The Effect of Korean Medical Treatments for Facial asymmetry Patients: Five Cases Report

Jeongmin Shin; Jin-hyang Ahn; Jin-hyuk Lee; Shin, Jeongmin; Ahn, Jin-hyang; Lee, Jin-hyuk

doi:10.13048/jkm.19035

JKM > Volume 40(3); 2019 > Article

Shin, Ahn, and Lee: The Effect of Korean Medical Treatments for Facial asymmetry Patients : Five Cases Report

Case Report

The Journal of Korean Medicine 2019; 40(3): 198-223.

Published online: September 30, 2019

DOI: https://doi.org/10.13048/jkm.19035

The Effect of Korean Medical Treatments for Facial asymmetry Patients : Five Cases Report

Jeongmin Shin¹^{, 2}^{, *}

, Jin-hyang Ahn¹

, Jin-hyuk Lee¹

¹Charmjin Korean Medicine Clinic

²Department of Integrative medicine, Graduate school, CHA Medicine University

Correspondence to: Jeongmin Shin, Charmjin building, Nonhyeon-ro 85. Road43, Gangnam-gu, Seoul, Republic of korea Tel: +82-2-538-7712, Fax: +82-2-538-4478, E-mail: hiranya5382@gmail.com

Received July 31, 2019 Revised August 26, 2019 Accepted August 27, 2019

Abstract

Objectives

The purpose of this study was to investigate the effect of Korean medicine treatment on facial asymmetric treatment in 5 cases of facial asymmetry correction by non - surgical treatment such as acupucture, chuna treatment , FCST (Functional cerebrospinal technique) and cranial osteopathy.

Methods

We analyzed the initial charts of 5 patients who had undergone facial asymmetry in a Korean medicine clinic and measured the position and distance using the photograph, lateral cephalograms, and whole body radiograms. The results were as follows.

Results

To quantify both soft and hard tissues to confirm the results of Korean medicine treatment of facial asymmetry, soft tissues quantitatively measure the displacement of the face, the slope of the left and right eyes, and the slope of the lip in order to grasp the positional displacement of the mandible. As a result, on the average, the correction effect as measured by the angle difference between A and C is 1.8±0.57, the correction effect as measured by the angle difference between B and C is 1.4±0.89, and the angle difference between D and the horizontal plane is 1.9±0.89, and the angle difference between E and the horizontal plane is 1.9±0.89. The result of reduced angle difference between A and C means that the head position shifted from the center of the body to the unilateral side was shifted to the center. The decrease in the angle difference between B and C means the restoration of the maxillary distortion relative to the mandible. In hard tissues, numerical values were measured based on the skull standard. The average distortion of the skull was 1.9±0.67, and the distortion of the lower eye was 1.4±0.41.

Conclusion

General studies on facial asymmetric treatment are limited to treatments such as surgery and orthodontics. However, this study confirmed the possibility that facial asymmetry could be corrected by Korean medical treatment consisting of reversible non-surgical treatment rather than irreversible treatment such as surgery or orthodontic treatment. In particular, Korean medicine treatment is effective for muscular asymmetry, soft asymmetry, functional asymmetry, etc. The facial asymmetric treatment of Korean medicine is not limited to the face-centered correction, but the asymmetry of the whole body may be corrected as well.

Keywords: Facial asymmetry, Non-surgical facial correction, Korean medicine treatment of facial asymmetry, Facial acupuncture, cranial osteopathy, FCST

Fig. 1

Yinyang Balance Appliance

Fig. 2

Standard Balance Appliance: IBA

Fig. 3

Massester technique

Fig. 4

Temporalis technique

Fig. 5

Pterygoid techniques

Fig. 6

Photography analysis

Fig. 7

chephalography analysis

Fig. 8

Before and after photos of Case 1

Fig. 9

Before and after radiograms of Case 1

Fig. 10

Before and after body radiograms of Case 1

Fig. 11

Before and after photos of Case 2

Fig. 12

Before and after radiograms of Case 2

Fig. 13

Before and after right & left lateral radiograms of Case 2

Fig. 14

Before and after body radiograms of Case 2

Fig. 15

Before and after photos of Case 3

Fig. 16

Before and after radiograms of Case 3

Fig. 17

Before and after body radiograms of Case 3

Fig. 18

Before and after photos of Case 4

Fig. 19

Before and after radiograms of Case 4

Fig. 20

Before and after left lateral radiograms of Case 3

Fig. 21

Before and after body radiograms of Case 4

Fig. 22

Before and after photos of Case 5

Fig. 23

Before and after radiograms of Case 5

Fig. 24

Before and after body radiograms of Case 5

Fig. 25

The changes of angles between lines

Table 1

Angle before and after the procedure of Case 1

	before	after
Angle of A and C lines	3	1
Angle of B and C lines	4	2
Angle of D line and horizon	1.5	1
Angle of E line and horizon	2	2

