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peripheral facial paralysis in People Living with Human Immunodeficiency Virus (HIV)

International Journal of Otolaryngology and Head & Neck Surgery 2024年第3期13卷 168-177页

作者： Lekassa Pierrette Andjock Nkouo Yves Christian Mouinga Abayi Alex Davy Assoumou Ada Prudence BiyeNgoghe Prudence Ngoma Manfoumbi Albert Brice Manfoumbi Manfoumbi Kévin Dimitri Miloundja Jerome Nzouba Léon ENT and CFS Department Omar Bongo Ondimba Army Instruction Hospital Libreville Gabon Department of Surgery and Surgical Specialties University of Health Sciences Owendo Gabon ENT and CFS Department Yaound&#233 General Hospital Yaound&#233 Cameroon Ophthalmology Department Omar Bongo Ondimba Army Instruction Hospital Libreville Gabon Ophthalmology Department Owendo University Hospital Center Libreville Gabon Internal Medicine Department Omar Bongo Ondimba Army Instruction Hospital Libreville Gabon

Introduction: peripheral facial palsy (PFP) is a frequent reason for ENT consultations. It is a common complication of human immunodeficiency virus (HIV) infection. The aim of this study was to describe the diagnostic and therapeutic aspects and to establish the correlation between PFP and HIV in our context. Patients and Method: This was a retrospective descriptive study conducted in the ENT and CFS department of the HIAOBO, covering the medical records of patients hospitalized for taking a PFP on HIV terrain from January 1, 2016 to December 31, 2020. Results: The study involved 17 patients, 10 men (59%) and 7 women (41%), a sex ratio of 1.4. The average age was 39 years with the extremes of 11 and 69 years. Shopkeepers reported 9 cases (53%). The reason for consultation was facial asymmetry in 11 cases (100%). The delay in consultation during the first week was 82.4%. Clinical signs were unilateral facial asymmetry, the opening of the palpebral fissure and lacrimation. All patients received medical treatment for PFP and HIV. Evolution was favorable, with complete recovery and no sequelae in 82.4% of cases. Surgery was performed in one case. Conclusion: PFPs are common in HIV infection. Diagnosis is clinical and management is multidisciplinary. Progression depends on the length of time taken to treat the disease.

关键词： peripheral facial paralysis HIV HIAOBO

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44 Cases of peripheral facial paralysis Treated by the SXDZ-100 Nerve and Muscle Stimulator

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Journal of Traditional Chinese Medicine 2009年第3期29卷 182-185页

作者：杨金生崔承斌高昕妍朱兵荣培晶 Institute of Acu-Moxibustion China Academy of Chinese Medical Sciences

Objective: To observe the clinical effects of the Hua Tuo Manual Acupuncture Therapeutic Stimulator for peripheral facial paralysis. Methods: 87 patients with peripheral facial paralysis were divided randomly into the SXDZ-100 Nerve and Muscle Stimulator treatment group (44 cases) and the G6805 Electric Stimulator control group (43 cases). The acupoints selected for both the two groups were local points as well as distal points as Hegu (LI 4), Waiguan (TE 5), Sanyinjiao (SP 6), Taichong (LR 3). Effectiveness was compared between the two groups. Results: Both groups had a total effective rate of 100%. But the cure rate was 90.9% in the treatment group, and 73.0% in the control group, indicating a significant difference (Pperipheral facial paralysis.

关键词： Manual Acupuncture Therapeutic Stimulator peripheral facial paralysis

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peripheral facial paralysis treated with acupuncture-moxibustion by stages: a multi-central large-sample randomized controlled trial

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World Journal of Acupuncture-Moxibustion 2011年第4期21卷 1-7页

作者：李瑛李妍刘立安赵凌胡卡明吴曦陈晓琴李桂平邙玲玲戚其华成都中医药大学天津中医药大学第一附属医院青岛市海慈医疗集团

Objective To explore the best intervention time of peripheral facial paralysis （Bell＇ s palsy） treated with acupuncture-moxibustion and the clinical superiority of acupuncture-moxibustion by stages. Methods Multi- central large-sample randomized controlled trial was carried out. Nine hundred cases of Bell＇ s palsy were randomly divided into 5 treatment groups, named as acupuncture by stages group, acupuncture by stages with moxibustion group, acupuncture by stages with electroacupuncture group, acupuncture by stages with line-puncture on muscle region of meridian group and acupuncture without stages group. Four sessions of treatment were required in each group. The clinical curative effects of groups were assessed by House-Brackmann Scale, facial Disability Index Scale and Degree of facial Nerve paralysis Scale during the enrollment, after 4 sessions of treatment, and during 1 and 3 months of follow-up after treatment. The systematic analysis of curative effects was provided in view of the intervention time and nerve localization of disease separately. Results The cure rates of intervention treatment were 50.1% （223/445） in acute stage and 52.1% （162/311） in resting stage, superior to that of 25.9% （35/135） in recovery stage （both P〈0.001）. There was no statistically significant differences in comparison of curative effect in 5 solutions at the same stage （all P〉0.05）. The effect of treatment intervened at acute stage was superior to that at recovery stage in acupuncture by stages group and acupuncture without stages group （both P〈0.01）. There were statistically significant differences in curative effect of the localization above and below chorda tympani nerve in acupuncture by stages with line-puncture on muscle region of meridian group （P〈0.01）. The curative effect of the localization below chorda tympani nerve was superior to that above the nerve. Conclusion The best intervention time for Bell＇ s palsy is at acute stage and resting stage, meaning 1 to 3 weeks aft

