• 제목/요약/키워드: the Yanagihara grading system

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안면신경마비 환자에 대한 한방 치험 1례 (A Case Report of Facial Nerve Palsy Treated with Korean Medicine Treatment)

  • 한동근;강아현;서혜진;성재연;오주현;이유라;이형철;엄국현;송우섭
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.277-285
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    • 2018
  • Objective: This study is designed to evaluate the effects of Korean medicine treatment for facial nerve palsy. Method: The patient was administered Korean medicine treatment, including acupuncture, pharmacopuncture, and herbal medicine. We used the House-Brackmann Grading System and Yanagihara's Unweighted Grading System to assess the symptoms of facial nerve palsy. Results: The patient's House-Brackmann grade was reduced from grade IV to grade II, and Yanagihara's grade was increased from 19 to 32. The patient's symptoms, which were facial pain, facial asymmetry, reduced wrinkling forehead, incomplete closing eye, epiphora, and tinnitus, improved during the hospitalization. Conclusion: This study shows that Korean medicine treatment may be an effective treatment for facial nerve palsy.

말초성 안면신경마비에 대한 매선요법 복합치료 효과 (The Effect of Needle-Embedding Therapy on Peripheral Facial Paralysis)

  • 김지수;박수연;김경수;김경옥;위통순;최창원;양승정
    • 한방안이비인후피부과학회지
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    • 제28권2호
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    • pp.45-53
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    • 2015
  • Objective : This study was performed to investigate the effect of Needle-Embedding Therapy on peripheral facial paralysis. Method : We investigated 60 cases of patients with peripheral facial paralysis, and devided patients into two groups : We treated one group by complex korean medical treatment with Needle-Embedding therapy, and did the other group by complex korean medical treatment without Needle-Embedding therapy. Yanagihara grading system at baseline and final were used for evaluating the effect of the treatment. Results : 1. In Needle-Embedding therapy group and non Needle-Embedding therapy group, compared with baseline, at final, Y score was significantly increased.2. At final, there was significant difference in improvement between Needle-Embedding therapy group and non Needle-Embedding therapy group. Conclusions : Needle-Embedding therapy seem to be effective to improve symptoms of peripheral facial paralysis. Further studies will be needed to identify the beneficial of Needle-Embedding therapy on peripheral facial paralysis.

구안와사(口眼喎斜) 환자에서 성별 및 발병부위가 병세 및 호전에 미치는 영향 (Comparison of Incipient Grade and Improvement Rate between Each Opposite Gender and Lesion on Peripheral Facial Nerve Paralysis)

  • 김진우;류충열;조명래;천혜선;김성필;류혜선
    • Journal of Acupuncture Research
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    • 제27권6호
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    • pp.77-84
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    • 2010
  • Objectives : This study was to compare the incipient grade and improvement rate between each opposite gender and part on peripheral facial nerve paralysis. Methods : We investigated 64 cases of patient with peripheral facial nerve paralysis and divided into four groups with each gender and affected part and compared their incipient grade and rate of improvement. All groups were evaluated by Yanagihara's unweighted grading system before treatment and in everyday and after treatment. Results & Conclusion : 1. There's a difference of incipient grade between each opposite affected lesion in male. But there was not significant statistics. 2. There's no difference of incipient grade between each opposite affected lesion in female. 3. There's a difference of incipient grade between each opposite gender, affected their right side. But there was not significant statistics. Left side affecting palsy is more severe than right in male, and reversed results in female. But there were not significant statistics. There's no differences between each affected lesion in female. 4. There's no differences of improvement rate between each affected lesion in female. 5. The group, affected right side had better rate of improvement than another in male. But it's not significant statistics. 6. Male group had better rate of improvement than female in both gender, affected its left lesion. But it's not significant statistics.

