The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Korean Medicine in the Treatment of a Patient with Traumatic Facial Nerve Palsy Induced by a Traffic Accident

교통사고로 유발된 외상성 안면신경 마비 환자에 대한 한의학 치료 1례

  • Tae-ha Kwon (Dept. of Korean Internal Medicine, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Kyung-rae Kang (Dept. of Korean Internal Medicine, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Dong-soo Seol (Dept. of Korean Internal Medicine, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Min-seok Go (Dept. of Korean Acupuncture & Moxibustion Medicine, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Seong-hyun Lee (Dept. of Korean Acupuncture & Moxibustion Medicine, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Ji-eun Oh (Dept. of Korean Acupuncture & Moxibustion Medicine, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Sae-young Bong (Dept. of Korean Rehabilitation Medicine, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Yoo-jin Lee (Dept. of Korean Rehabilitation Medicine, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Cha-young Lee (Dept. of Korean Korean Medicine Neuropsychiatry, Gwangju Jaseng Hospital of Korean Medicine)
  • 권태하 (광주자생한방병원 한방내과) ;
  • 강경래 (광주자생한방병원 한방내과) ;
  • 설동수 (광주자생한방병원 한방내과) ;
  • 고민석 (광주자생한방병원 침구의학과) ;
  • 이성현 (광주자생한방병원 침구의학과) ;
  • 오지은 (광주자생한방병원 침구의학과) ;
  • 봉세영 (광주자생한방병원 한방재활의학과) ;
  • 이유진 (광주자생한방병원 한방재활의학과) ;
  • 이차영 (광주자생한방병원 한방신경정신과)
  • Received : 2024.09.12
  • Accepted : 2024.10.29
  • Published : 2024.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The aim of this case report was to present the effects of Korean medicine in the treatment of a patient with traumatic facial palsy induced by a traffic accident. Methods: A 35-year-old male patient was treated with pharmacopuncture (Shinbaro2), acupuncture, and Ansinjitong-tang over 35 days of hospitalization. Facial palsy was assessed using the House-Brackmann (HB) scale, Yanagihara score, and EuroQoL 5 Dimensions (EQ-5D). Results: After 35 days of treatment, the symptoms improved, as measured by HB (from 4 to 2), Yanagihara (from 16 to 34), and EQ-5D scores (from 0.405 to 0.913). Furthermore, there were no side effects during treatment compared with other types of pharmacopuncture or medicine. Conclusion: These results show that Korean medicine treatment may have a positive clinical effect in patients with traumatic facial palsy. However, further well-designed studies are required to confirm these findings.

Keywords

References

  1. Lee WS, Kim J. Facial nerve paralysis and surgical management. J Korean Med Assoc 2009;52(8):807-18.
  2. McKennan KX, Chole RA. Facial paralysis in temporal bone trauma. Am J Otol 1992;13(2):167-72.
  3. Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol 2008;265(7):743-52.
  4. Jeong BS, Ju YH, Yang HC, Kwack BG, Paik JY, Lee JH. Outcomes and prognosis of patients treated by facial nerve decompression via transmastoid approach for traumatic facial paralysis. Korean J Otorhinolaryngol-Head Neck Surg 2013;56(2):79-83.
  5. Curtis JR, Westfall AO, Allison J, Bijlsma JW, Freeman A, George V, et al. Population-based assessment of adverse events associated with long-term glucocorticoid use. Arthritis Rheum 2006;55(3):420-6.
  6. Yook TH, Song HS, Kim JS, Kim YI, Cho HS, et al. The Acupuncture and Moxibustion Medicine. Seoul: Gipmoondang; 2012, p. 624.
  7. Pack MC. Clinical study of patient with traumatic temporal and occipital bone fracture. Korean J Oriental Physiology & Pathology 2004;18(5):1533-7.
  8. Jang YJ, Yang TJ, Shin JC, Kim HH, Kim TH, Jeong MY, et al. Clinical Case Study of Facial Nerve Paralysis with Sensorineural Hearing Loss and Tinnitus Caused by Traumatic Temporal Bone Fracture. The Acupuncture 2016;33(1):95-101.
  9. House JW, Brackmann DE. Facial nerve grading system. Otolarygol Head Neck Surg 1985;93(2):146-7.
  10. Kim MB, Kim JH, Shin SH, Yoon HJ, Ko WS, et al. A study of facial nerve grading system. J Korean Med Ophthalmol Otolaryngol Dermatol 2007;20(3):147-60.
  11. Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean Medicine III. Seoul: Woori Medical Books; 2018, p. 20-181.
  12. Chung HJ, Lee HS, Shin JS, Lee SH, Park BM, Youn YS, et al. Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both in vitro and in vivo animal models. J Ethnopharmacol 2010;130(3):450-9.
  13. Kwon TH, Kim MJ, Seol DS, Go MS, Lim MJ, Lee SH, et al. A Case Report of Korean Medicine Treatment for a Patient with Left Facial Paraesthesia, Temporomandibular Joint Pain, and Post-traumatic Neck Pain induced by Cerebral Infarction. J Int Korean Med 2023;44(5):904-10.
  14. Park JH, Jang SH, Lee CH, Ku JY, Jeun DS, Ahn CB, et al. The Clinical Research of the Effectiveness of Pharmacopuncture Complex Therapy on Peripheral Facial Paralysis - Hominis Placenta Pharmacopuncture Therapy and Sweet Bee Venom Therapy. J of Korean Acupuncture & Moxibustion Society 2010;27(2):79-87.
  15. Sim SY. Clinical Research of Korean Medical Treatment for the Peripheral Facial Paralysis. J Korean Med Ophthalmol Otolaryngol Dermatol 2015;28(4):62-73.
  16. Kim MS, Kim HJ, Park YJ, Kim EH, Lee EY. The clinical research of the efficacy of bee venom aqua-acupuncture on peripheral facial paralysis. J Kor Acupuncture & Moxibustion Society 2004;21(4):251-62.
  17. Lee SG. The study on the hominis placenta aqua-acupuncture solution. The Acupuncture 2000;17(1):67-74.
  18. Ministry of Food and Drug Safety. Hydrolyzed Hominis Placenta. Avaliable from URL: https://nedrug.mfds.go.kr/pbp/CCBBB01/getItemDet ailCache?cacheSeq=200512342aupdateTs2023-01-03%2018:24:18.156751b#none
  19. Korea Institue of Oriental Medicine. Idiopathic Facial Palsy Korean Medicine Clinical Practice Guideline. Seoul: Elsevier Korea; 2015, p. 21-105.
  20. Kim SW, Jin SR, Park MJ, Kim DW, Kang KR, Kim SY, et al. Korean Medicine Treatment for Acute Headache Patients Caused by Whiplash Injury:A Retrospective Case Series of Five Patients. J Int Korean Med 2020;41(4):676-87.