Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Improved Symptoms of Peripheral Facial Nerve Palsy in ChAdOx1 nCoV-19 Vaccine Recipients Following Complex Korean Medicine Treatment

  • Jang, Woo Seok (Department of Acupuncture and Moxibustion Medicine, Dongguk University Ilsan Oriental Medicine Hospital) ;
  • Jang, Jung Eun (Department of Acupuncture and Moxibustion Medicine, Dongguk University Ilsan Oriental Medicine Hospital) ;
  • Jung, Chan Yung (Department of Acupuncture and Moxibustion Medicine, Dongguk University Ilsan Oriental Medicine Hospital) ;
  • Kim, Kyung Ho (Department of Acupuncture and Moxibustion Medicine, Dongguk University Ilsan Oriental Medicine Hospital)
  • Received : 2021.10.29
  • Accepted : 2021.12.13
  • Published : 2022.05.31
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Abstract

Peripheral facial nerve palsy is a neurological condition/disease characterized by unilateral paralysis of the facial muscles. We report the effects of complex Korean medicine treatment in 2 patients diagnosed with Bell's palsy who developed symptoms 3-4 days following vaccination with ChAdOx1 nCoV-19 and who received oral steroids and antiviral medications. Complex Korean medicine treatments including acupuncture, electroacupuncture, bee venom acupuncture, cupping therapy, herbal medicine, and physical therapy were performed. Symptom improvement was evaluated daily using the Numerical Rating Scale, House-Brackmann Grade, and Yanagihara's Score. Patient 1 was hospitalized for 22 days and Patient 2 visited the outpatient clinic 20 times. In both cases, postauricular pain caused by Bell's palsy disappeared, and symptoms of facial paralysis improved following completion of treatment. These findings could suggest that combined Korean medicine treatment may improve symptoms of peripheral facial nerve palsy.

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References

  1. Kwon N, Shin Y, Kim C, Koh P, Yi W, Joh B et al. Comparative clinical study between oriental medical and oriental-western medical treatment on Bell's Palsy. J Korean Acupunct Moxib Soc 2008;25:19-28.
  2. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture medicine. Seoul (Korea): Hanmi Medical Science; 2016. p. 638-642.
  3. Kang NR, Tark MR, Byun SM, Ko WS, Yoon HJ. A clinical analysis on 250 cases of inpatients with facial paralysis. J Korean Med Ophthalmol Otolaryngol Dermatol 2010;23:109-121.
  4. Donika KP, Kerry HL. Bell palsy: Clinical examination and management. Cleve Clin J Med 2015;82:419-426. https://doi.org/10.3949/ccjm.82a.14101
  5. Choe PG. Vaccines and treatment of coronavirus disease 2019. Korean J Med 2020;95:364-369. https://doi.org/10.3904/kjm.2020.95.6.364
  6. Knoll MD, Wonodi C. Oxford-AstraZeneca COVID-19 vaccine efficacy. Lancet 2021;397:72-74. https://doi.org/10.1016/S0140-6736(20)32623-4
  7. Cirillo N, Doan R. Bell's palsy and SARS-CoV-2 vaccines-an unfolding story. Lancet 2021;21:1210-1211. https://doi.org/10.1016/S1473-3099(21)00273-5
  8. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken) 2011;63:S240-252. https://doi.org/10.1002/acr.20543
  9. House JW, Brackmann DE. Facial nerve grading system. Otolaryngology Head and Neck Surgery 1985;93:145-147. https://doi.org/10.1177/019459988509300201
  10. Yanagihara N. Grading of Facial Palsy. Proceedings of the third international symposium on facial nerve surgery. Amstelveen (Netherlands): Kugler Medical Publications; 1977. p. 533-535.
  11. Kim KJ, Lee DK, Seok JI. Clinical analysis of Bell's Palsy. Korean J Clin Neurophysiol 2007;9:5-10.
  12. Lindsay KW, Bone I, Fuller G. Neurology and Neurosurgery Illustrated. Amsterdam (Netherlands): Elsevier; 2011. p. 227-228.
  13. Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell Palsy. Report of the Guideline Development Subcommittee of The American Academy of Neurology. Neurology 2012;79:2209-2213. https://doi.org/10.1212/WNL.0b013e318275978c
  14. Hong KE. Prevalence and treatment pattern of Korean patients with facial palsy. Acupuncture 2010;27:137-146.
  15. Peitersen E. Bell's palsy: The spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl 2002;(549):4-30.
  16. Ahmed A. When is facial paralysis Bell palsy? Current diagnosis and treatment. Cleveland Clin J Med 2005;72:398-405. https://doi.org/10.3949/ccjm.72.5.398
  17. Kim PK, Sung WS, Goo BH, Ryu HK, Suk KH, Lee JH et al. Retrospective study on factors influencing facial nerve damage of acute peripheral facial palsy patients: By electromyography. Acupuncture 2013;30:155-167.
  18. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Otorhinolaryngology. Seoul (Korea): Iljogak; 2005. p. 209-211.
  19. Nasuelli NA, De Marchi F, Cecchin M, Paoli ID, Onorato S, Pettinaroli R et al. A case of acute demyelinating polyradiculoneuropathy with bilateral facial palsy after ChAdOx1 nCoV-19 vaccine. Neurol Sci 2021;42:4747-4749. https://doi.org/10.1007/s10072-021-05467-w
  20. Kim MB, Kim JH, Shin SH, Yoon HJ, Ko WS. A study of facial nerve grading system. J Korean Med Opthalmol Otolaryngol Dermatol 2007;20:147-160.