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Narrative Review of the Association between Cervical Region Treatment and Facial Paralysis

  • Young-Jun Kim (Department of Acupuncture and Moxibustion Medicine, Bucheon Jaseng Korean Medicine Hospital) ;
  • Hye-Ri Jo (Department of Acupuncture and Moxibustion Medicine, Bucheon Jaseng Korean Medicine Hospital) ;
  • So-Rim Kim (Department of Acupuncture and Moxibustion Medicine, Bucheon Jaseng Korean Medicine Hospital) ;
  • Dong-Guk Shin (Department of Oriental Neuropsychiatry, Bucheon Jaseng Hospital of Oriental Medicine) ;
  • Da-Won Lee (Department of Korean Medicine Obstetrics and Gynecology, Bucheon Jaseng Korean Medicine Hospital) ;
  • Yeon-Sun Lee (Department of Acupuncture and Moxibustion Medicine, Bucheon Jaseng Korean Medicine Hospital)
  • Received : 2023.07.13
  • Accepted : 2023.10.31
  • Published : 2023.11.30

Abstract

Facial nerve palsy refers to sudden, unilateral lower motor neuron facial paralysis. This study aimed to determine the importance of neck treatment in the treatment of facial paralysis. A literature search was performed on six online databases and other sources until January 15, 2023. A total of 426 papers were retrieved. After excluding duplicated and inconsistent papers, papers not including cervical treatment, and experimental papers on animals, two papers were finally selected. The type of treatment method, therapeutic effects, assessment of the risk of bias in randomized controlled trials, and non-randomized controlled trials and side effects were evaluated. Chiropractic, manual therapy, facial meridian massage, and acupotomy were applied to the face and cervical spine region. The results showed that each treatment had a significant therapeutic effect through evaluation index measurement methods, such as the visual analog scale and Yanagihara's unweighted regional grading system. This study demonstrated the importance of the cervical spine area in the treatment of facial paralysis. However, this study has many limitations. Thus, high-quality randomized controlled comparative studies on the treatment of the cervical spine area only or studies that include cervical spine area treatment as an interventional treatment while performing oriental or comprehensive treatment are needed.

