• Journal of Physiology & Pathology in Korean Medicine
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• v.19 no.2
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• pp.515-519
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• 2005

We hypothesized that the IL10 gene is important candidate in the development of Bell's palsy and specific genotypic and allelic variations should be associated with Bell's palsy in the Korean population. In this study, we assessed the SNP (single-nucleotide polymorphism) of IL10 in patients with Bell's palsy. 62 patients with Bell's palsy were selected from the subjects who visited for the Bell's palsy service of the department of acupuncture & moxibustion, college of Oriental Medicine, Daegu Haany University from May 2002 to May 2003. Pyrosequencing was performed for genetic analyses. There was no statistically significant genotypic distribution difference between control and Bell's palsy group And there was not statistically significant allelic frequency difference between control and Bell's palsy group. In this study the IL10 genotypemight not be the risk factor of Bell's palsy patients in Korean. studies will be necessary for the exact genetic markers. Establishment of more systemic approach and high quality of prospective cohorts will be necessary for the good prediction of genetic markers.

• Annals of Clinical Neurophysiology
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• v.14 no.1
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• pp.25-28
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• 2012

Background: Bell's palsy is the most common disease of cranial nerve. While most electrodiagnostic tests can detect the abnormality of facial nerve several days later in Bell's palsy, blink reflex usually reveals the abnormality earlier than other tests. Therefore, we investigated the diagnostic usefulness of blink reflex in the early stage of Bell's palsy. Methods: We performed a prospective investigation in patients with facial palsy. We enrolled patients with Bell's palsy who were evaluated within 7 days of symptom onset and excluded patients with secondary causes of facial palsy. We analyzed the findings of blink reflex according to age, sex, evaluation time, and severity of facial palsy. Results: Of 320 consecutive patients with facial palsy, a total of 204 patients were enrolled. Blink reflex was normal for 10 patients and abnormal for 194 patients. The time interval between the symptom onset and the evaluation time was not associated with the result of blink reflex, but House-Brackmann grade was significantly related to the result of blink reflex (P<0.001). Patients with mild Bell's palsy often showed normal blink reflex. Conclusions: Our study shows that blink reflex is useful diagnostic test regardless of evaluation timing in the early stage of Bell's palsy, although it could be normal in patients with mild Bell's palsy.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.21 no.3
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• pp.200-206
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• 2008

Objectives : This study was planned to find the character type of enneagram in patients with Bell's palsy. Methods : Author gave the 26 patients with Bell's palsy the Korean Enneagram Personality Type Indicator(KEPTI). After making out the questionnaire, we got back them. Then author graded questionnaire papers, and classified according to characte type. We finded that type 1 and type 9 show a higher ratio than any other charicter type. Results : The cause of Bell's palsy onset were over work 34.5%, stress 23.1%, over work and stress 19.2%, cold exposure 7.7%, dental treatment 3.8% pregnancy 3.8%, unknown 7.7%. We finded that type 1 and type 9 show higher ratio than any other charicter type. Conclusion : To find the interrelation between the character type of enneagram and Bell's palsy, further reseach is needed continuosly.

• The Journal of Korean Obstetrics and Gynecology
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• v.21 no.3
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• pp.245-256
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• 2008

Purpose: Bell's palsy is a peripheral facial palsy of unknown etiology. During pregnancy, there is an increased incidence of Bell's palsy. Due to the nature of pregnancy, it is unlikely to treat Bell's palsy during pregnancy. The purpose of this study is to report on 3 patients with Bell's palsy during pregnancy, who improved by oriental medical treatment. Methods: The patients who had Bell's palsy during pregnancy were treated with oriental medical treatment such as herbal medication and acupuncture therapy. House-Brackmann facial nerve grading system was used to estimate the efficacy of these treatments. Results: After the oriental medical treatment, the clinical symptoms of Bell's palsy during pregnancy were improved. Conclusion: This case study shows that the oriental medical therapy is effective in treating Bell's palsy during pregnancy. Further systematic studies and specific guidelines of Bell's palsy during pregnancy would be of much value.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.23 no.2
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• pp.151-162
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• 2010

