• 대한두개안면성형외과학회지
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• 제18권1호
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• pp.65-70
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• 2017

A 25-years-old woman with mandibular prognathism underwent a mandibular setback by way of mandibular sagittal split ramus osteotomy (MSSRO). After 2 days of operation, she developed difficulty of closing her right eye. The blink reflex test and motor nerve conduction study of the right orbicularis oris muscle were revealed right facial neuropathy of unknown origin and House-Brackmann facial nerve grading system (HBFNGS) grade V. For treatment, we initially prescribed oral prednisolone and nimodipine including physical therapy. The samples consisted of 11 facial nerve palsy patients caused by MSSRO and were analysed about onset of facial nerve palsy, postoperative HBFNGS, final HBFNGS, treatment method and recovery time. At 10 weeks of treatment of nimodipine, she had completely regained normal function (HBFNGS grade I) of the right facial nerve. The clinical results lead to assume a fast recovery of facial nerve function by the nimodipine medication, whereas average time of recovery is 16.32 weeks in references. Despite of the limited one patient treated, the result was very promising with respect to a faster recovery of the facial nerve function. Considering the use of nimodipine treatment for peripheral facial nerve palsy following a surgical approach with an anatomically preserved nerve can be recommended.

• 한방안이비인후피부과학회지
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• 제28권2호
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• pp.13-22
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• 2015

Objective : To investigate how general characteristics and life habits of patients affect severity of acne which was determined by Korean Acne Grading system(KAGS). To adress correlation between the severity of acne and subjective stresses from which patients suffer. Methods : 86 patients answered to questionaire sheet on their general characteristics and life habits and rated their level of stresses as a number in the range between 0 and 10. Then an oriental medical doctor evaluated subject's acne grades, based of KAGS, through observations on papules, nodules, and scars before (medical) treatments. All data (collected) were analyzed using SPSS 22 (software for windows). To clearly demonstrate association of subjects general characteristics, life habits with KAGS grades, Chi-square tests were performed. The correlation between the KAGS grades and the level of stresses was determined using one-way ANOVA followed by Scheffe's post-hoc analysis. Results & Conclusion : Majority of subjects were women, students between 15 and 25 years old, and patients with normal range of Body Mass Index(BMI). Dysmenorrhea presence and premenstrual exacerbation of acne had statistically significant relationship, suggesting their potential influences on KAGS grades as major factors.

• 대한한방내과학회지
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• 제34권1호
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• pp.86-99
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• 2013

Objectives : The purpose of this study was to analyze the general features of patients with idiopathic faical paralysis. Methods : We investigated the various features and HBGS (House-Brackmann Grading System) of 505 patients who were diagnosed with idiopathic facial paralysis. Results and Conclusions : 1. The sex distribution was 264 male cases, and 241 female cases, and the majority of them were in their 40s. 2. Overwork was the most frequent contributing factor to their paralysis. 3. The treatment of most patients was completed within 2 months. 4. Their recovery was faster if their first hospital visit was sooner and their paralysis was partial. On average, the patients recovered within 19.5 to 27.8 days and it took much less time than natural recovery. 5. When looking at the BMI of the selected patients for this study, 62.00% were obese while 14.37% were under-weight. Among the obese patients, there were more with Xu mai (虛脈) than Shi mai (實脈). For the under-weight patients, most had Shuo mai (數脈) while none had Chi mai (遲脈).

• 동의생리병리학회지
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• 제26권6호
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• pp.976-979
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• 2012

The purpose of this study was to examine the effect of needle-embedding therapy to facial paralysis patient after acoustic neuroma surgery. The patient was treated by basic oriental medicine treatment. We evaluated the effect of Needle-Embedding Therapy by using Yanagihara's unweighted grading system and subjective satisfaction score. The final Yanagihara's score was higher than before the treatment. The patient was satisfied after Needle-Embedding Therapy. Needle-Embedding Therapy was effective against facial paralysis after acoustic neuroma surgery. Further studies will be required to identify the beneficial effect of Needle-Embedding Therapy in facial paralysis after acoustic neuroma surgery.

• Asian Pacific Journal of Cancer Prevention
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• 제16권1호
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• pp.53-58
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• 2015

Background: The purpose of this study was to assess the the efficacy of oral glutamine (GLN) in prevention of acute radiation-induced esophagitis in patients with lung cancer and determine the predictive role of clinical and dosimetric parameters. Materials and Methods: Thirty-two patients diagnosed with lung cancer were studied prospectively. Sixteen patients (50%) received prophylactic powdered GLN orally in doses of 10g/8h. Patients were treated 2 Gy per fraction daily, 5 days a week. We evaluated the grading of esophagitis daily at the end of each fraction of each treatment day until a cumulative dose of 50 Gy was reached. The primary end point was radiation-induced esophagitis. Results: All patients tolerated GLN well. Toxicity grade, weight loss, serum cytokine levels and esophageal transit times exhibited statistically significant improvement in the GLN receiving group. GLN suppressed the inflammation related to the disease and treatment and reduced toxicity with statistical significance. Conclusions: This study suggests a benefical role of oral GLN use in prevention and/or delay of radiation-induced esophagitis, in terms of esophageal transit time and serum immunological parameters, as well as weight loss.

