• Title/Summary/Keyword: House-Brackmann facial grading scale

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Effect of Bee Venom Pharmacopuncture Complex Therapy at Yepung on Peripheral Facial Paralysis (말초성안면신경마비에 대한 예풍혈 봉약침 복합치료 효과)

  • Oh, Hyun-Jun;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.27 no.4
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    • pp.179-185
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    • 2010
  • Objectives : This study was to investigate the effectiveness of Bee Venom Pharmacopuncture therapy at Yepung($TE_{17}$) on peripheral facial paralysis. Methods : We investigated 36cases of patients with Peripheral Facial Paralysis, and devided patients into two groups : We treated one group by complex oriental medical treatment with Bee Venom Pharmacopuncture therapy at local point with Yepung(VY), and did the other group by complex oriental medical treatment with Bee Venom pharmacopuncture therapy at local point without Yepung(VL). To evaluate the effectiveness of treatment applied for two groups, we used Gross Grading System of House-Brackmann(HB score), Yanagihara's Unweighed Grading System(Y score) at baseline and final. Results : 1. In VY and VL, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, VY showed significant decrease on HB score and significant increase on Y score compared with VL. Conclusions : Bee Venom Pharmacopuncture therapy at Yepung can be available for relieving symptoms related with peripheral facial paralysis.

Clinical Case Study of Facial Nerve Paralysis with Sensorineural Hearing Loss and Tinnitus Caused by Traumatic Temporal Bone Fracture (난청과 이명을 동반한 외상성 안면신경마비 치험 1례)

  • Jang, Yeo Jin;Yang, Tae Joon;Shin, Jeong Cheol;Kim, Hye Hwa;Kim, Tae Gwang;Jeong, Mi Young;Kim, Jae Hong
    • Journal of Acupuncture Research
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    • v.33 no.1
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    • pp.95-101
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    • 2016
  • Objectives : The aim of this report was to investigate the effects of Korean medical treatment on facial nerve paralysis with sensorineural hearing loss and tinnitus caused by traumatic temporal bone fracture. Methods : We treated a patient with acupuncture, herbal medicine and physiotherapy. The effect of these treatments was evaluated by House-Brackmann facial grading scale, Yanagihara's unweighted grading system and by Digital Infrared Thermographic Image. Results : After 21 days of Korean medical treatment, House-Brackmann facial grading scale changed from III to II and Yanagihara's unweighted grading score increased from 14 to 27. Digital Infrared Thermographic Image also improved. Conclusions : These results suggest that Korean medical treatments were effective in treating facial nerve paralysis with sensorineural hearing loss and tinnitus caused by traumatic temporal bone fracture. We hope that a more efficient application of this treatment will be the result of clinical data accumulated in future studies.

A Retrospective Study of Facial Paralysis Sequelae for Korean Medical Treatment (말초성 안면마비 후유증에 대한 한방 치료를 위한 후향적 차트리뷰 연구)

  • Bae, Hyo-Bin;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.32 no.1
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    • pp.59-73
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    • 2019
  • Objectives : The purpose of this study is to confirm and to suggest the Korean medical treatment is effective treatments to patients with facial paralysis sequelae. Methods : We conducted a survey on patients with facial paralysis sequelae who visited the facial paralysis center from August 2017 to November 2018. We then evaluated House-Brackmann Grading System(HBGS), Sunnybrook Scale(S-Scale), Visual analog scale(VAS) against those who agreed and analyzed the information through Electronic Medical Record(EMR) and Order Communication System(OCS). Results : Clinically, Korean medical treatment such as embedding therapy are effective for the facial paralysis sequelae. For the purpose of raising the level of evidence against this, research will be needed to confirm the treatment effects by comparing accurate assessment indicators that are conducted before and after the treatment. Conclusions : In order to confirm the progress of treatment of facial paralysis sequelae, evaluation indicators such as House-Brackmann Grading System and Sunnybrook Scale should be performed by experts. And after 3-4 weeks, if patients have any sequelae symptoms, it may be helpful to take treatments such as pharmacopuncture treatment and embedding therapy at intervals of 1-2 weeks depending on the symptoms or areas.

