AbstractObjectivesThe purpose of this study was to suggest the clinical characteristics and risk factors of facial palsy from the perspective of Korean Medicine.
MethodsMedical records of 856 patients, who visited the Korean Medicine hospital with facial palsy from 2004 to 2019, were retrospectively analyzed. The clinical characteristics of facial palsy were suggested by figuring out the distribution of age, sex, occupation, onset season, obesity, modes, signs, symptoms, past and family history.
ResultsBy gender, there were more males (54.6%), and the most common age groups were in their 50s (27.4%) and 40s (23.6%). As for the occupation, unemployed (27.7%) and service and sales workers (14.6%) were the most common, and the onset season was the most common in winter (28.9%). The most common clinical characteristics were overwork (33.0%), mental stress (24.8%), and exposure to cold (19.3%) in modes, ‘none’ (64.3%), postauricular pain (33.2%) in signs, postauricular pain (26.9%), parageusia (14.8%) in symptoms. Hypertension and diabetes were the most common in both past and family history. In particular, the obesity rate of the subjects (59.8%) was much higher than that of Koreans (32.8%).
ConclusionsBased on the historical Korean Medicine literature and the results of this study, it is suggested that overwork, stress, exposure to cold, and obesity are identified as risk factors for facial palsy. Furthermore, dysfunction of the stomach meridian is thought to contribute to the cause of facial palsy.
참고문헌1. Lee, H.Y., Ryu, E.W., Park, S.W., Kim, J.H., & Park, J.H. (2011). Analysis of Associated Symptoms of Bell's Palsy. Korean Journal of Otorhinolaryngology-Head and Neck Surgery, 54(10), 683-687. 10.3342/kjorl-hns.2011.54.10.683
 2. Slavkin, H.C. (1999). The significance of a human smile: Observations on Bell's palsy. Journal of the American Dental Association, 130(2), 269-272. 10.14219/jada.archive.1999.0141
 3. Atzema, C., & Goldman, R.D. (2006). Should we use steroids to treat children with Bell's palsy? Canadian Family Physician, 52(3), 313-314. 16540094.
 4. Shaw, M., Nazir, F., & Bone, I. (2005). Bell’s Palsy: A Study of the Treatment Advice Given by Neurologists. Journal of Neurology, Neurosurgery, and Psychiatry, 76(2), 293-294. 10.1136/jnnp.2004.046169
5. Holland, N.J., & Weiner, G.M. (2004). Recent Developments in Bell’s Palsy. British Medical Journal, 329(7465), 553-557. 10.1136/bmj.329.7465.553
6. Marson, A.G., & Salinas, R. (2000). Bell’s Palsy. Western Journal of Medicine, 173(4), 266-268. 10.1136/ewjm.173.4.266
7. Peitersen, E. (2002). Bell’s Palsy: The Spontaneous Course of 2,500 Peripheral Facial Nerve Palsies of Different Etiologies. Acta Oto-Laryngologica Supplementum, 549, 4-30. 10.1080/000164802760370753
8. Prescott, C.A. (1988). Idiopathic Facial Nerve Palsy (the Effect of Treatment with Steroids). The Journal of Laryngology and Otology, 102(5), 403-407. 10.1017/S0022215100109667
9. Korean Acupuncture & Moxibustion Medicine Society Textbook Publish Committee Compilation. (2020). The Acupuncture and Moxibustion Medicine. Seoul, South Korea. HANMI Medical Publishing;p. 625-629.
10. Wang B.(1995). Huang Di Nei Jing Ling Shu. Seoul, South Korea. Cheng Fu Publishing;p. 57p. 188
11. Lou Y.(1987). Yi Xue Gang Mu. Beijing, China. Ren Min Wei Sheng Chu Ban She;p. 274p. 320p. 321
12. Chao Y.F.(1976). Zhu Bing Yuan Hou Lun. Taipei, Taiwan. Ji Wen Shu Ju;p. 3
13. House, J.W., & Brackmann, D.E. (1985). Facial Nerve Grading System. Otorhinolaryngology-Head and Neck Surgery, 93(2), 146-7. 10.1177/019459988509300202
14. Kweon, S.H., Kim, Y.N., Jang, M.J., Kim, Y.J., Kim, K.R., Choi, S.H., & Oh, K.W. (2014). Data Resource Profile: The Korea National Health and Nutrition Examination Survey (KNHANES). International Journal of Epidemiology, 43(1), 69-77. 10.1093/ije/dyt228
15. World health organization/International association for the study of obesity/International obesity taskforce. (2000). The Asia-Pacific Perspective: Redefining Obesity and Its Treatment. Melbourne, Australia. Health Communications Australia;p. 18
16. Lee, W.S., & Kim, J. (2009). Facial nerve paralysis and surgical management. Journal of the Korean Medical Association, 52(8), 807-818. 10.5124/jkma.2009.52.8.807
17. Lee, J.A., Kim, J.U., & Choi, J., et alClinical Practice Guidelines of Korean Medicine for Facial Palsy: an Evidence-based Approach. Eur J Integr Med, (2016). 8, 176-81.
18. Finsterer, J. (2008). Management of Peripheral Facial Nerve Palsy. European Archives of Oto-Rhino-Laryngology, 265(6), 743-752. 10.1007/s00405-007-0556-3
19. Li G.(1987). Yi Xue Fa Ming Huo Fa Ji Yao. Beijing, China. Zhong Yi Gu Ji Chu Ban She;p. 37
20. Chen X.Y.(1991). Yi Xue Cong Zhong Lu. Beijing, China. Shanghai Ke Xue Ji Shu Chu Ban She;p. 3-4.
21. Qin J.M.Unknown. Zheng Yin Mai Zhi. China. Xuan Feng Chu Ban She;p. 32
22. Yang X.H.(1986). Jin Gui Yao Lue Zhu Shi. Taipei, Taiwan. Zheng Zhong Shu Ju;p. 15
23. Qin Y.R.Nan Jing Ji Zhu. Beijing, China. Ren Min Wei Sheng Chu Ban She;p. 268
24. Lee B.(1996). Yixue rumen (IV). 8th edition. Seoul, South Korea. Namsan-dang;p. 67
25. Wang B.(1994). Huang Di Nei Jing Su Wen. Seoul, South Korea. Seong Bu Sa;p. 87-91.
26. Zhang J.B.(1994). Jing Yue Quan Shu. Beijing, China. Ren Min Wei Sheng Chu Ban She;p. 231
27. Su Liu Z. (1983). Su Wen Xuan Ji Yuan Bing Shi. Beijing, China. Ren Min Wei Sheng Chu Ban She;p. 189
|
|
|||||||||||||||||||||||||||||||
|
|||||
PDF Links
Full text via DOI
PubReader
Download Citation 
Print 
