DOI QR코드

DOI QR Code

Analysis of Clinical Research Trends for Acupotomy Treatment of Peripheral Facial Palsy

  • Jeon, Seok Hee (Department of Acupuncture and Moxibustion Medicine, DongShin Korean Medicine Hospital) ;
  • Choi, Ji Min (Department of Korean Medicine Rehabilitation, DongShin Korean Medicine Hospital) ;
  • Yoo, Jae Hee (Department of Acupuncture and Moxibustion Medicine, DongShin Korean Medicine Hospital) ;
  • Shin, Jeong Cheol (Department of Acupuncture and Moxibustion Medicine, DongShin Korean Medicine Hospital)
  • Received : 2021.09.27
  • Accepted : 2021.10.13
  • Published : 2021.11.30

Abstract

The purpose of this review was to investigate acupotomy treatment for peripheral facial palsy. By reviewing recent clinical trends, this may contribute to standardizing acupotomy treatment methods. There were 7 randomized controlled trials and 6 case series using acupotomy treatment for peripheral facial palsy published between January 01, 2014 and April 05, 2021, which were retrieved from 9 online databases. The number and characteristics of participants, main treatment sites, combination treatments, size of acupotomy needle, frequency and total period of treatment, evaluation indices, efficacy, and adverse events were analyzed. "Tender point or induration," "infraorbical foramen," and "buccal mucosa" were the most used treatment sites. The sizes of acupotomy needles varied from 20 mm to 80 mm in length, and 0.35 mm to 1.0 mm in diameter. One treatment cycle was performed every 3 to 5-7 days, and the number of treatments per treatment session ranged from 3 to 5-9 cycles. The results were evaluated using 1 to 4 evaluation indices and 9 different evaluation indices were used overall. The efficacy rate was the most used index, followed by the House-Brackmann grade, and electrocardiography. The "Risk of Bias 2," categorized most studies as having "some concerns." There were few adverse events reported.