자기장과 전기 조합 자극기(Whata 153)를 이용한 이성대상포진 안면신경마비 치료 1례 보고 (One Case of Facial Nerve Palsy in Herpes Zoster Oticus Treated with electromagnetic therapy stimulator(Whata153))

  • 조성은;이현
    • 혜화의학회지
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    • 제25권1호
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    • pp.53-62
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    • 2016
  • Objectives : The purpose of this study was to report a case of a patient efficacy of electromagnetic acupuncture using Whata 153 in facial nerve palsy in Herpes zoster oticus. Methods : We treated the patient with magnetic acupuncture combined with electro-acupuncture. Acupuncture points were at the face (BL2, GB14, TE23, ST4, ST6, ST3). All the acupuncture points were stimulated with magnetic field and 4 of them were combined with electro-acupuncture. Results & Conclusions : The improvement of facial movement and symptom was evaluated by Yanagihara grading system(Y-system), House-Brackmann scale(HB scale) and Sunnybrook facial grading system(SFGS). After treatment, all of the scales(Y-system, HB scale and SFGS) and symptom of the patient were improved. From the above results, we suggest that magnetic acupuncture and electro-acupuncture might be effective on facial nerve palsy in Herpes zoster oticus.

위내시경 검사 후 발생한 양측성 안면신경마비 치험 1례 (A Case Report of a Patient with Facial Nerve Palsy that Occurred Consecutively on Both Sides After Gastroscopy)

  • 진효원;정솔;박정림;황지현;윤종민;문병순
    • 대한한방내과학회지
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    • 제43권5호
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    • pp.989-996
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    • 2022
  • The purpose of this study is to report a rare case of bilateral facial palsy after endoscopy and the effects of a series of traditional Korean medicine treatments applied to the patient. The patient was treated with Western oral medications for seven days and then with traditional Korean medicine consisting of acupuncture, moxa, and herbal medicine (Dodamgeopung-san-gami and Yukgungeopung-san-gami) for two months. Treatment progress was measured using the House-Brackmann grading system and Yanagihara's unweighted grading scale. We were able to notice some improvements in the patient's symptoms: the House-Brackmann scale went from 5/4 to 2/1, and the Yanagihara scale from 13/16 to 38/40. This study thus reports that traditional Korean medicine treatments can be applied to bilateral facial palsy found in rare cases and still be effective.

Improvement of Facial Paralysis after Parotidectomy with Integrated Korean Medicine Treatment: A Case Report

  • Choong Hyun Han;Young Han Nam;Young Kyung Kim;Youn Young Choi;Eun Sol Won;Hwa Yeon Ryu;Jae Hui Kang;Hyun Lee
    • Journal of Acupuncture Research
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    • 제41권2호
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    • pp.121-128
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    • 2024
  • This study presents a case of facial nerve injury that occurred after parotidectomy for a benign tumor of the parotid gland that improved with integrated Korean medicine (IKM). On June 24, 2023, the patient presented with facial nerve injury based on a facial nerve conduction study after parotidectomy, with a score of five on Yanagihara's unweighted grading system (Y-system) and a grade of five on the House-Brackmann facial grading scale (H-B scale). During the 15 days of admission, IKM treatments, including acupuncture, pharmacopuncture, moxibustion, herbal steam therapy, physiotherapy, herbal medicine, and thread embedding acupuncture treatment, were performed. After treatment, the strength of the orbicularis oculi, orbicularis oris, and masticatory muscles improved, with a Y-system score of 17 and an H-B scale of III. In conclusion, the findings of this study confirm the applicability and effectiveness of IKM in the treatment of facial paralysis following parotidectomy.

청신경 종양 수술 이후 발생한 안면마비 환자에게 매선요법을 이용한 치험1례 (Clinical Study of 1 Case of Facial Paralysis after Acoustic Neuroma Surgery using Needle-Embedding Therapy)

  • 정순대;이혜진;박혜진;김윤식;유호룡;조현경;설인찬
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.976-979
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    • 2012
  • The purpose of this study was to examine the effect of needle-embedding therapy to facial paralysis patient after acoustic neuroma surgery. The patient was treated by basic oriental medicine treatment. We evaluated the effect of Needle-Embedding Therapy by using Yanagihara's unweighted grading system and subjective satisfaction score. The final Yanagihara's score was higher than before the treatment. The patient was satisfied after Needle-Embedding Therapy. Needle-Embedding Therapy was effective against facial paralysis after acoustic neuroma surgery. Further studies will be required to identify the beneficial effect of Needle-Embedding Therapy in facial paralysis after acoustic neuroma surgery.

