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Korean Medicine Treatments in Threepatients with Bell's Palsy after Coronavirus Disease 2019 Infection: A Retrospective Case Series

  • Pil Je Park (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Yeon Soo Kang (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Hyun Jin Jang (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • So Jeong Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Min Ju Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Hyeon Kyu Choi (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jeong Kyo Jeong (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Ju Hyun Jeon (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Young Il Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • Received : 2023.08.01
  • Accepted : 2023.11.02
  • Published : 2023.11.30

Abstract

Bell's palsy is an acute facial paralysis caused by peripheral facial nerve dysfunction. The aim of this study is to assess the efficacy of Korean medicine in the treatment of three patients who were hospitalized and diagnosed with Bell's palsy within 2 weeks of coronavirus disease 2019 (COVID-19) infection. The patients were administered with Korean medicine treatments, steroids, and antiviral drugs. Moreover, the Korean medicine treatments include acupuncture, pharmacopuncture, moxibustion, physical therapy, and herbal medicine. Symptom improvement was evaluated daily using the Yanagihara facial nerve grading system, a facial function evaluation tool. Furthermore, it was suggested that the patients affected by Bell's palsy after COVID-19 infection may have a slower improvement in their treatment progress compared with those without COVID-19 infection in the acute stage.

Keywords

References

  1. Ahn DG, Shin HJ, Kim MH, Lee S, Kim HS, Myoung J, et al. Current status of epidemiology, diagnosis, therapeutics, and vaccines for novel Coronavirus disease 2019 (COVID-19). J Microbiol Biotechnol 2020;30:313-324. doi: 10.4014/jmb.2003.03011
  2. Egilmez OK, Gundogan ME, Yilmaz MS, Guven M. Can Covid-19 cause peripheral facial nerve palsy? SN Compr Clin Med 2021;3:1707-1713. doi: 10.1007/s42399-021-00967-4
  3. Zammit M, Markey A, Webb C. A rise in facial nerve palsies during the Coronavirus disease 2019 pandemic. J Laryngol Otol 2020;134:905-908. doi: 10.1017/S0022215120002121
  4. Holland J, Bernstein J. Bell's palsy. BMJ Clin Evid 2011;2011:1204.
  5. Tiemstra JD, Khatkhate N. Bell's palsy: diagnosis and management. Am Fam Physician 2007;76:997-1002.
  6. Zhang R, Wu T, Wang R, Wang D, Liu Q. Compare the efficacy of acupuncture with drugs in the treatment of Bell's palsy: a systematic review and meta-analysis of RCTs. Medicine (Baltimore) 2019;98:e15566. doi: 10.1097/MD.0000000000015566
  7. Korea Institute of Oriental Medicine. Idiopathic facial palsy: Korean medicine clinical practice guideline. Elsevier Korea; 2015.
  8. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture medicine. Hanmi Medical Publishing; 2020.
  9. Park I, Kim S, Lee C, Kim H, Heo S, Youn H, et al. Comparative clinical study between oriental medicine and oriental-western medicine treatment on Bell's palsy. J Korean Acupunct Moxibustion Soc 2004;21:191-203.
  10. Hato N, Fujiwara T, Gyo K, Yanagihara N. Yanagihara facial nerve grading system as a prognostic tool in Bell's palsy. Otol Neurotol 2014;35:1669-1672. doi: 10.1097/MAO.0000000000000468
  11. Yang HJ, Joo HA, Baek SC, Park JS, Hong SH. A clinical report on 35 inpatients with facial paralysis effects of early oriental medicine treatment on House-Brackmann grade in Bell's palsy. J Korean Orient Med Ophthalmol Otolaryngol Dermatol 2011;24:108-118. doi: 10.6114/jkood.2011.24.3.108
  12. Turki A, Abbas KS, Makram AM, Elfert M, Elmarabea M, El-Shahat NA, et al. Epidemiology, clinical features, and treatment modalities of facial nerve palsy in Covid-19 patients: a systematic review. Acta Neurol Belg 2022;122:1419-1432. doi: 10.1007/s13760-022-02026-8
  13. Uysal HA, Gulluoglu H. Comparison of facial palsy cases before and during the pandemic Coronavirus disease-2019. Med J Bakirkoy 2023;19:156-162. doi: 10.4274/BMJ.galenos.2023.2022.8-5
  14. Wan Y, Shang J, Graham R, Baric RS, Li F. Receptor recognition by the novel coronavirus from Wuhan: an analysis based on decade-long structural studies of SARS coronavirus. J Virol 2020;94:e00127-20. doi: 10.1128/JVI.00127-20
  15. Jeong JY, Lee ES, Seo DG, Shin SY, Kim SY, Kwon HK, et al. The clinical research of cervical treatment's effects on Bell's palsy. Acupuncture 2014;31:45-55. doi: 10.13045/acupunct.2014042