Keywords

References

  1. Korean Acupuncture & Moxibustion Medicine Society Textbook Compilation Committee. The Acupuncture Medicine. Seoul (Korea): Hanmi Medical Publishing Company; 2016. p. 656-660. [in Korean].
  2. Kim SM, Kim YI. 2019 National Health Insurance Statistical Yearbook. Health Insurance Review & Assessment Service, National Health Insurance Service. 2020. 656 p. [in Korean].
  3. Healthcare Bigdata Hub Frequent disease statistics of inpatients in 2020 [Internet]. [cited 2021 Jun 01]. Available from: http://opendata.hira.or.kr/op/opc/olapHifrqSickInfo.do. [in Korean].
  4. Lee JH, Yang TJ, Kim SW, Jeong JY, Ma YH, Oh JS et al. Efficacy between Hwangryunhaedok-tang Pharmacopuncture Therapy and Hominis Placenta Pharmacopuncture Therapy on Peripheral Facial Paralysis: Retrospective Comparison Study. Korean J Acupunct 2015;32:199-207. [in Korean]. https://doi.org/10.14406/acu.2015.023
  5. Lee YJ, Choi YA, Kim TJ, Roh JD. Effectiveness of Thread-embedding Therapy Combined with Korean Medicine Treatment on Acute phase of Bell's Palsy. J Korean Med Ophthalmol Otolaryngol Dermatol 2021;34:1-12. [in Korean].
  6. Yoo JH, Kim KW, Kim DH, Kim JH, Kim HH, Chung IT et al. A Controlled Trial on the Effect of Complex Oriental Medical Treatment with or without Pyung-Hyung Acupuncture on the Treatment of Peripheral Facial Palsy. J Korean Acupunct Moxibution Soc 2012;29:121-128. [in Korean].
  7. Lee SY, Ko JM, Kim JH, Kwon HJ, Chung JY, Song JH et al. Case Study of Miso Facial Rejuvenation Acupuncture on Intractable Facial Palsy. J Korean Acupunct Moxib Soc 2009;26:163-171. [in Korean].
  8. Oh MJ, Song HS. Effect of Scratching Method Complex Therapy on the Patients with Peripheral Facial Paralysis. J Korean Acupunct Moxibution Soc 2011;28:1-7. [in Korean].
  9. Jeong JY, Lee ES, Seo DG, Shin SY, Kim SY, Kwon HK et al. The Clinical Research of Cervical Chuna Treatment's Effects on Bell's Palsy. Acupunct 2014;31:45-55. [in Korean].
  10. Han DG, Kang AH, Sung JY, Oh JH, Lee YR, Lee HC et al. A Case Report of Facial Nerve Palsy Treated with Korean Medicine Treatment. J Int Korean Med 2018;39:277-285. [in Korean]. https://doi.org/10.22246/jikm.2018.39.2.277
  11. Yuk DI, Kim KM, Jeon JH, Kim YI, Kim JH. A Review of Trends for Acupotomy. Acupunct 2014;31:35-43. [in Korean].
  12. Higgins JPT AD, Savovic J, Page MJ, Elbers RG, Sterne JAC. Chapter 8: Assessing risk of bias in a randomized trial. In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions version 6.2 (updated February 2021). The Cochrane Collaboration; 2021.
  13. Lee ES, Jeong JY, Seo DG, Shin SY, Seo JC, Seo YJ et al. Clinical Research of Cervical Acupotomy Effects with Acupuncture on Facial & Trigeminal Nerve Branch on Peripheral Facial Paralysis and Postauricular Pain. Acupunct 2014;31:143-154. [in Korean]. https://doi.org/10.13045/acupunct.2014061
  14. Zhao LW. Acupotomy combined with warm needling and physiotherapy to treat idiopathic facial palsy. Chin J Convalescent Med 2015;24:704-706. [in Chinese].
  15. Yang JG, Cai ZB, Sun XF. 23 Cases of Peripheral Facial Paralysis with Cervical Symptoms Treated By Acupotomy. Chin Med Cosmetol 2015;5:116-118. [in Chinese].
  16. Tang F, Liu YB, Lu WB, Jiang XP. 42 Cases of Intractable Facial Paralysis Treated with Small Needle-knife and Modified Flash Cupping Method. J Extern Ther Tradit Chin Med 2016;25:30-31. [in Chinese].
  17. Zhang J, Gong XQ, Wang ZM, Li DQ, He F, Zhang XM et al. Observation on Therapeutic Effect of Small Needle-knife on Intractable Facial Paralysis. Inner Mongolia J Tradit Chin Med 2016;35:120-121. [in Chinese].
  18. Zhang LG. Observation on Needle-knife Treatment in 25 Cases of Facial Paralysis. Health Way 2017;16:296. [in Chinese].
  19. Zhang HY. Effect of small needle-knife cooperated with hyperbaric oxygen and neurotrophic drugs in the treatment of intractable facial paralysis. China Med Herald 2017;14:163-166. [in Chinese].
  20. He CH, Liang WL. Clinical Observation of Blade-needle for Convalescence of Facial Neuritis and Its Influence on EMG. J Clin Acupunct Moxibustion 2017;33:35-38. [in Chinese].
  21. Xu SQ. Clinical Observation on Treatment of 128 Cases of Facial Paralysis with Daqinjiao- Decoction and Qianzheng Powder Combined with Acupuncture, Acupoint-Embedding, and Small Needle-knife. J Clin Med Literature 2018;5:83-96. [in Chinese].
  22. Hong XT, Xuan BJ. Treatment of 30 Cases of Facial Neuritis with Taiji Six-he Acupuncture Combined with Blade-needle. J Extern Ther Tradit Chin Med 2018;27:35-36. [in Chinese].
  23. Chen S, Li XH, Jiang RH, Li L. Efficacy of "Zhendao Songjie Jingtu" on peripheral facial neuritis. Clin J Chin Med 2019;11:40-43. [in Chinese]. https://doi.org/10.3390/jcm9010040
  24. Wang LZ. 36 Cases of Intractable Facial Paralysis treated with acupotomy therapy combined with facial scraping. China Naturopathy 2020;28:38-40. [in Chinese].
  25. Lu SC, Chen CH, Yuan SM. Treatment of 30 Cases of Acute Facial Neuritis with Needle-knife. Jiangxi J Tradit Chin Med 2020;51:55-57. [in Chinese].
  26. McGuinness, LA, Higgins, JPT. Risk-of-bias Visualization (robvis): An R package and Shiny web app for visualizing risk-of-bias assessments. Res Synth Methods 2021;12(1):55-61. https://doi.org/10.1002/jrsm.1411
  27. Hong KE. Prevalence and Treatment Pattern of Korean Patients with Facial Palsy. J Korean Acupunct Moxibution Soc 2010;27:137-146. [in Korean].
  28. Bae HB, Yoon HJ, Ko WS, Park SH, Keum DH. A Retrospective Study of Facial Paralysis Sequelae for Korean Medical Treatment. J Korean Med Ophthalmol Otolaryngol Dermatol 2019;32:59-73. [in Korean].
  29. Lim BS, Hwang KG, Shim KS. Temporary Facial Nerve Paralysis after Post-op Edema-A Case Report-. J Dent Anesth Pain Med 2005;5:112-116. [in Korean].
  30. Yoo HJ, Kim GJ. Analysis of Pharmacopuncture Used in Facial Nerve Palsy Articles that Published in the Journal of Korean Medicine. J Korean Med Ophthalmol Otolaryngol Dermatol 2019;32:105-115. [in Korean]. https://doi.org/10.6114/JKOOD.2019.32.3.105
  31. Jo YK, Lee YJ, Kim ES, Jeon JH, Kim YI. Review on Clinical Studies of Facial Palsy Sequelae Treatment. J Haehwa Med 2019;28:1-12. [in Korean].
  32. Lee SY, Jeon S, Kim YH. Clinical Implication of Facial Nerve Decompression in Complete Bell's Palsy: A Systematic Review and Meta-Analysis. Clin Exp Otorhinolaryngol 2019;12:348-359. [in Korean]. https://doi.org/10.21053/ceo.2019.00535
  33. Korean Acupuncture & Moxibustion Medicine Society Textbook Compilation Committee. The Acupuncture Medicine. Seoul (Korea): Hanmi Medical Publishing Company; 2016. p.174-175, 180.
  34. Wu BH, Chen Y, Dong WG. Superficial needling for treatment of dysfunction of facial nerves and the relation with anatomy. Chin Acupunct Moxibustion 2004;24:585-587. [in Chinese].
  35. Lee SE, Yoon HJ, Ko WS. Research Trends on Non-surgical Treatment of Peripheral Facial Paralysis Sequelae. J Korean Med Ophthalmol Otolaryngol Dermatol 2018;31:42-64. [in Korean].
  36. Gong HM, Jun SA, Chung YJ, Kim JR, Lee JH, Lee HJ et al. Efficacy and Safety of Mini-scalpel Acupuncture, Non-Steroidal Anti-Inflammatory Drugs or Combined Treatment for Chronic Neck Pain: An Assessor-Blinded Randomized Controlled Pilot Study. Korean J Acupunct 2020;37:14-23. [in Korean]. https://doi.org/10.14406/acu.2020.008
  37. Kim SY, Park DA, Seo HJ, Shin SS, Lee SJ, Lee M et al. Health Technology Assessment Methodology: Systematic Review, National Evidence-based Healthcare Collaborating Agency. Seoul (Korea); 2020. p.80-96. [in Korean].