Objective : Bell's palsy is common and has many clinic study. but bell's palsy prognosis is not enough specific. So this study was evaluated bell's palsy prognosis, treatment number, sequela of normal group and bad prognosis group. Methods : From June 2009 to June 2010, patients who visited Dong-seo Oriental Medicine ENT. A clinic study was done on patient who were diagnosed bell's palsy, onset 2weeks within when first visited OPD and treated 3 times over in Dong-seo Oriental Medicine Cental. To evaluate grade of paralysis, House-Brackman Scale was used. We classified treatment numbers of each HB-Scale group, normal gIVroup and bad prognosis group. Results : The distribution of Onset HB-Scale : Gr II 26.25%, Gr III 67.5%, Gr IV 6.25% Onset HB-Scale Gr II patients completely recover 100% Onset HB-Scale Gr III patients completely recover 64.8%, improved 27.8%, nothing change 7.4% Onset HB-Scale Gr IV patients completely recover 40%, improved 60% Onset HB-Scale Gr II & IV patients recovery percentage make no difference of normal group (Group A) and bad prognosis. Onset HB-Scale Gr III patients completely recover Group A 66.7%, Group B 52.9%, improved Group A 23.2%, Group 35.3%, noting change Group A 5.1%, Group B 11.8% Onset HB-Scale Gr II patients has no sequela. Onset HB-Scale Gr III & IV patients has tendency that they treat more times, more improving and less sequela probability Conclusion : Onset HB-Scale is the indicator of acute bell's palsy prognosis.

• Journal of Acupuncture Research
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• v.23 no.6
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• pp.9-18
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• 2006

Objectives : This study was designed to evaluate the influence of postauricular pain on Bell's palsy patients. Methods : We investigated 71 cases of patients with Bell's palsy and classified them as existence of Postauricural pain, 71 patients were sequentially interviewed and examined. We evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann(H-B grade) before treatment and after final treatment and we researched differences of sequelae of Bell's palsy, period of treatment, changing point -period from onset of Bell's palsy to the day which the change begins to be seen at the face- and improvement -period which Bell's palsy is improved from onset to H-B gradeII. Results : 1. In age, sex, lesion, duration of disease, we found that two groups have no significant differences. 2. In improvement and period of treatment, we found that two groups have significant differences. In changing-point, we found that two groups had the difference of the average, but they were not statistically significant. 3. As a result of evaluation by using H-B grade, treatment score after final treatment was marked higher than that before treatment within each group. 4. After final treatment, Non-postauricular pain group had significant difference(result) on H-B grade compared with Postauricular pain group. 5. In frequency of sequelae symptoms of Bell's palsy, Postauricular pain group had more higher compared with Non-postauricular pain group. Conclusion : These results suggested that Non postauricular pain group should be get better than Postauricular pain group.

• Journal of East-West Nursing Research
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• v.15 no.2
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• pp.110-118
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• 2009

Purpose: This study identifies the effects of meridian massage on relieving facial paralysis, pain, and anxiety in Bell's palsy patients. Methods: A nonequivalent control group pre-test/post-test design was used for the study. The subjects were 51 Bell's palsy patients (experimental group=26, control group=25) of D University's oriental medicine hospital. The experimental group received a meridian massage for 20 min three times a week for two weeks. The data were analyzed with the following methods by using the SPSS/WIN 12.0 program: $x^2$-test, Fisher's exact test, and t-test. Results: The facial paralysis scores of the experimental group were significantly higher than those of the control group. The pain and anxiety scores of the experimental group were significantly lower than those of the control group. Conclusions: The results suggest that meridian massage (applied by nurses) has beneficial effects on facial paralysis, pain, and anxiety in patients suffering from Bell's palsy. Thus, meridian massage is recommended as an alternative nursing intervention program for patients with Bell's palsy.

