• 대한두경부종양학회지
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• 제12권2호
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• pp.193-200
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• 1996

We performed a retrospective study to evaluate the effect of posterior approach to facial nerve in parotid surgery, being the standard procedure in our hospital, on postoperative facial palsy and to access the safety of this procedure in preserving the function of facial nerve. A series of 176 parotid surgeries from 172 patients from January 1989 to December 1994 was analyzed, of which, 2 Schwannomas, 4 Kimura's diseases, 6 preoperative facial palsies, and 4 intentional nerve resections for malignancy were excluded. Factors such as pathology of tumor, extent of surgery, location of tumor, size of tumor, frequency of surgery were reviewed to determine if any factor contributed to the developement of facial palsy postoperatively. Of 160 parotidectomies, postoperative facial palsy was found in 58(36.3%), being temporary in 35(35. 6%), recovered within 12 months after surgery and permanent in 1(0.6%). Facial palsy occured in 47(35.7%) of 128 benign tumors, 42(89.5%) recovered completely within 6 months and in 11(34.4%) of 32 malignant tumors, 6(54.5%) within 6 months. Among the factors analyzed, postoperative facial palsy was found to be common in the tumors of deep lobe(p<0.02) and in total or neartotal parotidectomies(p<0.08). In our study, the factors of the location of tumor and extent of surgery would be contributable to developement of postoperative facial palsy and the surgical technique using posterior approach to the facial nerve may be a simple and safe surgical procedure for identification and preservation of facial nerve in parotid surgery.

• Journal of Acupuncture Research
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• 제32권1호
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• pp.67-78
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• 2015

Objectives : This study is designed to explore the experience of patients who received facial Qigong exercise education, to identify whether facial Qigong exercise is effective for Bell's Palsy patients and to aid in developing a more efficient exercise program. Methods : Eight patients who visited the Facial Palsy Center in Kyung Hee University Korean Medicine Hospital between September 2014 and December 2014 for treatment of Bell's palsy were interviewed. All patients received facial Qigong exercise education at least two times. The interview was conducted for 20 to 30 minutes and included discussion related to the experience of facial palsy, facial Qigong exercise and suggestions for a more efficient facial Qigong program. Results : The patients replied that they experienced emotions such as anxiety, depression and confusion when they discovered the symptoms of facial palsy. They also suggested that they had regained mental stability and physically recovered through facial Qigong exercise and also suggested possible improvements for the system of facial Qigong exercise in terms of time/place/educator. Conclusions : The results from the interviews suggest that facial Qigong exercise might be an effective treatment for Bell's Palsy patients from a psychological and physical perspective. A more patient-centered environment should be established to ensure efficient treatment.

• 동의생리병리학회지
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• 제18권6호
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• pp.1585-1597
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• 2004

Facial palsy is a common disease in clinic, which can be classified into central and peripheral according to the causes. The central facial palsy is caused by cerebral vascular accident, brain tumor, etc. The peripheral facial palsy comes from cold stimulus on face, regional infection of virus, suppurative tympanitis, inflammation on mastoid process, pathological teeth, trauma like cranial fracture, and so forth, They have distinctive features in diagnosis. While the central facial palsy is followed by hemiplegia and articulation disorder, the peripheral one by the disappearance of wrinkles on the forehead and rising of eyeball on paralyzed side when closing the eyes. Most of the cases in this thesis are peripheral palsy. The social classes and ages of the patients are so various that the treatments must be applied from various standpoints. The statistical data shows that the functional weakness of the whole body is the fundamental condition of the facial palsy. Therefore it is very important to find and the exact pathology and treatment appropriate for Hyungsang of the patients.

• Journal of Acupuncture Research
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• 제22권6호
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• pp.51-60
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• 2005

Objectives : This study was designed to evaluate the effect of inbalance of autonomic nerve system on peripheral facial palsy patients in comparison of Heart Rate Variability results of healthy control group with that of peripheral facial palsy group. Methods : The peripheral facial palsy patiens who visited the Dongguk university Bundang oriental medicine hospital from April to June in 2005 were tested Heart Rate Variability items which are Mean Heart Rate(MHRT), Standard Deviation of all the Normal RR intervals (SDNN), Root Mean Square of Successive Differences Between The Normal Heart Beats(RMSSD), Total Power(TP), Low Frequency, High Frequency, ratio between the Low Frequency and High Frequency power(LF/HF ratio). The Heart Rate Variability test results of peripheral facial palsy group were compared with the HRV test results of healthy control group who didn't have nervous disease, musculoskeletal disease, heart problem and pain for the past 6 months. Results : 1. MHRT was not significantly different between peripheral facial palsy group and healthy control group(P=0.18). 2. SDNN was not significantly different between peripheral facial palsy group and healthy control group(P=0.41). 3. RMSSD was not significantly different between peripheral facial palsy group and healthy control group(P=0.93). 4. TP was not significantly different between peripheral facial palsy group and healthy control group(P=094). 5. LF and HF were not significantly different between peripheral facial palsy group and healthy control group((P=0.34, 0.30). 6. LF/HF ratio was significantly different between peripheral facial palsy group and healthy control group(P=0.04). Conclusion : LF/HF ratio is generally used as autonomic nerve system evaluation and there was significantly statistical difference between peripheral facial palsy group and healthy control group.

