Analysis of Clinical Prognosis Factors of Peripheral Facial Palsy and Effects of Electro-Diagnostic Tests in Combined Treatments of Oriental and Western Medicines

Ahn C.B – Prof., K.M.D. et all.
Korea

Introduction:

Facial Nerve Paralysis can cause a incurable stigma to patients though it can be treated by combined treatments of acupuncture and Western medicine.

Aim:

To analyze clinical prognosis factors and verify the effects of electro-diagnostic tests

Methods:

378 subjects were selected among 987 hospitalized-patients diagnosed with Bell's palsy and Ramsay Hunt Syndrome. They were treated by Oriental-Western medicine treatments which included acupuncture, herb drug, medicines, physical therapy during two weeks after onset and three weeks at least after that. Electro-diagnostic test was assessed 7 to 10 days after onset. Prognosis factors were analyzed using House-Brackmann grading system(HBGS) and collected data.

Results:

1. Clinical prognosis factors differ significantly(p<0.05) depending upon gender, age, types of facial palsy, symptoms of retro-auricular pain and labyrinth, onset of recovery time, and grades of HBGS.

2. Generally, 77.2% were completely recovered while 22.8% had sequelae such as synkinesis, facial contracture, facial spasm, crocodile tears and scheroma in order of frequency.

3. Electro-diagnostic tests were significant (p<0.01) to predict the final effects of treatment.

Conclusion:

Clinical factors and electro-diagnostic tests were significant in predicting the prognosis for Bell’s palsy.


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