• Journal of Physiology & Pathology in Korean Medicine
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• v.28 no.1
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• pp.89-93
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• 2014

The aim of this study was to investigate that thermal imaging is objective and effective to evaluate the severity of Bell's palsy. We investigated 19 cases of patients in college of Oriental Medicine, Iksan Oriental medical hospital at Wonkwang university who were diagnosed with Bell's palsy. The degree of palsy was evaluated with House-Brackmann grading system(HBGS) before treatment, then the thermal difference of the face was calculated by thermal imaging, and finally the correlation between HBGS and thermal difference was analyzed. The significance correlation was found between HBGS and thermal imaging's thermal difference. According to the images taken from 17 patients' DITI's temperature value and HBGS's palsy grade, they significantly were correlated. As thermal imaging's thermal differences got larger in number, the palsy grade had increased. These results suggest that thermal imaging identified to be a relatively objective examination method for evaluating the severity of Bell's palsy.

• Journal of Acupuncture Research
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• v.17 no.2
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• pp.19-30
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• 2000

Object : This study is designed to evaluate effects of acupuncture and herb-medication by the data of DITI(Digital Infrared Thermographic Imaging) examination and the changes of clinical symptoms after the therapy of acupuncture and herb-medication in the patients with Bell's palsy. Contents : The conservative therapy with acupuncture and herb-medication was performed during 1-8weeks. The acupuncture points of S4, S6, G14, S2, BL2, SI18, TE23, LI4 and S36 was used. In the pre- and post therapy, DITI examinations were performed in patients who had Bell's palsy and were treated by acupuncture simultaneously, and then tried to correlate the results of clinical symptoms with the difference of thermographic findings at pre-and post acupuncture. Setting : The standard routine themographic examinations were performed with thermography (DITI) in the 16 patients with Bell's palsy at pre- and post acupuncture. patients : Thermographic imaging of 16cases was analyzed. They had diagnosed Bell's palsy. They were treated by acupuncture and moxibustion therapy in Wonkwang Oriental Hospital from Jauary, 1999 to February, 2000. Results : The results of treatment showes that 56.25% of patients achieved excellent recovery and 31.25% achieved good recovery. After compairing the DITI results before and after treatment, we found 43.75% of patients achieved excellent recovery and 43.75% achieved good recovery. Conclusion :Acupuncture showed good results over 87.5% in clinical evaluation and 87.5% in DITI. Thermographic examination showes terapeutic effect of acupuncture treatment.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.9 no.2
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• pp.72-82
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• 2005

Background and purpose: Bell‘s Palsy is a condition that causes the facial muscles to weaken or become paralyzed. It's caused by trauma to the 7th cranial nerve, and is not permanent. The aim of this study is to be convinced of differences between facial electrodermal activities of paralyzed side and those of normal side in acute stage of Bell's Palsy patients Methods: Electrodermal activity (EDA) was performed within 1 week after the onset of facial palsy and facial nerve electromyography (EMG) at 2 weeks after the onset. The recovery of facial nerve function was documented by House and Brackmann grading. All the patients were followed up weekly until recovery or up to 6 weeks. Results: There was significant differences (conductivity A: t=3.319, p=0.002; conductivity C: t=2.699, p=0.010) between facial electrodermal conductivities of paralyzed side and those of normal side in acute stage of Bell's Palsy patients (N=45). And the result showed that logarithmic scale of electrodermal conductivity A value ratio obviousely decreased with logarithmic scale of EMG zygomatic branch amplitude ratio (r=-0.472, p=0.143); logarithmic scale of capacitance B, logarithmic scale of EMG temporal branch amplitude ratio (r=-0.422, p=0.133); logarithmic scale of conductivity C, logarithmic scale of EMG buccal branch amplitude ratio (r=-0.545, p=0.083) (N=12). Conclusion: Electrodermal conductivities increased in paralyzed facial side in acute stage of Bell's Palsy patients.