• Title/Summary/Keyword: Facial Nerve Disease

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Masseter nerve-based facial palsy reconstruction

  • Park, Hojin;Jeong, Seong Su;Oh, Tae Suk
    • Archives of Craniofacial Surgery
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    • v.21 no.6
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    • pp.337-344
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    • 2020
  • Facial paralysis is a devastating disease, the treatment of which is challenging. The use of the masseteric nerve in facial reanimation has become increasingly popular and has been applied to an expanded range of clinical scenarios. However, appropriate selection of the motor nerve and reanimation method is vital for successful facial reanimation. In this literature review on facial reanimation and the masseter nerve, we summarize and compare various reanimation methods using the masseter nerve. The masseter nerve can be used for direct coaptation with the paralyzed facial nerve for temporary motor input during cross-facial nerve graft regeneration and for double innervation with the contralateral facial nerve. The masseter nerve is favorable because of its proximity to the facial nerve, limited donor site morbidity, and rapid functional recovery. Masseter nerve transfer usually leads to improved symmetry and oral commissure excursion due to robust motor input. However, the lack of a spontaneous, effortless smile is a significant concern with the use of the masseter nerve. A thorough understanding of the advantages and disadvantages of the use of the masseter nerve, along with careful patient selection, can expand its use in clinical scenarios and improve the outcomes of facial reanimation surgery.

Clinical Case Study of Facial Nerve Palsy Using Facial Acupuncture (안면 성형침을 이용한 안면신경마비 치험 2례)

  • Chu, Min-Gyu;Jo, Hee-Guen;Choi, Jin-Bong;Kim, Sun-Jong;Park, Kyung-Mi;Cho, Gook-Ryung;Lee, Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.1188-1192
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    • 2009
  • Facail nerve palsy is a common disease in the face. This disease is treated by many methods. But it is not treated by Facial Acupunture. Therefore we performed to evaluate the effect of Facial Acupuncture with oriental dedical treatment in facail nerve palsy. This clinical study was carried out 2 caese of facail nerve palsy which had been admitted our hospital. In this study the patients were treated by Facail Acupuncture. Other treatment were herbal medication, regabilitative therapy. H-B scale(House-Brackmann facial nerve grading system) and Digital Infrared Thermal Imaging were measured from admission to discharge. After being treated by our methods, Patients' H-B scale and Inequality of Facial DITI were improved in cases compared to existing. In the study, The treatment of facial nerve palsy using Facial acupuncture was more effective, especially H-B scale, Digital Infrared Thermal Imaging and treatment period, compared to existing.

Moebius syndrome - About Pathogenesis, Clinical manifestations, Diagnosis, and Treatment of Moebius - (뫼비우스 증후군 - 발병기전, 임상양상, 진단 및 치료 - )

  • Seung Ho Yu
    • Journal of Convergence Korean Medicine
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    • v.1 no.1
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    • pp.5-15
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    • 2021
  • Objectives: To review the concept of Moebius syndrome. Methods: Literature search was done to study definition, epidemiology, pathophysiology, clinical feature, and treatment of Moebius syndrome. Pubmed, RISS, Google scholarship and uptodate scholastic were used in the research. Search words were 'Moebius syndrome', 'treatment of Moebius syndrome'. Only English and Korean studies were assessed. Results: Moebius syndrome is rare disease characterized by nonprogressive congenital uni- or bi-lateral facial (VII cranial nerve) and abducens (VI cranial nerve) palsy. This facial palsy is found across the world, and its incidence is approximately 1 per 250,000. Moebius is diagnosed by clinical features. Facial palsy, eye abduction problem, limb deformities, global cerebral nerve impairment can be shown. Rehabilitation, smile surgery, and acupuncture can be used to treat this. Conclusion: Moebius syndrome's epidemiology, pathogenesis, treatment is still not fully revealed. It is known to be a congenital disease which didn't have exact treatment except surgery. But, it needs further study about exact treatment, diagnosis, and pathogenesis.

A Case Study of Oriental Medicine Treatment on Peripheral Facial Palsy (말초성 안면마비 환자의 한방치료 치험례)

  • Jung, You-jin;Choi, A-ryun;Han, Dong-kun;Kang, A-hyun;Seo, Hye-jin;Sung, Jae-yeon;Song, Woo-sub;Lee, Hyung-chul;Eom, Gook-hyun;Kim, Soo-yeon
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.769-777
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    • 2017
  • Objective: Facial nerve palsy is caused by damage to the 7th cranial nerve. It is the main symptom of facial muscle paralysis on the affected side. Usually, recovery from this disease begins 2-3 weeks after onset and most patients recover in 4-8 weeks. If the patients cannot receive proper treatment, severe permanent impairments, both physical and mental, may remain, so this disease should be treated appropriately. In this study, a patient with facial nerve palsy was admitted to the Korean medicine hospital for treatment. We report on the patient's progress and the effects of treatment. Methods: We cured the patient with herbal medicines, acupuncture, herbal acupuncture therapy, and physical therapy. We used a numerical rating scale, the House Brackmann grading system, and a weighted regional grading system to assess symptom changes. Result: The patient with facial nerve palsy was hospitalized for 23 days and recovered from symptoms without significant problems on the face or in motor function.