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.

12 Cases Study of Facial Nerve Palsy Using Oriental Medical Treatment with Taping Therapy (테이핑 요법을 병용한 한방치료로 호전된 안면신경마비 환자 치험 12례)

  • Na, Gun-Ho;Chiang, Sue-Yuo;Jeong, Jeong-Hui;Wei, Tung-Sheun;Yoon, Yeo-Choong;Lee, Dong-Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.4
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    • pp.1078-1084
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    • 2006
  • This study was performed to evaluate the effect of Taping Therapy with oriental medical treatment ing facial nerve palsy. This clinical study was carried out 12 cases of facial nerve palsy patients which had been admitted in Dong-Shin university Sun-Cheon oriental hospital from November, 2004 to July, 2006. In this study the patients were treated by Taping Therapy. Other treatments were acupuncture, herbal medication, rehabilitative therapy, H-B scale(House-Brackmann facial nerve grading system) was measured from admission to discharge. In the results, the symptoms were improved gradually. The average of H-B scale was increased from 2.5 to 6.71. The treatment period is more shortened compared to the existing period(12weeks). In the study, the treatment of facial nerve palsy using oriental medical treatment with Taping Therapy was more effective, especially H-B scale and treatment period, compared to existing.

Improvement of the Sequelae of Peripheral Facial Nerve Palsy in a Patient with Hemophilia Mainly Treated with Facial Chuna Manual Therapy: A Case Report

  • Geumm Mi Lee;Jae Hyung Kim;Ga Young Choi;Jung Hee Lee;Jae Soo Kim;Hyun Jong Lee
    • Journal of Acupuncture Research
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    • v.41
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    • pp.143-148
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    • 2024
  • A patient with sequelae of peripheral facial nerve palsy (FNP) was mainly treated with facial chuna manual therapy (FCMT) for over 6 months. The patient was diagnosed with hemophilia B and C, so invasive treatments, such as acupuncture and pharmacopuncture, were precluded. The facial nerve grading system 2.0 (FNGS) and the House-Brackmann Grading Scale (HBGS), Peitersen, Murata, Mehta, and numeric rating scale (NRS) systems were used to measure treatment effectiveness. Each scale showed improvement: FNGS, 3 to 2; HBGS, 3 to 2; Peitersen scale, 2 to 1; Murata scale, 9 to 4; Mehta scale, 14 to 1; and NRS, 8.5 to 2.5. An overall improvement was evident in facial muscle strength, particularly in synkinesis. If acupuncture and pharmacopuncture are unavailable, FCMT alone may be effective in treating FNP sequelae.

Four Cases of the Patients with Acute Phase of Facial Palsy Treated by Korean Medicine - Focused on Inpatients Who Applied Non-resistance Technique (한방치료로 호전된 급성기 말초성 안면신경마비 치험 4례 - 무저항요법을 적용한 입원 환자 중심으로)

  • Kyung, Da-hyun;Kim, Min-Kyung;Lee, Si-Won;Bae, Ji-Eun;Jang, Ha-Lim;Lim, Seung-Hwan
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.35 no.1
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    • pp.69-80
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    • 2022
  • Objectives : The purpose of this study is to report that the patient with Peripheral Facial palsy received Korean medicine treatments including SJS Non-resistance Technique-Facial(NRT-F) palsy through hospitalization treatment and received treatment effects. Methods : Four patients with peripheral facial palsy were treated with herbal medication, acupuncture, pharmacoacupunture, and NRT-F. The effect of treatment was evaluated by House-Brackmann Scale and the Yanagihara grading system. Results : After Korean medicine treatments with SJS NRT-F, symptoms were decreased and conditions were improved. Furthermore, the House-Brackmann Scale and the Yanagihara grading system scores were numerically better. Conclusions : The Korean medicine treatments with SJS NRT-F might be effective for Facial palsy.

