Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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A Study on the Relationship of Incidence of Facial Palsy with Socioeconomic Factors

안면신경마비의 발생과 사회경제적인 요인과의 관계

  • Jung, Dal-Lim (Dept. of Oriental Medical Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dongguk University) ;
  • Kim, Ji-Hoon (Dept. of Oriental Medical Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dongguk University) ;
  • Lee, Seung-Deok (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Dongguk University) ;
  • Hong, Seung-Ug (Dept. of Oriental Medical Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dongguk University)
  • 정달림 (동국대학교 한의과대학 안이비인후피부과학교실) ;
  • 김지훈 (동국대학교 한의과대학 안이비인후피부과학교실) ;
  • 이승덕 (동국대학교 한의과대학 침구학교실) ;
  • 홍승욱 (동국대학교 한의과대학 안이비인후피부과학교실)
  • Received : 2011.02.08
  • Accepted : 2011.02.09
  • Published : 2011.02.20
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Abstract

Objectives : Bell's palsy is the most common acute facial paralysis but its causes still unclear. At present, one of the most widely accepted cause is viral infections, and generally socioeconomic factors influence the viral infections. The purpose of this study is to investigate the relationship of incidence of facial palsy with socioeconomic factors. Methods : Seventeen patients with a acute facial palsy, who volunteered and completed all of the assessment measures participated. Using data on 17 participants, we examined the independent contribution of education, income, and occupation to a risk factor of severe facial palsy. Severity of global facial impairment was assessed by the facial disability index (FDI), the house-brackmann facial nerve grading system, WHO quality of life - bref (WHOQOL-BREF) and visual analogue scale (VAS) about discomfort of life. Results : There was no correlation between severity of facial palsy and gender, marriage, education, or occupation. Age greater than 60 years (p<0.05), and low monthly income(p<0.05), poor self-rated health was associated with greater severity of idiopathic facial paralysis. Conclusions : The number of subjects with facial palsy in our study (n-17) was small, and therefore generalization to larger patient populations might be unwarranted. But according to the outcome, we suggest that socioeconomic factors, especially low monthly income influence severity of bell's palsy.