• Journal of Trauma and Injury
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• 제31권2호
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• pp.76-81
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• 2018

Fractures at the thoracolumbar region are commonly followed after major traumatic injuries, and up to 20% of these fractures are known to be burst fractures. Making surgical decisions for these patients are of great interest however there is no golden standard so far. Since the introduction of Thoracolumbar Injury Classification and Severity (TLICS) score in 2007, it has been widely used as a referential guideline for making surgical decisions in thoracolumbar fractures. However, there is still limitations in this system. In this clinical case report, we introduce a L1 burst fracture after motor vehicle injury, who was successfully treated conservatively even while she was graded as a TLICS 5 injury. A case report is presented as well as discussion on the limitations of this grading system.

• Clinics in Shoulder and Elbow
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• 제3권1호
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• pp.33-38
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• 2000

Objectives: The purpose of this study was to grading the severity of intra-articular lesions and evaluate the effects of arthroscopic surgery after manipulation of the resistant frozen shoulder. Materials and Methods : Forty-eight cases from 44 subjects, median age of 53, who underwent arthroscopic surgery after manipulation with minimum follow-up of 12 months were chosen. The UCLA shoulder rating scale was applied, and average scale was 18.2 points. Results: Twelve cases out of our series showed as rotator cuff tear which could produce secondary frozen shoulder. In postoperative follow up, 34 subjects complained of no pain or noctalgia, 5 showed mild degree of pain, 8 with mild degree of remained limited range of motion, and only 1 with no improvement. When viewed with UCLA shoulder rating scale, the most improved aspect was pain, and satisfaction of patient was following. And final average scale was 31.9 points. Conclusion: Our study revealed that arthroscopic surgery after manipulation showed favorably high final scale and patient's satisfaction. Therefore, we recommend this modality for treatment of resistant frozen shoulder in a point of view that the diagnosis and treatment can be done simultaneously.

• Journal of Acupuncture Research
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• 제27권1호
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• pp.43-49
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• 2010

Objectives : This study was designed to evaluate the effect of Jung-an acupuncture on Bell's palsy(peripheral facial paralysis) patients. Methods : We investigated 24 cases of patients with peripheral facial paralysis. The patients were divided into two groups. Both Group A, B were treated with general acupuncture and Group A was added to treatment with Jung-an acupuncture. We evaluated the treatment effect of each group three times by using Yanagihara's unweighted grading system. Results : As a result of evaluation by using Yanagihara score, they were not significant scores between two groups after treatment. Conclusions : Jung-an acupuncture and general Acupuncture has significant effect on acute(before 4 weeeks at onset) Bell's palsy. But there is no statistical significance in Jung-an acupuncture on acute phase(within 4 weeks of onset).

• 대한한방부인과학회지
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• 제21권4호
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• pp.258-268
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• 2008

Purpose: The purpose of this study is to report the effect of oriental treatment to Bell's palsy occurred during pregnancy. Methods: We treated 28 year old woman and 31 year old woman who had the Bell's palsy occurred during pregnancy. 2 patients were treated with oriental treatment such as herb medicine and acupuncture therapy. The effects of these treatment was evaluated by Yanagihara's unweighted grading system. Results: As a result, symptoms were remarkably alleviated and Yanagihara score was improved. Conclusion: According to this result, we concluded the oriental treatment could improve pregnant Bell's palsy patient. After this paper, further study and clinical approach based on oriental treatment will be needed about pregnant Bell's palsy patient.

• 대한한방부인과학회지
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• 제27권1호
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• pp.193-205
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• 2014

Purpose: This study was aimed to report the effect of oriental treatment on Bell's palsy during pregnancy with Sasang Constitutional method. Methods: 4 patients who had Bell's palsy during pregnancy were treated with Sasang constitutional prescriptions. After treatments we evaluated the effects by House-Brackmann facial nerve grading system. Results: As a result, the clinical symptoms of Bell's palsy during pregnancy were improved. Conclusions: This case studies show that Sasang constitutional method can be effectively used on Bell's palsy during pregnancy. Especially the diagnostic results by using Diagnosis System of Oriental Medicine (DSOM) revealed that some of patients were in a very weak condition. We could apply these results to choose prescription and get good therapeutic effects.