A Case Report of Peripheral Facial Nerve Palsy in a Patient with Spinal Stenosis Hospitalized at a Korean Medicine Hospital and Treated with Korean Medicine (한방병원에 입원한 요추관협착증을 동반한 말초성 안면신경마비 환자에 대한 한방 치료 1례)

  • Wang, Yen-min;Park, Jin-hun;Kim, So-won;Kim, Sang-yoon;Baek, Gil-geun;Yun, Sang-hun;Kang, Man-ho;Park, Sung-hwan;Lee, Hyung-chul;Lee, Jee-young
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.827-837
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    • 2022
  • Objectives: The purpose of this study is to investigate the effectiveness of using Korean medical treatment for peripheral facial nerve palsy. Methods: We primarily treated the patient's peripheral facial nerve palsy during hospitalization (06/28/21~07/13/21) without any other steroids or antiviral drug treatments and additionally treated their spinal stenosis, using Korean medical treatments in both cases (herbal medicine, acupuncture, and herbal acupuncture therapy). The House-Brackmann grading system and Yanagihara's unweighted grading system were used to assess facial symptom changes, and the Numerical Rating Scale was used to evaluate the back pain caused by the spinal stenosis. Results: Following treatment, the patient's House-Brackmann and Numerical Rating Scale scores decreased, while their Yanagihara unweighted score improved. Conclusions: This study suggests that Korean medicine may be effective in the treatment of facial nerve palsy.

A Case Report of a Patient with Facial Nerve Palsy that Occurred Consecutively on Both Sides After Gastroscopy (위내시경 검사 후 발생한 양측성 안면신경마비 치험 1례)

  • Jin, Hyo-won;Jeong, Sol;Bak, Jeong-rim;Hwang, Ji-hyun;Yun, Jong-min;Moon, Byung-soon
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.989-996
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    • 2022
  • The purpose of this study is to report a rare case of bilateral facial palsy after endoscopy and the effects of a series of traditional Korean medicine treatments applied to the patient. The patient was treated with Western oral medications for seven days and then with traditional Korean medicine consisting of acupuncture, moxa, and herbal medicine (Dodamgeopung-san-gami and Yukgungeopung-san-gami) for two months. Treatment progress was measured using the House-Brackmann grading system and Yanagihara's unweighted grading scale. We were able to notice some improvements in the patient's symptoms: the House-Brackmann scale went from 5/4 to 2/1, and the Yanagihara scale from 13/16 to 38/40. This study thus reports that traditional Korean medicine treatments can be applied to bilateral facial palsy found in rare cases and still be effective.

Case Study : Effects of Acupuncture and Electro-acupuncture on a Patient with Sequelae Caused by Removal of Facial Schwannoma (안면신경초종 수술 후유증 환자에 대한 침 및 침전기 자극술의 효과)

  • Lee, Sang Young;Wang, Gong Duk;Sul, Jae Uk;Kang, Hwi Joong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.3
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    • pp.327-330
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    • 2013
  • The purpose of this study is to report a clinical progress of treatment of sequelae caused by removal of facial schwannoma through Korean medicine. A patient was diagnosed with facial schwannoma by MRI on 4th June 2012 in local university hospital, he had right facial palsy, auditory hypersensitivity, dizziness after removal of facial schwannoma. Between 25th July 2012 and 26th January 2013, he was treated with acupuncture, cupping, electro-acupuncture every week and observed by House-Brackmann facial nerve grading system(H-B scale) and MoReSS every month. He had 29 times treatments. At the first of treatment, his state was Grade IV (H-B scale), 4/8(facial nerve grading), 10 points during action 7 points during rest(MoReSS) and he had severe facial palsy, ill-acrimation, auditory hypersensitivity. At the middle of treatment, October 2012, symptoms improved. State was Grade III (H-B scale), 5/8(facial nerve grading), 7 points during action 3 points during rest(MoReSS). Severe facial palsy improved ; Forehead creasing and union motor function recovered, he was able to close his eyes so ill-acrimation improved. At the end of treatment, January 2012, state was Grade II (H-B scale), 7.5/8(facial nerve grading), 3 points during action 1 point during rest(MoReSS). He had only occasional tinnitus and auditory hypersensitivity. Acupuncture and electro-acupuncture are estimated to be good for facial palsy after removal of facial schwannoma. More cases are required to develop treatment of facial palsy.