Keywords

References

  1. Chen N, Zhou M, He L, Zhou D, Li N. Acupuncture for Bell's palsy. Cochrane Database Syst Rev 2010;2010:CD002914. doi: 10.1002/14651858.CD002914.pub5 
  2. Lee JW, Kwon SA, Kim MJ, Song JY, Kim PK, Seo BK, et al. A study of facial palsy sequelae and evaluating scale. J Acupunct Res 2011;28:75-87. 
  3. Kim JW. Clinical features of peripheral facial palsy patients first visiting in Kyung Hee university Korean Medicine hospital : a cross-sectional study [thesis]. Seoul: Kyung Hee University; 2020. 
  4. Health Insurance Review & Assessment Service (HIRA). 2019 National Health Insurance Statistical Yearbook. HIRA; 2020. 
  5. Drake RL, Vogl W, Mitchell AWM, Tibbitts R, Richardson P, Horn Al. Gray's basic anatomy. Elsevier; 2012:530. 
  6. Jeong HI, Kim KH, Oh YT, Choi YM, Song BY, Kim JU, et al. Korean medicine for treating facial palsy: - a literature review of case reports. J Pharmacopuncture 2018;21:214-215. doi: 10.3831/KPI.2018.21.025 
  7. Lim DJ, Hwang GH, Hwang JS, Cho HS, Kim KH, Kim KS. Study of the relation of autonomic nerve system and peripheral facial palsy by the heart rate variability. J Korean Acupunct Mox Soc 2005;22:51-60. 
  8. Yoon DM, Kim CH, Lee YW, Nam YT. Facial palsy accompanied with herpes zoster on the cervical dermatome. J Korean Pain Soc 1997;10:97-100. 
  9. de Vries N, Versluis RJ, Valk J, Snow GB. Facial nerve paralysis following embolization for severe epistaxis (case report and review of the literature). J Laryngol Otol 1986;100:207-210. doi: 10.1017/s0022215100098996 
  10. Kim EJ, Kim JS, Yu SH, Rho HS, Kim DH, Kim HG, et al. Influence of the neck acupressure massage and the neck cream including Korean herbal extract on the neck wrinkles and facial blood circulation. J Korean Inst Orient Med Inf 2009;15:85-91. 
  11. Lee JS, Seo NS, Han MS. Effects of meridian massage on facial paralysis, pain, and anxiety in Bell's palsy patients. J East-West Nurs Res 2009;15:110-118. doi: 10.14370/jewnr.2009.15.2.110 
  12. Lee ES, Jeong JY, Seo DG, Shin SY, Seo JC, Seo YJ, et al. Clinical research of cervical acupotomy effects with acupuncture on facial & trigemial nerve branch on peripheral facial paralysis and postauricular pain. J Acupunct Res 2014;31:143-154. doi: 10.13045/acupunct.2014061 
  13. Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ 2011;343:d5928 
  14. Jorg R, Milani GP, Simonetti GD, Bianchetti MG, Simonetti BG. Peripheral facial nerve palsy in severe systemic hypertension: a systematic review. Am J Hypertens 2013;26:351-356.  https://doi.org/10.1093/ajh/hps045
  15. Suk KH, Ryu HK, Goo BH, Lee JH, Ryu SH, Lee SY, et al. A review study and proposal of facial palsy sequelae evaluating scale. J Acupunct Res 2014;31:99-108. doi: 10.13045/acupunct.2014057 
  16. 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. Acupuncture 2014;31:45-55. doi: 10.13045/acupunct.2014042 
  17. Yang HJ, Joo HA, Baek SC, Park JS, Hong SH. A clinical report on 35 inpatients with facial paralysis effects of early oriental medicine treatment on house-brackmann grade in Bell's palsy. J Korean Med Ophthalmol Otolaryngol Dermatol 2011;24:108-118. doi: 10.6114/jkood.2011.24.3.108 
  18. Yin CS, Bae YM, Choi YS, Ko JM, Kim S, Kan U, et al. Clinical observation on blood flow of facial acupuncture points in Bell's palsy patients by doppler ultrasound. J Korean Acupunct Mox Soc 2009;26:49-58. 
  19. O MJ, Lee JH. Four cases of the patients with facial palsy sequelae synkinesis treated by Thread-Embedding Acupuncture(TEA) and Jung-An Acupuncture(JAA). J Korean Med Ophthalmol Otolaryngol Dermatol 2019;32:202-211. doi: 10.6114/jkood.2019.32.3.202 
  20. Yang HM, Lee YI, Lee JG, Choi YJ, Lee HJ, Lee SH, et al. Topography of superficial arteries on the face. Korean J Phys Anthropol 2013;26:131-140. doi: 10.11637/kjpa.2013.26.4.131 
  21. Kubota K, Sunada K. Changes in blood flow at the mandibular angle and Horner syndrome in a rat model of superior cervical ganglion block. J Dent Anesth Pain Med 2018;18:105-110. doi: 10.17245/jdapm.2018.18.2.105 
  22. Tsujimoto G, Sunada K, Nakamura T. Effect of cervical sympathetic ganglionectomy on facial nerve reconstruction using polyglycolic acid-collagen tubes. Brain Res 2017;1669:79-88. doi: 10.1016/j.brainres.2017.05.028 
  23. Simons DG, Travell JG, Simons LS. Travell & Simons' myofascial pain and dysfunction: the trigger point manual, vol. 1 - upper half of body. 2nd ed. Yeoungmun; 2003:28-123. 
  24. Lancaster DG, Crow WT. Osteopathic manipulative treatment of a 26-year-old woman with Bell's palsy. J Am Osteopath Assoc 2006;106:285-289. 
  25. Cotton BA. Chiropractic care of a 47-year-old woman with chronic Bell's palsy: a case study. J Chiropr Med 2011;10:288-293. doi: 10.1016/j.jcm.2011.02.004 
  26. Murakawa K, Ishimoto E, Noma K, Ishida K, Nishijima M, Izumi R. [Circulatory effects of stellate ganglion block in idiopathic facial palsy]. Masui 1994;43:356-360. Japanese. 
  27. Park JH, Lee YJ, Ryu HM, Lee SJ, Park EJ, Song CH, et al. Effects of muscle energy technique of upper trapezius and sternocleidomastoid muscles on Bell's palsy. J Acupunct Res 2017;34:190-196. doi: 10.13045/jar.2017.02131 
  28. Yoon SH. Minimally Invasive Acupotomy. Koonja Publishing; 2022:8-16. 
  29. Murakawa K, Izumi R, Noma K, Tashiro C, Minatogawa T, Amatsu M. Effects of electrical stimulation of cervical sympathetic trunks on microcirculation in the facial nerve. Jpn J Physiol 1995;45:801-809. https://doi.org/10.2170/jjphysiol.45.801