The Clinical Observation of Facial Palsy Sequela

안면신경마비 후유증에 대한 임상적 고찰

  • 김남권 (원광대학교 한의과대학 외관과학교실)
  • Published : 2002.03.01

Abstract

Objectives : In order to obtain the clinical type of facial palsy sequelae and try to make the treatment protocols for each, I observed patients who visited Gunpo-Wonkwang oriental medicine center with Bell’s palsy sequelae that were treated over three months. Methods : I make the value standard of muscle paralysis, contraction, synkinesis and acquired the results as follows. Results and Conclusions : 1. The distribution of age and sex was as follows : females of 41-50 years were the most common demographic, females of 51-60 years and males of 31-40 years were the second, males of 51-60 years were the third, females of 21-30 years and males of over 60 years were the fourth, and males of 41-50 years were the fifth. 2. The distributions of period of disease were as follows : 3-6 months was the most, 12-18 months was the second, 6-12 months and over 24 months was the third, and 18-24 months was the fourth. 3. The sequelae distributions of disease were as follows. In the group of 3-6 months, 12 persons (80%) showed palsy and atrophy, 10 persons (66.6%) showed synkinetics. In the group of over 6 months, all patients showed muscle palsy, muscle atrophy and synkinetics. All groups showed lower sensitivity of muscles, but the group of 18-24 months and the group of over 24 months showed more. Tinnitus was shown by the groups of 12-18 months and 3-6 months. Facial muscle pain was shown by the group of3-6 months only, Crocodile's tear was shown by the groups of 18-24 months and over 24 months. 4. The total palsy rates of sequela patients and palsy rates by muscle for disease period were as follows. The total palsy rate was 27.94%; the palsy rates for the group of 6-12 months and the group of over 24 months was lower than the total palsy rate. The rates of the groups of 3-6, 12-18, 18-24 months were higher than the total palsy rate. The palsy rate of zygomatic minor, levator labii superior muscle was higher than the total palsy rate for all groups. 5. Synkinetics manifestation rates by disease period were as follows. Total synkinetics manifestation rate was 73.81 %; the manifestation rate of the group of 6-12 months was lower than total synkinetics manifestation rate. For the groups of 12-18, 18-24, and over 24 months it was more than the total synkinetics manifestation rate. The group of over 24 months, total synkinetics induced by orbicularis oculi muscle and orbicularis oris muscle. 6. Facial muscle atrophy rates by disease period were as follows. Total atrophy rate was 5.26%; in the groups of 6-12, 18-24, over 24 months, the atrophy rates were higher than the total atrophy rate. The groups of 3-6 and 12-18 months showed lower than the total atrophy rates, while the atrophy of the levator palpebrae superioris muscle and levator palpebrae inferioris muscle was higher than in other groups.

Keywords

References

  1. 最新耳鼻咽喉科學 白萬基
  2. 大韓外管科學會誌 v.7 no.1 口眼괘斜(末梢性 顔面神經麻痺)에 關한 臨床的 觀察 崔政和
  3. 慶熙大大學院碩士 論文 口眼괘斜 患者에 대한 鍼治療에 관한 硏究. 孫壽命
  4. 大韓鍼灸科學會誌 v.6 口眼괘斜의 鍼과 物理治療效果에 對한 臨床的 硏究 安昌範(외)
  5. 大韓鍼灸學會誌 v.12 no.2 口眼괘斜의 韓洋方協診論에 關한 臨床的 考察 尹炫珉(외)
  6. 大韓韓醫學會誌 v.10 no.2 口眼괘斜에 관한 臨床的 考察 金蕙南(외)
  7. 東洋醫學 v.8 no.2 口眼괘斜에 대한 임상적 觀察 金永錫(외)
  8. 口眼괘斜에 대한 文獻的 硏究 李淵淳
  9. 大韓外官科學會誌 v.12 no.2 口眼괘斜 後遺症에 대한 臨床的 考察 金南權(등)
  10. 頭面 脊椎 四肢病의 診斷과 治療 羅晶洙(외)
  11. 전공의진료편람 이비인후과 서울대학교병원(편저)
  12. 家庭醫學 盧幸圭
  13. 대한통증학회지 v.4 no.1 안면신경마비환자의 치료경과에 대한 Computer Aided Thermography를 이용한 관찰 이규창(외)
  14. Disease of the nose throat and ear John Jacob Ballenger
  15. 증례로 배우는 통증치료 林村邦夫
  16. 黃帝內徑靈樞 楊維傑(編)
  17. 中醫病狀鑑別診斷學 中醫硏究院(主編)
  18. 三因極一病證方論 陳無擇
  19. 원광한의학 v.7 no.1 남좌여우 이론에 따른 안면신경마비의 임상적 고찰 김남권(외)
  20. 대한의학협회지 v.28 末梢性 顔面神經麻痺의 진단 및 수술요법 金宗善
  21. 大韓耳鼻咽喉科科學會誌 v.26 no.2 안면신경마비의 임상적 고찰 김중강(외)
  22. 가정의학회지 v.14 no.4-5 말초성 안면신경마비에 대한 임상적 고찰 손태선(외)
  23. 大韓韓醫學會誌 v.7 no.2 Ramsay-Hunt Syndrome 患者의 顔面神經麻痺에 대한 임상적 考察 姜成吉(외)
  24. 痲醉 v.23 顔面神經麻痺 1000例의 統計的 觀察 十時忠秀(외)
  25. 大韓韓醫學會誌 v.12 no.1 中風患者의 左.右半身不隨에 관한 臨床的 觀察 辛吉祚(외)
  26. 大韓外官科學會誌 v.1 DITI진단을 통한 Bell's palsy의 임상적 고찰 朴慶花(등)
  27. 대한이비인후과학회지 v.42 안면신경 마비에서 각 안면근에 대한 신경전도 검사와 예후 분석 박철원(등)
  28. Muscle Testing Daniels(외)
  29. 人體解剖學 鄭然泰(외)
  30. Arch Otolaryngol. v.46 Bell's Palsy Kettle K.
  31. New Engl J Med. v.287 Prednisone treatment for idiopathic facial paralysis(Bell's palsy) Adour KK;Wingerd J;Bell DN(et al.)
  32. Arch otolaryngol. v.85 Bell's palsy Desanto LW;Schubert HA
  33. 丹溪心法附餘 上卷 v.上 朱震亨
  34. 東醫寶鑑 許俊
  35. 編註醫學入門 傷寒 雜病 이정(編著)
  36. 醫宗金鑑(中) 吳謙(外 編著)
  37. 아담스 신경과학 Raymond D. Adams
  38. Neuro-otological examination Takuya;Jun-ichi suzuk;Jiro hozawa;Setphen M.Highstein
  39. 대한이비인후과학회지 v.42 정상인의 반복된 안면신경전기검사시 임상적 다양성에 관한 연구 박병철(등)
  40. Ann Otol Rhino Laryngol. v.95 Objective grading of facial paralysis Burr SA