DOI QR코드

DOI QR Code

Relation between Prognosis of Peripheral Facial Palsy and Blink Reflex: Retrospective Study

말초성 안면마비 환자의 예후와 순목반사 검사의 관계: 후향적 연구

  • Goo, Bon Hyuk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Ryu, Hee Kyoung (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Suk, Kyung Hwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Ju Hyeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Ryu, Soo Hyeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Su Yeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Min Jeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Park, Yeon Cheol (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Seo, Byung Kwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Park, Dong Suk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Baek, Yong Hyeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 구본혁 (경희대학교 한의과대학 침구의학교실) ;
  • 유희경 (경희대학교 한의과대학 침구의학교실) ;
  • 석경환 (경희대학교 한의과대학 침구의학교실) ;
  • 이주현 (경희대학교 한의과대학 침구의학교실) ;
  • 류수형 (경희대학교 한의과대학 침구의학교실) ;
  • 이수연 (경희대학교 한의과대학 침구의학교실) ;
  • 김민정 (경희대학교 한의과대학 침구의학교실) ;
  • 박연철 (경희대학교 한의과대학 침구의학교실) ;
  • 서병관 (경희대학교 한의과대학 침구의학교실) ;
  • 박동석 (경희대학교 한의과대학 침구의학교실) ;
  • 백용현 (경희대학교 한의과대학 침구의학교실)
  • Received : 2014.11.04
  • Accepted : 2014.11.27
  • Published : 2014.12.20

Abstract

Objectives : This study was performed to find the relation between prognosis of peripheral facial palsy and blink reflex. Methods : Data was collected from patients who were admitted and treated by East-West Collaborative Treatment of Facial Palsy Center in Kyung Hee University Hospital at Gangdong from January 2012 to June 2013. Patients were screened by inclusion/exclusion criteria and 163 patients' medical records were reviewed including blink reflex performed $14{\pm}2$ days after onset and House-Brackmann grade. Patients were divided into three groups, normal, delayed and absent group by blink reflex test. Trends of each recovery rate to House-Brackmann grade II and I depending on three group were analyzed at 1 month, 3 months and 6 months after onset using Linear by linear association. Results : At 1 month, 3 months and 6 months after onset, both recovery rate to House-Brackmann grade II and I had a tendency to be decreased statistically significantly in order of normal, delayed and absent group. Conclusions : We could find feasibility of blink reflex as a prognostic factor of peripheral facial palsy. Further study will be necessary.

Keywords

References

  1. Adams RD, Victor M. Principle of neurology. 9th ed. New York : McGraw Hill. 2009 : 1251-325
  2. Holland NJ, Weiner GM. Recent developments in Bell's palsy. BMJ (Clinical research ed). 2004 ; 329(7465): 553-7. https://doi.org/10.1136/bmj.329.7465.553
  3. Peitersen E. Bell's palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta oto-laryngologica Supplementum. 2002(549) : 4-30.
  4. Grosheva M, Wittekindt C, Guntinas-Lichius O. Prognostic value of electroneurography and electromyography in facial palsy. The Laryngoscope. 2008 ; 118(3) : 394-7. https://doi.org/10.1097/MLG.0b013e31815d8e68
  5. Coulson SE, O'Dwyer N J, Adams RD. Expression of emotion and quality of life after facial nerve paralysis. Otology & neurotology. 2004 ; 25(6) : 1014-9. https://doi.org/10.1097/00129492-200411000-00026
  6. Mancini P, De Seta D, Prosperini L, et al. Prognostic factors of Bell's palsy: multivariate analysis of electrophysiological findings. The Laryngoscope. 2014 ; 124(11) : 2598-605. https://doi.org/10.1002/lary.24764
  7. Shahani BT, Young RR. Human orbicularis oculi reflexes. Neurology. 1972 ; 22(2) : 149-54. https://doi.org/10.1212/WNL.22.2.149
  8. Kimura J. Electrodiagnosis in diseases of nerve and muscle: principle and practice. New York : Oxford. 2001 : 409-13.
  9. Goor C, Pngerboer De Visser BW. Jaw and blind reflexes in trigeminal nerve lesions. An electrodiagnostic study. Neurology. 1976 ; 26(1) : 95-7. https://doi.org/10.1212/WNL.26.1.95
  10. Kimura J, Powers JM, Van Allen MW. Reflex response of orbicularis oculi muscle to supraorbital nerve stimulation. Study in normal subjects and in peripheral facial paresis. Archives of Neurology. 1969 ; 21(2) : 193-9. https://doi.org/10.1001/archneur.1969.00480140093009
  11. Mizukoshi K, Watanabe Y, Aso S et al. Prognostic value of blink test in patients with facial paralysis. Acta oto-laryngologica Supplementum. 1988 ; 104(446) : 70-5.
  12. Jung IS, Kim CH. The usefulness of blink reflex in the evaluation of early stage of Bell's palsy. Korean J Clin Neurolphysiol. 2012 ; 14(1) : 25-8.
  13. Ghonim MR, Gavilan C. Blink reflex: prognostic value in acute peripheral facial palsy. ORL (Journal for Otorhinolaryngology and its Related Specialties). 1990 ; 52(2) : 75-9. https://doi.org/10.1159/000276109
  14. Mikula I, Miskov S, Negovetic R et al. Blink reflex in the prediction of outcome of idiopathic peripheral partial facioparesis: follow-up study. Croatian Medical Journal. 2002 ; 43(3) : 319-23.
  15. Fisch U. Surgery for Bell's palsy. Archives of otolaryngology. 1981 ; 107(1) : 1-11. https://doi.org/10.1001/archotol.1981.00790370003001
  16. May M. Idiopathic(Bell's) palsy, herpaes zoster cephalicus and other facial nerve disorders of viral origin. New York : Thieme Inc. 1986 : 365-99.
  17. Oh SJ. Clinical electromyography : nerve conduction studies. 2nd ed. Baltimore : Wiliams & Wilkins. 1993 : 389.
  18. House JW, Brackmann DE. Facial nerve grading system. Otolaryngology-Head and Neck Surgery. 1985 ; 93(2) : 146-7
  19. Valls-Sole J. Facial palsy, postparalytic facial syndrome, and hemifacial spasm. Movement Disorders. 2002 ; 17 Suppl 2 : 49-52.
  20. Marra CM. Bell's palsy and HSV-1 infection. Muscle & nerve. 1999 ; 22(11) : 1476-8. https://doi.org/10.1002/(SICI)1097-4598(199911)22:11<1476::AID-MUS2>3.0.CO;2-N
  21. Chow LC, Tam RC, Li MF. Use of electroneurography as a prognostic indicator of Bell's palsy in Chinese patients. Otology & Neurotology. 2002 ; 23(4) : 598-601. https://doi.org/10.1097/00129492-200207000-00033
  22. Byun H, Cho YS, Jang JY et al. Value of electroneurography as a prognostic indicator for recovery in acute severe inflammatory facial paralysis: a prospective study of Bell's palsy and Ramsay Hunt syndrome. Laryngoscope. 2013 ; 123(10) : 2526-32.
  23. Morishima N, Yagi R, Shimizu K, Ota S. Prognostic factors of synkinesis after Bell's palsy and Ramsay Hunt syndrome. Uris Nasus Larynx. 2013 ; 40(5) : 431-4. https://doi.org/10.1016/j.anl.2013.01.001