치료가 말초성 안면마비와 이후통에 미치는 영향에 대한 임상적 고찰)

  • Lee, Eun Sol;Jeong, Jae Yoeb;Seo, Dong Gyoon;Shin, So Yeon;Seo, Jong Cheol;Seo, Yeon Ju;Choi, Sang Hoon;Jo, Si Yong;Yoo, Myung Seok;Kwon, Hyung Keun;Kim, Cheol Hong;Yoon, Hyun Min;Song, Chun Ho;Jang, Kyung Jeon
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.143-154
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    • 2014
  • Objectives : The purpose of this study is to investigate the effect of cervical acupotomy & acupunture on facial&trigemial nerve branch for peripheral facial paralysis and postauricular pain. Methods : We investigated 30 patients with peripheral facial paralysis who had visited at Department of Acupuncture & Moxibustion Medicine of Korean Medicine Hospital of Dong-Eui University from April 1st, 2013 to April 30th, 2014. Group A was treated by acupuncture and pharmacopuncture on facial&trigemial nerve branch and Cervical acupotomy and group B was treated by acupuncture and pharmacopuncture on routine facial paralysis acupuncture point without acupotomy. Results : The improvement of Yanagihara's score in group A is higher than group B during every period. The improvement of VAS score in group A is higher than group B during every period. Conclusions : These results suggest that cervical acupotomy and acupunture on facial & trigemial nerve branch may be effective for peripheral facial paralysis and postauricular pain.

Benefits of Palliative Office-Based Hyaluronic Acid Injection Laryngoplasty in Cancer-Related Unilateral Vocal Cord Paralysis Patients (악성 종양 관련 일측성 성대 마비 환자에서 고식적 Hyaluronic Acid 성대 주입 성형술의 유용성)

  • Kim, Go-Woon;Park, Young-Hak;Joo, Young-Hoon;Kim, Sang-Yeon;Shim, Mi-Ran;Hwang, Yeon-Sin;Sun, Dong-Il
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.29 no.1
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    • pp.30-36
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    • 2018
  • Background and Objectives : The effect of palliative injection laryngoplasty in cancer-related unilateral vocal cord paralysis patients on voice and swallowing function is uncertain and there are few previous studies of its suitability, benefits as a palliative treatment option. The purpose of this study is to confirm the objective results of voice and swallowing function after palliative office-based hyaluronic acid injection laryngoplasty in cancer-related unilateral vocal cord paralysis patients. Materials and Method : 36 patients who had unilateral vocal cord paralysis from non-thyroidal, extralaryngeal neoplasms were included in this study. To evaluate the clinical outcome, we analyzed perceptual GRBAS grading, acoustic analysis, aerodynamic study, Electroglottography (EGG), Voice Handicap Index (VHI-30) about voice function and disability rating scale (DRS), gastric tube dependency, aspiration pneumonia about swallowing function and 36-Item Short Form Survey version 2 (SF-36v2) about quality of life. Results : In GRBAS scale, G (p<0.001), R (p=0.004), B (p=0.001), A (p=0.011), and S (p=0.007) showed significant improvement. Jitter, shimmer, speaking fundamental frequency, maximal phonation time, VHI-30, DRS score, gastric tube dependency, aspiration pneumonia, and SF-36v2 were significantly improved after injection (p=0.016, p=0.011, p=0.045, p=0.005, p<0.001, p<0.001 p=0.003, p<0.001, and p<0.001 respectively). Conclusion : From this study we concluded office-based hyaluronic acid injection can be used as a useful palliative treatment option in cancer-related ill patients with unilateral vocal cord paralysis. Palliative hyaluronic acid injection laryngoplasty avoids the need for tube feeding, thus reducing the risk of aspiration pneumonia. These outcomes are accompanied by significant improvement in voice quality.

Factors Predictive of Voice Therapy Outcome in Patients with Unilateral Vocal Fold Paralysis (일측성 성대마비 환자에서 음성치료 효과를 예측할 수 있는 인자)

  • Jeong, Go-Eun;Kim, Seong-Tae;Kim, Sang-Yoon;Roh, Jong-Lyel;Nam, Soon-Yuhl;Choi, Seung-Ho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.21 no.2
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    • pp.121-127
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    • 2010
  • Background and Objectives : Unilateral vocal fold paralysis is generally treated using injection laryngoplasty or voice therapy. However, the decision of treatment method is dependent on clinician's preference and hospital facilities without specific criteria. The purpose of the study was to examine factors predictive of voice therapy outcome in patients with unilateral vocal fold paralysis. Materials and Method : 38 patients diagnosed as unilateral vocal fold paralysis, aged from 24 to 81 years and undergone voice therapy more than 1 month were included. After 3 to 12 (mean 5.1) sessions of voice therapy, subjects had divided into responder group (RG, 28 patients) and non-responder group (NRG, 10 patients) according to G scale change. Paramters of perceptual assessment, acoustic and aerodynamic measure, and videostroboscopy were compared between two groups, and factors predictive of voice therapy result were analyzed. Results : RG patients showed significantly reduced rough, breathy, asthenic voice after voice therapy. Change of MPT and MFR was more substantial in RG than in NRG. By videostroboscopy, RG patients showed significantly more mucosal wave symmetry, glottal closure, reduced glottal gap index during the closed phase of phonation, while NRG patients showed more occurrences of abnomal supraglottic activities during phonation (p < 0.05). Poor outcome of voice therapy significantly associated with increased asthenic scale, short MPT, and less glottal closure (p=0.02). In addition, 90% of patients with MPT more than 5 seconds were in RG, whereas 56% of patients with MPT less than 5 secondes were in RG. Conclusion : Voice therapy is useful for large proportion of patients with unilateral vocal fold paralysis as an initial treatment method. However, patients with large asthenia scale, large glottic gap or MPT less than 5 seconds tend to have poor voice therapy outcome, and early injection laryngoplasty maybe recommended for these patients.

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Surgical Treatment of Traumatic Subglottic Stenosis; A Case Report (외상성 성문하 기관 협착증의 수술 치험 1례)

  • 최필조
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.409-412
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    • 1993
  • We report a case of subglottic stenosis by blunt neck trauma. Preoperative CT showed a stenosis extending distally from just below the vocal cords for 4cm. Concomittent bilateral vocal cords paralysis and quadriplegia were present. At operation the lesion was severely adhesed and the lumen was nearly obstructed. The recurrent laryngeal nerves were embedded in fibrous tissue and were not identified at ease. The stenosed segment was resected and direct end-to-end anastomosis with preservation of the recurrent laryngeal nerves was performed. Six months latar he discharged with intermediate position of vocal cord paralysis.

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A Case of Paralytic Strabismus of Abducens Nerve by Acupuncture and Herbal Medicines (外旋神經痲痺 斜視患者의 韓方治驗 1例)

  • Kim, Joong-Ho;Kim, Yoon-Bum;Chae, Byung-Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.7 no.1
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    • pp.143-147
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    • 1994
  • We report one case with paralysis of the sixth cranial nerve, which was diagnosed at Kyung Hee Unversity Hospital. The patient was happened with traffic accident. He showed disorder of both abduction eye movement, headache, double vision and dizziness. We have experienced good improvement to recover paralytic strabismus by the Oriental Medicine.

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