• 대한한의진단학회지
• /
• 제9권2호
• /
• pp.72-82
• /
• 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.

• Journal of Acupuncture Research
• /
• 제17권3호
• /
• pp.87-98
• /
• 2000

This study is designed to evaluate the clinical implications of Gd-DPTA (Gadolinium-diethyl enetriamine pentacetic acid) enhanced MRI(Magnetic resonance imaging) in Bell's palsy and find it's usefulness in Oriental Medicine In this study, 25 outparients with Bell's palsy were studied that MRI was performed. To evaluate degree of facial palsy, H-B(House-Brackmann) Grade was used. In Oriental Medical therapy, Acupuncture and Herbal medicine were treated. Subjective cause was divided into exposure to chill, fatigue, stress, mixed cases. Enhanced site was compared with symptoms which were disorder of eye, hearing, taste, and facial muscle palsy. Also, Relation between time which was performed MRI and enhancement was analyzed. The enhanced lesion in MRI was divided into five segments; Internal audiitory canal, Labyrinthine segment, Geniculate ganglion, Tympanic segment, Mastoid segment. In Bell's palsy, 20 of 25 patients(80%) had abnormal contrast enhancement of the facial nerve. The H-B grade and interval performed MRI from onset were directly proportionate to enhancement. That is to say, Severe facial palsy short interval show high possibility of enhancement. There was no relation between subjective causes and enhanced site of facial nerve in MRI. Also Clinical symptoms didn't coincide with MRI findings.

• 한방재활의학과학회지
• /
• 제19권4호
• /
• pp.175-187
• /
• 2009

Objectives : This study was performed to evaluate the effect of facial rejuvenation acupuncture on cases of sequela of facial nerve palsy. Methods : This study was carried out in respect of 5 cases of sequela of facial nerve palsy patients which had been treated in Dong-Shin university oriental hospital from 2009 year with House-Brackmann grading system(HBGS) above Grade IV. In this study the patients were treated by facial rejuvenation acupuncture. The effect of the treatment were evaluated via scales and picture. Results : After treatment with facial rejuvenation acupuncture, 5 patients improved H-B scale and symptoms of the sequela of facial nerve palsy. The average of H-B scale was increased from 3.2 to 6.4. There also formed forehead folds, better blinking of the eyes and improved asymmetry of the left and right face. Conclusions : In the study, facial rejuvenation acupuncture showed marked improvement in sequela of facial nerve palsy. Randomized-controlled trial for further evaluation will be needed in the future.

• Annals of Clinical Neurophysiology
• /
• 제14권1호
• /
• pp.25-28
• /
• 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.

• Journal of Acupuncture Research
• /
• 제28권4호
• /
• pp.93-103
• /
• 2011

Objectives : The aim of this study was to observe the effect of Needle-embedding therapy on sequelae of peripheral facial palsy. Methods : 27 patients with sequelae of peripheral facial palsy were treated with Needle-embedding therapy. Yanagihara score, number of symptoms, symptoms score were compared between before and after treatment to evaluate the effect of Needle-embedding therapy. Results : After treatment, Yanagihara score, number of symptoms, symptom score were significantly decreased(p<0.05). Conclusions : Needle-embedding therapy could be effective to improve symptoms of sequelae of peripheral facial palsy patients.

• The Korean Journal of Pain
• /
• 제11권1호
• /
• pp.116-118
• /
• 1998

Stellate ganglion block(SGB) is frequently performed in pain clinics. Facial palsy produces asymmetry of the face, lagophthalmos and incomplete eyelid closure. Exposure keratitis and eyeball pain can be induced by prolonged lagophthalmos. SGB was performed on a 51-year-old female patient who had exposure of keratitis and eyeball pain due to facial nerve palsy after an operation for chronic otitis media. After 31 stellate ganglion blocks, eyeball pain and keratitis nearly subsided. SGB is an effective method to treat lagophthalmos caused by facial nerve palsy.

