Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

The clinical observation on Bell's palsy according to facial nerve grading system

안면신경평가기준에 따른 구안와사(口眼喎斜)의 임상관찰

  • Kim, Jong-in (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyunghee University) ;
  • Seo, Jung-chul (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung-San University) ;
  • Lee, Sang-hoon (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyunghee University) ;
  • Choi, Do-young (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyunghee University) ;
  • Kang, Sung-keel (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyunghee University) ;
  • Koh, Hyung-kyun (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyunghee University)
  • 김종인 (경희대학교 한의과 대학 침구학교실) ;
  • 서정철 (경산대학교 한의과 대학 침구학교실) ;
  • 이상훈 (경희대학교 한의과 대학 침구학교실) ;
  • 최도영 (경희대학교 한의과 대학 침구학교실) ;
  • 강성길 (경희대학교 한의과 대학 침구학교실) ;
  • 고형균 (경희대학교 한의과 대학 침구학교실)
  • Received : 2002.07.12
  • Accepted : 2002.09.14
  • Published : 2002.10.20
Download PDF
⟨ Previous Next ⟩

Abstract

Background and Objective : The evaluation of facial nerve function is a complex procedure. The House-Brackmann facial nerve grading system(H-B grade)and the Yanagihara grading system(Y-system) have been recommended as universal standards for assessing the degree of facial nerve palsy. The purpose of this study is to compare the effectiveness of Y-system and H-B system and to know the advantages of each system for each stage of incomplete recovery or sequelae of facial paralysis. Materials and Methods : A comparison between H-B grade and Y-system was studied with 137 evaluations of 61 cases of incomplete recovery or sequelae of peripheral facial paralysis. Each case was graded by using H-B system as a gross system and Y-system as a regional system before treatment, after 12 weeks and 6 months Results and Conclusions : The range of score in the Y-system 0-6, 8-16, 14-22, 24-34, 32-38, 38-40 were matched with grade VI, V, IV, III, II and I in the H-B system. The percentage of H-B grade III was the greatest among 137 evaluations and y-system showed the greatest score range. H-B system is easy to use but Y-system is more objective, quantitative and convenient to use in the incomplete recovery or sequelae state.

Keywords