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KMID : 1189420100230020151
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Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology
2010 Volume.23 No. 2 p.151 ~ p.162
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The Clinical observation of acute Bell’s palsy 80 Case
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Won Jae-Sun
Joo Kyung-Ok
Cho Ah-Reum
Kim Chang-Hwan
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Abstract
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Objective : Bell’s palsy is common and has many clinic study. but bell’s palsy prognosis is not enough
specific. So this study was evaluated bell’s palsy prognosis, treatment number, sequela of normal group and bad prognosis group.
Methods : From June 2009 to June 2010, patients who visited Dong-seo Oriental Medicine ENT. A clinic study was done on patient who were diagnosed bell’s palsy, onset 2weeks within when first visited OPD and treated 3 times over in Dong-seo Oriental Medicine Cental. To evaluate grade of paralysis, House-Brackman Scale was used. We classified treatment numbers of each HB-Scale group, normal gⅣroup and bad prognosis group.
Results : The distribution of
Onset HB-Scale : Gr Ⅱ 26.25%, Gr Ⅲ 67.5%, Gr Ⅳ 6.25%
Onset HB-Scale Gr Ⅱ patients completely recover 100%
Onset HB-Scale Gr Ⅲ patients completely recover 64.8%, improved 27.8%, nothing change 7.4%
Onset HB-Scale Gr Ⅳ patients completely recover 40%, improved 60%
Onset HB-Scale Gr Ⅱ&Ⅳ patients recovery percentage make no difference of normal group
(Group A) and bad prognosis. Onset HB-Scale Gr Ⅲ patients completely recover Group A 66.7%, Group B 52.9%, improved Group A 23.2%, Group 35.3%, noting change Group A 5.1% , Group B 11.8% Onset HB-Scale Gr Ⅱ patients has no sequela. Onset HB-Scale Gr Ⅲ & Ⅳ patients has tendency that they treat more times, more improving and less sequela probability
Conclusion : Onset HB-Scale is the indicator of acute bell’s palsy prognosis.
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KEYWORD
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Acute Bell’s palsy, Prognosis, Sequela probability, Recovery probability
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