• 대한한방소아과학회지
• /
• 제27권3호
• /
• pp.20-28
• /
• 2013

Objectives The purpose of this study is to report the clinical effects of Korean medical treatments on peripheral facial palsy. Methods In this study, 5 children were treated with peripheral facial palsy with Korean medical treatments, such as herb medicines, acupunctures, electro-acupuncture, and infrared therapy. Results As a result of the treatment, 5 children were almost recovered. The average treatment period was 42.17 days, with average recovery period of 9 weeks. Conclusions This study shows that Korean medical treatments on childhood peripheral facial palsy could be one of the viable options for this patient kind.

• Journal of Acupuncture Research
• /
• 제30권3호
• /
• pp.155-163
• /
• 2013

Objectives : This study was designed to evaluate the effect of Jung-an acupuncture on the sequelae of peripheral facial palsy. Methods : Four patients suffering from sequelae of peripheral facial palsy were treated with Jung-an acupuncture. Yanagihara's total scores, the scale of Peitersen grades and picture, before and after the Jung-an acupuncture treatment were compared to evaluate its treatment efficacy. Results : Yanagihara's total score of all subjects were increased. Peitersen grades of all subjects were decreased. Conclusions : As indicated by unequivocal increase in all subjects' Yanagihara and Peitersen scores, Jung-an Acupuncture treatment is effective in alleviating the sequelae of peripheral facial palsy. Randomized-controlled trial for further evaluation is necessary to verify the results and findings of this study.

• Journal of Acupuncture Research
• /
• 제33권2호
• /
• pp.211-220
• /
• 2016

Objectives : Facial nerve palsy is a rare but well-known complication that occurs after a tooth extraction. The paralysis follows the injection of a local anesthetic, but patients typically recover after a few hours. However, there are a number of reports of delayed paralysis, and the cause of delayed facial palsy remains uncertain. This study is the first case report detailing how Korean medicine can be used to treat facial nerve palsy following tooth extraction. This study reports our experience of a patient's favorable recovery. Methods : A 25-year-old male patient experienced acute facial palsy after four premolar teeth were extracted. He was hospitalized in the Pusan National University Korean Medical Hospital. We provided complex Korean traditional medical treatments such as acupuncture, cupping, use of a hot water steamer, and herbal medicine for 18 days. Results : Using the Yanagihara Grading Score, we found improvements in the patient's voluntary facial movement as his score increased from 22 to 34. Furthermore, his accompanying symptoms, such as dry eye and facial pain, disappeared. However, the patient reported transient pain around acupoints after the acupuncture intervention. Conclusion : Our study suggests that Korean medical treatments might be effectively used to treat facial nerve palsy after tooth extraction, although further research should be conducted due to the limited number of cases in this area.

• Annals of Clinical Neurophysiology
• /
• 제6권2호
• /
• pp.75-79
• /
• 2004

Backgrounds: Electrodiagnostic tests have been developed to estimate the degree of facial nerve injury during the acute phase. Side-to-side amplitude comparison with the affected side expressed as a percentage of the nonaffected side has been one of the most valuable electrophysiologic methods of assessing facial nerve functioning. This study was designed to know whether there is any difference in the side-to-side comparison of amplitudes and terminal latencies of the compound muscle action potentials (CMAP) of the facial muscles in the patients with Bell's palsy. Methods: Electroneurographic recordings with surface electrodes on the frontalis, orbicularis oculi, nasalis, and orbicularis oris muscles were made within 2 weeks post-onset (mean, day 7) in 39 patients. Results: Of the 39 Bell's palsy patients, 38 patients (97.4%) recovered satisfactorily within 6 months. The amplitude of CMAP in all patients was not reduced to 10% or less of that of the contralateral healthy muscle. The correlation of amplitude change between four facial muscles was relatively strong, but the correlation of latency change was weak. When the electroneurographic values were compared in the four muscle groups, the general linear models procedure did not show any significant difference for CMAP amplitude and latency changes (p=0.62-0.63). Conclusions: This study did not show any significant clinical advantage of electroneurographic recordings in more than one facial muscle at the early stage of Bell's palsy.