Clinical Analysis of Facial Nerve Paralysis Patients Improved by Sasang Constitutional Medical Treat : A Retrospective Cross-Sectional Study (한방병원을 내원한 말초성 안면신경마비 환자의 사상의학적 임상 치료 : 후향적 단면연구)

  • Kang, Seok-Hwan;Jeon, Soo-Hyung;Jeong, Jong-Hun;Na, Young-Ju;Seo, Yeon-Ju;Kim, Jong-Won
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.1
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    • pp.138-148
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    • 2015
  • Objectives This study was conducted in order to analyze the distribution of Sasang constitution, herbmed, exterior-interior disease and concomitant symptoms of 36 facial nerve paralysis patients. Methods A clinical study was done on 36 patients, treated as facial nerve paralysis. Sasang constitution specialist diagnosed their constitution and gave prescription. Degree of improvement was evaluated by assessment scale or change of patient's complaint. Results 1) Distribution of sasang constituion : Taeeumin 21 patients, Soyangin 8 patients, Soeumin 7 patients. 2) Distribution of exterior-interior disease : Taeeumin and Soeumin were diagnosed as interior disease more than exterior disease, Soyangin was reverse. 3) Hyeongbangdojeok-san and Hyeongbangjihwang-tang (Soyangin), Galgeunhaegi-tang(Taeeumin) and Gwakhyangjeonggi-san(Soeumin) were used the most in each sasang constitution. 4) Seventeen patients had concomitant symptoms : digestive disorder, sleep disorder, tinnitus, hypertension, diplopia, itching, gout, neck-shoulder pain, constipation and dizziness. Conclusions Patients had different Sasang constitution and in the same Sasang constitution, they had different symptomatology.

A Case of Bilateral Facial Nerve Palsy Treated with Serial Stellate Ganglion Block (양측성 안면신경 마비 치험 예)

  • Choe, Huhn;Han, Young-Jin;Ko, Seong-Hoon;Choi, Hyeon-Gyu;Jung, Se-Jin;Park, Hyun-Gyung
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.187-190
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    • 1996
  • Facial nerve palsy is not an uncommon disease encountered at the department of otolaryngology or pain clinic. It usually occurs following viral infection(Bell's palsy, BP). However, it is rare to develop bilaterally, and that not simultaneously. We experienced a rare case of bilateral facial nerve palsy. Patient first experienced left side paralysis, then right side paralysis approximately two months later. We treated the patient with serial bilateral stellate ganglion blocks(SGB). When left side paralysis improved, we performed unilatertal SGB for right side paralysis. Patient was also treated with intermittent electro-acupuncture stimulations, to right side first, then left side. Four months of treatment provided good results. This may be the first case, in Korea, of facial nerve paralysis bilaterally within a certain interval, treated with serial SGB and electro-acupuncture stimulation. However, the etiology of this bilateral BP was not fully confirmed as being a cause of viral origin.

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A Study on the Position and the Pattern of the Facial Palsy According to Sex and Age (성별 및 연령에 따른 안면신경마비 출현 양상에 관한 연구)

  • Hwang, Kyung-Hee;Kim, Byung-Weon;Kim, Young-Hwal
    • Korean Journal of Clinical Laboratory Science
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    • v.40 no.2
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    • pp.142-146
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    • 2008
  • Facial palsy is a general nerve disease which is occurred in a lateral incomplete or complete facial palsy. But it makes man restrict a social activity and so it is very important that we know the prognosis factors of a patient for medical care. We want to investigate the position and the patterns of the facial palsy according to sex and age. In this study, we performed the excitability test of the facial nerve on 103 patients (male 45 and female 58) which diagnosed as the Bell's palsy having an acute facial palsy, and the rate of the facial palsy was 42% (43 case) in right oculi and 58% (60 case) in left oculi. The facial palsy was appeared widely from young to elderly patients and especially, the rate of the facial palsy was high in age groups from 40 to 50.

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Improved Symptoms of Peripheral Facial Nerve Palsy in ChAdOx1 nCoV-19 Vaccine Recipients Following Complex Korean Medicine Treatment

  • Jang, Woo Seok;Jang, Jung Eun;Jung, Chan Yung;Kim, Kyung Ho
    • Journal of Acupuncture Research
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    • v.39 no.2
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    • pp.139-144
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    • 2022
  • Peripheral facial nerve palsy is a neurological condition/disease characterized by unilateral paralysis of the facial muscles. We report the effects of complex Korean medicine treatment in 2 patients diagnosed with Bell's palsy who developed symptoms 3-4 days following vaccination with ChAdOx1 nCoV-19 and who received oral steroids and antiviral medications. Complex Korean medicine treatments including acupuncture, electroacupuncture, bee venom acupuncture, cupping therapy, herbal medicine, and physical therapy were performed. Symptom improvement was evaluated daily using the Numerical Rating Scale, House-Brackmann Grade, and Yanagihara's Score. Patient 1 was hospitalized for 22 days and Patient 2 visited the outpatient clinic 20 times. In both cases, postauricular pain caused by Bell's palsy disappeared, and symptoms of facial paralysis improved following completion of treatment. These findings could suggest that combined Korean medicine treatment may improve symptoms of peripheral facial nerve palsy.