Keywords

References

  1. Chung HY, Um IW, Min SK, Woo SC, Chung CJ, Kweon HD. Temporais muscle and fascia transpostition for rehabilitation of the paralyzed face. J Korean Assoc Maxillofac Plast Reconstr Surg. 1994 ; 16(1) : 12-3.
  2. Holland N, Weiner G. Recent developments in Bell's palsy. British Medical Journal. 2004 ; 329 : 553-7. https://doi.org/10.1136/bmj.329.7465.553
  3. Chou CH, Liou WP, Hu KI, Loh CH, Chou CC, Chen YH. Bell's palsy associated with influenza vaccination: Two case reports. Vaccine. 2007 ; 25 : 2839-41. https://doi.org/10.1016/j.vaccine.2006.10.006
  4. Kim MB, Kim JH, Shin SH, Yoon WS, Ko WH. A study of facial nerve grading system. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2007 ; 20(3) : 147-60.
  5. Van Swearingen JM, Brach JS. The Facial Disability Index: reliability and validity of a disability assessment instrument for disorders of the facial neuromuscular system. Phys Ther. 1996 ; 76(12) : 1288-98.
  6. Adour KK, Wingerd J. Idiopathic facial paralysis (Bell's palsy): Factors affecting severity and outcome in 446 patients. Neurology. 1974 ; 24 : 1112-6. https://doi.org/10.1212/WNL.24.12.1112
  7. Katusic SK, Beard CM, Wiederholt WC, Bergstralh EJ, Kurland LT. Incidence, clinical features, and prognosis in Bell's palsy, rochester, Minnesota, 1968-1982. Ann Neurol. 1986 ; 20 : 622-7. https://doi.org/10.1002/ana.410200511
  8. Vrabec JT, Isaacson B, Van Hook JW. Bell's palsy and pregnancy. Otolaryngology－Head and Neck Surgery. 2007 ; 137 : 858-61. https://doi.org/10.1016/j.otohns.2007.09.009
  9. Hsieh RL, Wu CW, Wang LY, Lee WC. Correlates of degree of nerve involvement in early Bell's palsy. BMC Neurol. 2009 ; 9 : 22. https://doi.org/10.1186/1471-2377-9-22
  10. 통계청. 가계동향(2009년 4/4분기 및 연간). 통계청. 2010 : 2.
  11. Devriese PP, Schumacher T, Scheide A, de Jongh RH, Houtkooper JM. Incidence, prognosis and recovery of Bell's palsy. A survey of about 1000 patients (1974-1983). Clin Otolaryngol Allied Sci. 1990 ; 15 : 17-8.
  12. Campbell KE, Brundage JF. Effects of climate, latitude, and season on the incidence of Bell's palsy in the us armed forces, october 1997 to september 1999. Am J Epidemiol. 2002 ; 156 : 32-9. https://doi.org/10.1093/aje/kwf009
  13. Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 2008 ; 265 : 746.
  14. de DJ, Prim MP, Madero R, Marcos S, Gavilan J. Effect of atmospheric factors on the incidence of Bell's palsy. Eur Arch Otorhinolaryngol. 2002 ; 259 : 53-5. https://doi.org/10.1007/PL00007530
  15. Gilbert SC. Bell's palsy and herpes viruses. Herpes. 2002 ; 9 : 70-3.
  16. May M, Schaitkin B. The facial nerve. George Thieme Verlag. 2000 : 319-21.
  17. Morgan M, Nathwani D. Facial palsy and infection: The unfolding story. Clin Infect Dis. 1992 ; 14 : 263-71. https://doi.org/10.1093/clinids/14.1.263
  18. Kumagami H. Experimental facial nerve paralysis. Arch Otolaryngol. 1972 ; 95 : 305-19. https://doi.org/10.1001/archotol.1972.00770080499003
  19. Spruance SL. Bell's palsy and herpes simplex virus. Ann Intern Med. 1994 ; 120 : 1045-6. https://doi.org/10.7326/0003-4819-120-12-199406150-00013
  20. Mutsch M et al. Use of the inactivated intranasal influenza vaccine and the risk of Bell's palsy in Switzerland. The New England journal of medicine. 2004 ; 350(9) : 896-903. https://doi.org/10.1056/NEJMoa030595
  21. Chou, CH et al. Bell's palsy associated with influenza vaccination: Two case reports. Vaccine. 2007 ; 25(15) : 2839-41. https://doi.org/10.1016/j.vaccine.2006.10.006
  22. Liu J et al. Bell's palsy may have relations to bacterial infection. Medical Hypotheses. 2009 ; 72(2) : 169-70. https://doi.org/10.1016/j.mehy.2008.09.023
  23. Kaplan GA and JE Keil. Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation, 1993 ; 88(4 Pt 1) : 1973-98. https://doi.org/10.1161/01.CIR.88.4.1973
  24. Lynch JW et al. Income inequality and mortality in metropolitan areas of the United States. Am J Public Health. 1988 ; 88(7) : 1074-80.
  25. Young EW et al. Socioeconomic status and end-stage renal disease in the United States. Kidney Int. 1994 ; 45(3) : 907-11. https://doi.org/10.1038/ki.1994.120
  26. Grant EN CS Lyttle and KB Weiss. The relation of socioeconomic factors and racial/ethnic differences in US asthma mortality. Am J Public Health. 2000 ; 90(12) : 1923-5. https://doi.org/10.2105/AJPH.90.12.1923
  27. Vathanophas K et al. A community-based study of acute respiratory tract infection in thai children. Rev Infect Dis. 1990 ; 12(8) : 957-65. https://doi.org/10.1093/clinids/12.Supplement_8.S957