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KMID : 0104920190280010001
Journal of Hawhwa Medicine
2019 Volume.28 No. 1 p.1 ~ p.12
Review on Clinical Studies of Facial Palsy Sequelae Treatment
Cho Young-Kwon

Lee Ye-Ji
Kim Eun-Seok
Jeon Ju-Hyun
Kim Young-Il
Abstract
Objectives : The aim of this study is to review clinical studies of facial palsy sequelae treatment

Methods : We used search engines such as PUBMED, OASIS, RISS. We limited sequelae as the cases after three months from the onset. We excluded the studies including operational treatments. We considered papers pubulished only after year 2000.

Results : The kinds of treatments were acupunture treatment, physical therapy, Botulinum toxin, and steroids and antiviral agent. Four studies about acupuncture treatment were searched. Two were case studies and the other two were case series studies. Six studies about physical therapy were searched and they were devided into three according to their specific methods - neuromuscular training and biofeedback, electrical stimulation, and facial exercises. We reviewed three studies about Botulinum toxin and 3 studies about combined therapy.

Conclusions : Evidence level of the acupuncture studies was not high. Neuromuscular retraining and biofeedback therapies were shown to be effective especially to synkinesis. Mime therapy, one of the facial exercise has significant effect. Electrical stimulation is thought to activate the plasticity of central nerve system. Botulimum Toxin has effective temporary treatment. Steroid therapy increases recovery rate and reduces sequelae.
KEYWORD
acupucture, botulinum toxin, facial palsy sequelae, physical therapy, steroid, synkinesis
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