• 동의생리병리학회지
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• 제21권6호
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• pp.1619-1623
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• 2007

This study was desiged to investigate the Obesity and Right-left(region) of Patients with Bell's palsy. We measured the sex, age, BMI and pulse diagnosis of 149 patients who were diagnosed as Bell's palsy. The results were as follows : In distribution of sex, the ratio of male was 52.35%(78 cases), female 47.65%(71 cases). The distribution of age revealed that 40s was the most in 50 cases(33.6%). The distribution of region in facial palsy was left 73 cases, right 76 cases(1:1.04). In distribution of region in facial palsy patients with obesity, the ratio of left was 32.86%(49 cases), right 34.23%(51 cases). But facial palsy patients with obesity was the most in 100 cases(67.11%), low weght was 3 cases(2.01%). In distribution of pulse diagnosis in facial palsy patients with obesity, the ratio of huh-mac(虛脈) was 63.64%(42 case), sil-mac(實脈) 36.36%(24 cases). The huh-mac(虛脈) was simlliar to gi-huh(氣虛). So we found that the facial palsy patients with obesity was more gi-huh(氣虛) than with low weght. In distribution of region in facial palsy patients with obesity-huh-mac(虛脈), the ratio of left was 41.38%(12 cases), right 58.62%(17 cases).

• Journal of Acupuncture Research
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• 제31권4호
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• pp.99-108
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• 2014

Objectives : This study was performed to review articles referring to facial palsy sequelae evaluating scale and propose how to assess facial palsy sequelae. Methods : We searched for the medical literature to find out method of evaluating facial palsy sequelae. Then, we researched strengths and weaknesses of the scale and considered the way to appraise the facial palsy sequelae. Results : There were subjective and objective scale for evaluating facial palsy sequelae. Subjective scale could offer detailed assessment but had low objectivity and reproducibility. Objective scale had consistency and detachment but needed for specific equipments with time for measuring and calculating. Conclusions : We should evaluate the facial palsy sequelae with the strengths of subjective and objective scale and assess facial nerve function, symptoms of facial palsy sequelae and quality of life entirely. Moreover, the scale has to contain the reliability with static and dynamic assessment.

• Journal of Acupuncture Research
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• 제41권1호
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• pp.63-68
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• 2024

Background: Facial nerve palsy presents a significant healthcare challenge, impacting daily life and social interactions. This systematic review investigates the potential utility of ultrasonography as a diagnostic tool for facial nerve palsy. Methods: Electronic searches will be conducted across various databases, including MEDLINE, EMBASE, CENTRAL (Cochrane Central register of Controlled Trials), CNKI (China National Knowledge Infrastructure), KMBASE (Korean Medical Database), ScienceON, and OASIS (Oriental Medicine Advanced Searching Integrated System), up to February 2024. The primary outcome will focus on ultrasonography-related parameters, such as facial nerve diameter and muscle thickness. Secondary outcomes will encompass clinical measurements, including facial nerve grading scales and electrodiagnostic studies. the risk of bias in individual study will be assessed using the Cochrane Risk of Bias assessment tool, while the grading of recommendations, assessment, development, and evaluations methodology will be utilized to evaluate the overall quality of evidence. Conclusion: This study aims to review existing evidence and evaluate the diagnostic and prognostic value of ultrasonography for peripheral facial nerve palsy.

• 한방안이비인후피부과학회지
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• 제30권3호
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• pp.62-75
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• 2017

Objectives : The aim of this study is to evaluate possibility of DITI as prognosis evaluation tool of facial palsy. Methods : We investigate prognosis of facial palsy through EMR(Electronic Medical Record) of inpatient from December 2016 to June 2017. We evaluated the sex, age distribution, length of hospital stay, paralysis site, number of treatment after discharge, change of H-B Grade at entrance and exit, temperature difference of both sides of DITI, and Nerve Conduction Study(NCS) with reference to EMR recorded symptom change. Results : 1. Significant correlations were not found between DITI and House-Brackmann Grade change, NCS(%), the date of admission. 2. There was a negative correlation between NCS(%) and hospitalization period in patients with facial palsy. The higher the NCS, the faster the recovery rate of facial palsy. 3. In patients with facial palsy, the temperature difference between the two sides after the DITI image shows that the affected side tends to be lower than the normal side. Conclusions : In this study, only DITI temperature difference between both sides of face is not significant in determining the prognosis of facial palsy. Further research is needed to conduct DITI at the same time and to improve accuracy through a sufficient assessment of the degree of facial palsy.

• 한방안이비인후피부과학회지
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• 제24권3호
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• pp.119-128
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• 2011

Object : The purpose of this study is to evaluate the effect of Miso Facial Rejuvenation Acupuncture on Facial Palsy Sequela. Miso Facial Rejuvenation Acupuncture is an Korean medical treatment technique used for face lifting and facial disease. Method : We tereated a male patients who has Facial palsy sequela include contraction, spasm, synkinesis with Miso Facial Rejuvenation Acupuncture. The treatment was performed one times a week for thirteen times. The effects of the treatment were evaluated VAS(visual analogue scale). Result : After the treatment the grade of VAS was decreased and clinical symptoms were gradually disappaered. Conclusion : Miso Facial Rejuvenation Acupuncture showed improvement in sequela of facial palsy.

• 한방안이비인후피부과학회지
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• 제23권2호
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• pp.196-205
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• 2010

Objective : This study was designed to evaluate the effect of Miso Facial Acupuncture on Orbicularis Oculi muscle. Methods : Two men and four women with Facial nerve palsy were recruited. Miso Facial Acupuncture on Orbicularis Oculi muscle was performed two times a week for three weeks. The effects of the treatment were evaluated by H-B scale, Y-system and clinical symptom. Results : Before treatment with Miso Facial Acupuncture, three patients showed H-B scale improvement and the other three patients had no change. and four patients showed Y-system improvement and the other two patients had no change. In six cases, the patients had improvement in clinical symptom related with Orbicularis Oculi muscle function. Conclusion : Miso Facial Acupuncture on Orbicularis Oculi muscle showed significant improvement in facial nerve palsy.