한방안이비인후피부과학회지 (The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology)

  • 제37권3호
  • /
  • Pages.49-62
  • /
  • 2024
  • /
  • 1738-6640(pISSN)
  • /
  • 2234-4020(eISSN)
대한한방안이비인후피부과학회 (The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology)
권호 표지
DOI QR코드

DOI QR Code

특발성 양측성 안면신경마비의 한양방 복합치료 치험 1례

A Clinical Case Study of Idiopathic Bilateral Facial Nerve Palsy Treated with Korean and Western Medicine

  • 이규영 (상지대학교 한의과대학 안이비인후피부과학교실)
  • Kyou Young Lee (Dep. of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Sangji University)
  • 투고 : 2024.06.11
  • 심사 : 2024.08.02
  • 발행 : 2024.08.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : The purpose of this study is to report on the good results achieved through Korean and western medicine treatment on patients with idiopathic bilateral facial nerve palsy. Methods : We treated a female patient with idiopathic bilateral facial nerve palsy by Korean medicine treatment such as herbal medicine, acupuncture, pharmacopuncture, cupping therapy, and taping therapy. The patient also received western medicine treatment. The treatment effect was evaluated by visual observation through photography, House-Brackmann scale, Yanagihara's scale, standardization of muscular paralysis, and clinical symptoms. Results : After the treatment, muscle movements and clinical symptoms improved, and all facial palsy evaluation indicators also showed improvement. In particular, the House-Brackmann-scale showed improvement from (3/4) to (1/2). Conclusions : This case study shows that Korean-western medicine combination treatment for idiopathic bilateral facial nerve palsy can be effective. We hope that case reports and clinical research will continue to be actively conducted in the future.

키워드

참고문헌

  1. Kang BS, Kim HH, Im KM, Choi JH, Park SY, Jung MY, et al. A Clinical Experience of Bilateral Facial Palsy accompanied by Contralateral Otitis Media under Treatment for Bell's palsy. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(4):218-31. https://doi.org/10.6114/jkood.2016.29.4.218
  2. Korea Institute Medicine. Idiopathic Facial Palsy Korean Medicine Clinical Practice Guideline. rev. ed. Seoul:Elsevier Korea. 2015:21-9.
  3. Gaudin RA, Jowett N, Banks CA, Knox CJ, Hadlock TA. Bilateral facial paralysis: a 13-year experience. Plastic and Reconstructive Surgery. 2016;138(4):879-87. https://doi.org/10.1097/PRS.0000000000002599
  4. Ho AL, Scott AM, Klassen AF, Cano SJ, Pusic AL, Van Laeken N. Measuring quality of life and patient satisfaction in facial paralysis patients: a systematic review of patient-reported outcome measures. Plastic and reconstructive surgery. 2012;130(1):91-9. https://doi.org/10.1097/PRS.0b013e318254b08d
  5. Korean Acupuncture & Moxibustion Medicine Society Textbook Editorial Committee. The Acupuncture and Moxibustion. Paju:Jipmoondang. 2008:186-90.
  6. Yanagihara N, Mori H, Kozawa T, Nakamura K, Kita M. Bell's palsy-Nonrecurrent v Recurrent and Unilateral v Bilateral. Arch Otolaryngol. 1984;110(6):374-7. https://doi.org/10.1001/archotol.1984.00800320028006
  7. Teller DC, Murphy TP. Bilateral facial paralysis: a case presentation and literature review. J Otolaryngol. 1992;21(1):44-7.
  8. Jang SY, Jung YS, Lee JW, Park SW, Kwon HG, Shin HC. One Clinical Case Report of Bilateral simultaneous facial nerve palsy(Bell's palsy). The Journal of East-West Medicine. 2013;38(1):9-19. https://doi.org/10.1163/26669323-03801002
  9. Chi JH, Song JJ, Cho CG, Kim BH. A case of Bilateral Bell's Palsy with Uncontrolled Diabetes Mellitus. Korean Journal of Otorhinolaryngology Head and Neck Surgery. 2012;55(7):449-52. https://doi.org/10.3342/kjorl-hns.2012.55.7.449
  10. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Sug. 1985;93(2):146,147.
  11. Yanagihara N. Grading of Facial Palsy. Facial nerve surgery. Netherland:Kulgar Medical Publications. 1977:533-5.
  12. Choi JH. A clinical study of bell's palsy. J Korean Med Ophthalmol Otolaryngol Dermatol. 1994;7(1):158.
  13. Hong WS. Jeong-gyohwangjenaegyeongyeongchu. Seoul:Oriental Medicine Research Institute. 1995:102.
  14. Kim MJ, Park SD, Lee AR, Kim KH, Jang JH, Kim KS. Clinical Observation on 1 Case of Patient with Bilateral Facial Palsy. J Acupunct Res. 2002;19(2):238-49.
  15. Kumar M, Acharya S, Vineetha R, Pai KM. Bilateral Bell's palsy in a young female: a rare case report. Med Pharm Rep. 2021;94(1):118-20.
  16. American Academy of Otolaryngology-Head and Neck Surgery Foundation. Clinical Practice Guideline Summary: Bell's Palsy. Otolaryngology-Head and Neck Surgery Bulletin. 2013:34-42.
  17. Hauser WA, Karnes WE, Annis J, Kurlang LT. Incidence and prognosis Bell's palsy in the population of Rochester, Minnesota. Mayo Clin Proc. 1971;46(4):258-64.
  18. Hwang DY. Bang-yaghabpyeon. Seoul:Younglimsa. 2007:135.
  19. Meridians & Acupuncture Textbook Compilation Committee of University of Traditional Korean Medicine. Details of Meridians & Acupuncture(Volume 1); A Guideline for College Students. 4th ed. Wonju:Uibang Publishing Company. 2009:53,76,161,260.
  20. Textbook Compilation Committee of National University of Traditional Korean Medicine. Textbook of Herbal Medicine. Seoul:Youngrimsa. 1994:567,568.
  21. Kwon K, Jung JH, Seo HS. A Clinical Study on 1 Case of Patient with Bilateral Simultaneous Bell' s Palsy Treated by Hominis Placenta Herbal-Acupuncture. Journal of Pharmacopuncture. 2003;6(2):137-47. https://doi.org/10.3831/KPI.2003.6.2.137