Table 2

Angle before and after the procedure of Case 1

	before	after
Angle of V and M lines	4	2
Angle of F line and H line	2	0.5
RL/LL	5.13/6.18, 0.83	5.77/5.8, 0.99

Table 3

Angle before and after the procedure of Case 2

	before	after
Angle of A and C lines	3	1
Angle of B and C lines	0	0
Angle of D line and horizon	3	1
Angle of E line and horizon	4	1.5

Table 4

Angle before and after the procedure of Case 2

	before	after
Angle of V and M lines	2	1
Angle of F line and H line	2.5	1
RL/LL	8.04/7.94, =1.01	6.9/6.96, =0.99

Table 5

Angle before and after the procedure of Case 3

	before	after
Angle of A and C lines	1	0
Angle of B and C lines	2	1
Angle of D line and horizon	2.5	0.5
Angle of E line and horizon	2	0.5

Table 6

Angle before and after the procedure of Case 3

	before	after
Angle of V and M lines	3	1
Angle of F line and H line	1	0
RL/LL	4.48/5.16, 0.86	5.01/5.02, 0.99

Table 7

Angle before and after the procedure of Case 4

	Before	after
Angle of A and C lines	3	0.5
Angle of B and C lines	3.5	1.5
Angle of D line and horizon	4	2
Angle of E line and horizon	6	1.5

Table 8

Angle before and after the procedure of Case 4

	before	after
Angle of V and M lines	3	0
Angle of F line and H line	1.5	0.5
RL/LL	7.1/7.51, 0.94	6.01/6.27, 0.95

Table 9

Angle before and after the procedure of Case 5

	before	after
Angle of A and C lines	2.5	1
Angle of B and C lines	3	1
Angle of D line and horizon	5	2
Angle of E line and horizon	1.5	1

Table 10

Angle before and after the procedure of Case 5

	before	after
Angle of V and M lines	2	0.5
Angle of F line and H line	2	0
RL/LL	5.63/5.40, 1.04	5.83/5.82, 1.00

Table 11

The changes of Mean value and Correction effect

		Photograph				X-ray

		A–C	B–C	D-horizon	E-horizon	V–M	F–H	RL/LL
Mean value (mean±SD)	before	2.5±0.86	2.5±1.58	3.2±1.35	3.1±1.88	2.8±0.83	1.8±0.57	0.93±0.09
Mean value (mean±SD)	after	0.7±0.44	1.1±0.74	1.3±0.67	1.5±0.93	0.9±0.74	0.4±0.41	0.98±0.01

Correction effect (mean±SD)		1.8±0.57	1.4±0.89	1.9±0.89	1.6±2.07	1.9±0.67	1.4±0.41

Table 12

Facial Asymmetry Classification 1

Congenital	Acquied	Developmental
cleft lip and palate	temporomandibular joint ankylosis	- agenesis
Tessier facial cleft	facial trauma	- hypoplasia
hemifacial microsomia	childhood radiotherapy	- unilateral condylar hyoerplasia
neurofibromatosis	fibrous dysplasia	- prognathism deviation
Congenital torticollis	facial tumors	- bilateral deviation of narrow maxilla(adenoid face )
craniosynostosis	Parry-Romberg syndrome	- Maxillary narrowing by amorphrous soft tissue movement (ex.finger sucking, abmomal swallowing)
vascular disorder	condylar fracture	- crossbite and malposition of tooth
prefatal intrauterine damage	degenerative TMJ disease

Table 13

Facial Asymmetry Classification 2

Tooth alveolar	Skeletal	Muscular	Soft tissue	Fuctional
Premature loss	hemifacial microsomia	- muscle atropy by	Surplus of tissue	lateral,anterior and posterior
Of infant teeth	Genetic factors such as	hemifacial microsomia	by osteotomy	deflection of mandible
Congenital tooth defect	multiple	and cerebral palsy muscle	Unilateral	transverse stenosis of
Common habits such as	neurofibromatosis	- difference sich as	softtissue	maxillary inverted teeth
thumb sucking	damage at birth by	massester hypertropy	enlargement	TMJ disorder with
accuracy deficit in gene	pressure	- abnormal muscle		displacement of articular
expression	unilateral damage during osteosarcoma	- case missed treatment of SCM fibrosos in torticollis		disk

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