임신중 발생한 구안와사 환자 2례에 대한 임상보고 (2 Cases Report of the Bell's Palsy Occurred during Pregnancy)

  • 신선미;임현정;이정은;유동열
    • 대한한방부인과학회지
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    • 제21권4호
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    • pp.258-268
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    • 2008
  • Purpose: The purpose of this study is to report the effect of oriental treatment to Bell's palsy occurred during pregnancy. Methods: We treated 28 year old woman and 31 year old woman who had the Bell's palsy occurred during pregnancy. 2 patients were treated with oriental treatment such as herb medicine and acupuncture therapy. The effects of these treatment was evaluated by Yanagihara's unweighted grading system. Results: As a result, symptoms were remarkably alleviated and Yanagihara score was improved. Conclusion: According to this result, we concluded the oriental treatment could improve pregnant Bell's palsy patient. After this paper, further study and clinical approach based on oriental treatment will be needed about pregnant Bell's palsy patient.

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Bell's Palsy에 대한 침치료와 침치료 및 정안침요법 병행치료의 비교연구 (Comparative Clinical Study of Jung-an Acupuncture and General Acupuncture on Bell's Palsy Patients)

  • 김성환;김재수;이봉효;임성철;정태영;이경민
    • Journal of Acupuncture Research
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    • 제27권1호
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    • pp.43-49
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    • 2010
  • Objectives : This study was designed to evaluate the effect of Jung-an acupuncture on Bell's palsy(peripheral facial paralysis) patients. Methods : We investigated 24 cases of patients with peripheral facial paralysis. The patients were divided into two groups. Both Group A, B were treated with general acupuncture and Group A was added to treatment with Jung-an acupuncture. We evaluated the treatment effect of each group three times by using Yanagihara's unweighted grading system. Results : As a result of evaluation by using Yanagihara score, they were not significant scores between two groups after treatment. Conclusions : Jung-an acupuncture and general Acupuncture has significant effect on acute(before 4 weeeks at onset) Bell's palsy. But there is no statistical significance in Jung-an acupuncture on acute phase(within 4 weeks of onset).

말초성 안면신경마비에 대한 약침병행치료 효능의 임상적 고찰 - 자하거 약침과 Sweet Bee Venom을 중심으로 - (The Clinical Research of the Effectiveness of Pharmacopuncture Complex Therapy on Peripheral Facial Paralysis - Hominis Placenta Pharmacopuncture Therapy and Sweet Bee Venom Therapy -)

  • 박재흥;장선희;이창환;구지영;전대성;안창범;김철홍;송춘호;윤현민
    • Journal of Acupuncture Research
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    • 제27권2호
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    • pp.79-87
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    • 2010
  • Objectives : The aim of this study is to investigate the effect of Hominis Placenta pharmacopuncture therapy and sweet bee venom therapy on peripheral facial paralysis. Methods : Clinical studies were done 36 patients who were treated peripheral facial paralysis to Dept. of Acupuncture and Moxibusition, of Oriental Medicine Dong-Eui University from June 15, 2009 to January 5, 2010. Subjects were randomly divided into 2 groups. : Hominis Placenta Pharmacopuncture treated group (group A, n=18), sweet bee venom treated group (group B, n=18). In group A, we treated patients with dry needle acupuncture and Hominis Placenta pharmacopuncture therapy. In group B, we treated patients with dry needle acupuncture and sweet bee venom therapy. All process of treatment were performed by double blinding method. To investigate the effectiveness of treatment applied for two groups, we used Yanagihara's unweighed grading system at before treatment, after 1week, 2weeks, 3weeks and 4weeks of treatment. Results : The Yanagihara's scores of group B were higher than those of group A, but not statistically significant. The improvement indexs of group A and group B were different, but not statistically significant. Conclusions : There were no significant differences statistically between Hominis Placenta pharmacopuncture therapy and sweet bee venom therapy on peripheral facial paralysis.