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KMID : 1189419970100010383
Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology
1997 Volume.10 No. 1 p.383 ~ p.402
Clinical Observation on The Left and Right Facial Palsy
Ljm Jin-Ki

Lim Gyu-Sang
Hwang Choong-Yeon
Abstract
The author analyzed 155 cases of Facial Palsy, excluding lesions caused by cerebrovascular attacks, who were treated in the Kwang-ju Oriental Medical Hospital of Wonkwang University from March 1996 to September 1996. I¡¯ve examined the 155 cases in the view of the etiologic distributions, the age, the relationship of the sex and paralytic side, attended symptoms and analyzed 95 cases who were treated over ten times in the view of the ratio of recovery according to the age, anatomic focus, the relations of sex and paralytic side. The following results are obtained. 1. The ratio of punghan(ù¦ùÎ) was 20.64%(32 cases), overwork was 18.70%(29 cases), stress was 6.44%(10 cases), excessive drinking was 3.23%(5 cases), teeth pain was1.93%(3 cases), and idiopathy was 38.05%(59) and etc. 2. The ratio of stylomastoid pain was 15.48%(24 cases), auricular pain was 10.32%(16 cases), headache was 4.51%(7 cases), eyedried was 4.51%(7 cases), taste paralysis was 2.57%(4 cases), tinnitus was 2.57%(4 cases) and non-significant symptoms was 50.97%(79) and etc. 3. The ratio of 2th and 5th decade were 20.00%(31 cases), 4th decade was 18.71%(29 cases), 3th decade was 16.71%(26 cases), 6th decade was 11.61%(18 cases), teenagers in 5.81%(9 cases), over seventy and under teenagers were 3.23%(5 cases), and infant was 0.65%(1 case). 4. The ratio of the male-right was 28.39%(44 cases), female-right was 25.82%(40 cases), male-left was 23.23%(36 cases), female-left was 20.65%(32 cases) and male-both side was 1.94%(3 cases) in order. 5. Topographically, The ratio of the infrachordal lesion was 72.90%(113 cases), transgeniculate lesion was 16.13%(25 cases), suprageniculate lesion was 5.81%(9 cases), infrastapedial lesion was 3.87%(6 cases) and suprastapedial lesion was 1.29% (2 cases) in order. 6. When we examined the degree of recovery about the 95 patients who were treated over ten times after on attack, normal improvement was seen in 46.32%(44 cases), excellent in 7.37% cases), good in 12.63%(12 cases), fair in 13.68%(13 cases), poor in 20.00%(19 cases). The total remedial value of the 95 patients who were treated over ten times was revealed 61.58%. 7. When we examined the 95 patients who were treated over ten times, the remedial value of the infant was 50.00%, under teenagers 43.75%, teenagers 37.50%, 2th decade 56.82%, 3th decade 64.06%, 4th decade 55.00%, 5th decade 73.53%, 6th decade 77.50%, over seventieth 68.75%. The remedial value of 3th decade, 5th decade, 6th decade, 7th decade and over seventieth were higher than the total remedial value(61.58%) 8. In the point of topographical lesion, when we examined the 95 patients who were treated over ten times, the remedial value of infrachordal lesion was 66.78%, infrastapedial lesion 58.33%, suprastapedial lesion 50.00%, transgeniculate lesion 48.44%, suprageniculate lesion 31.25%, in order. Only the remedial value of Infrachordal(66.78%) was higher than the total remedial value(61.58%). 9. In the point of the relationship of the sex and the paralytic side, when we examined the 95 patients who were treated over ten times, the remedial value of male-left was 57.29%, male-right 61.54%, male-both side 58.33%, female-left 57.81% and female-right 68.27%. Only the remedial value of female-right(68.27%) was higher than the total remedial value(61.58%). These results demonstrated that in the point of prognostic view there was more concerned with the topographical lesion, body condition than the traditional rule of sex-paralytic relationship that man is awed left paralysis and woman right paralysis.
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