关键词： peripheral facial paralysis Acupuneture-Moxibustion Therapy Treatment Time Randomized Controlled Trial (RCT)

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CLINICAL ANALYSIS ON INTEGRATED TREATMENT OF 2240 CASES OF peripheral facial paralysis BY STAGES IN PLATEAU REGION

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World Journal of Acupuncture-Moxibustion 2005年第3期15卷 23-27,31页

作者：鞠瑞全苏立青孙永张晋荣刘苏辰 Rehabilitation Department of Qinghai Provincial Corps Hospital Chinese People's Armed Police Forces Xining 810000 China Rehabilitation Department of Qinghai Provincial Corps Hospital

Objective. To observe the therapeutic effect of integrated treatment of peripheral facial paralysis by stages in Qinghai plateau area. Methods： A total of 2 240 cases of peripheral facial paralysis treated with integrated approaches by stages were assigned to treatment group, and other 75 cases treated with acupuncture therapy assigned to control group. In treatment group, patients were treated with 1 ） medication （ Prednisone, Dipazol, etc） and TDP （“special electromagnetic spectrum”） plus ultrashort irradiation in the early stage;2） TDP plus ultrasonic wave irradiation and acupuncture of Yangbai （阳白 GB 14） to Yuyac （鱼腰EX-HN 4, penetration needling）, etc in the medium stage; 3） medium-frequency irradiation and electroacupuncture （EA） of muscle motor joints and acupoints （GB-14, etc）. Patients of control group were treated with conventional acupuncture therapy （GB-14, etc）. Results： After treatment, of the 2 240 patients in treatment group, 2 072 （92.5%） were cured, 120 （5.3%） effective, 33 （ 1.5% ） improved, and 15 （0.7%） failed. The total effective rate was 99.3%. Of the 75 cases in control group, 46 （61.3%） were cured, 16 （21.3%） effective, 9 （12.0%） improved, and 4 （5.4%） ineffective. The total effective rate was 94.6%. The cure rate and the total effective rate of treatment group were significantly higher than those of control group respectively （x^2=29.379, P〈0.01; x^2 =5. 716, P〈0. 025）. Conclusion： The therapeutic effect of integrated approaches （medication, acupuncture, electromagnetic ＋ ultrashort wave ＋ ultrasonic wave ＋ medium-frequency wave irradiation） is significantly superior to that of simple acupuncture therapy in treating peripheral facial paralysis.

关键词： peripheral facial paralysis Integrated approaches Acupuncture therapy Plateau area

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Treatment of peripheral facial paralysis with acupuncture at Rényíng (人迎 ST 9) combined with stellate ganglion block:a randomized controlled trial

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World Journal of Acupuncture-Moxibustion 2013年第1期23卷 15-20,32页

作者：杨松柏梅志刚蔡三金孙承红陈建华陈玲周创三峡大学中医临床医学院宜昌市中医医院三峡大学医学院

Objective To explore the best therapeutic method in the treatment of peripheral facial paralysis. Methods One hundred and twenty cases were randomized into a conventional acupuncture group [Yangbai （阳白 GB 24）, Sibai （四白 ST 2）, Yingxiang （迎香 LI 20）, etc.], a Renying （人迎ST 9） acupuncture group and an operation ＋ acupuncture group [acupuncture at ST 9 as the main acupoint and the stellate ganglion block （SGB）], 40 cases in each one. The treatment was given once a day, 7 treatments made one session. After 3 sessions of treatment, the latency and the amplitude of the direct stimulation evoked potential of the facial nerve （ENoG） were compared before and after treatment in three groups, as well as R2 and R2 values of blink reflex （BR）. The total clinical efficacy was assessed. Results The latency of ENoG was shortened and the amplitude was increased significantly in three groups. After treatment, ENoG latency was lower significantly in the operation ＋ acupuncture group as compared with that in the conventional acupuncture group （P〈0.05）. In the Renying （人迎 ST 9） acupuncture group, the amplitude of ENoG was increased as compared with P〈0.05）. After treatment in three groups, those in the other two groups （all R2 and R2 values were decreased significantly. The differences in R1 and R2 values in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group before and after treatment were bigger than those in the conventional acupuncture group （all P〈0.05）, and the difference in R2 value in the operation ＋ acupuncture group was bigger than that in the Renying （人迎 ST 9） acupuncture group （P〈O.05）. The clinical markedly effective and curative rate was 87.5% （35/40） in the operation ＋ acupuncture group, which was superior to 77.5% （32/40） in the Renying （）人迎 ST 9）acupuncture group and higher significantly than 65.0% （26/40） in the conventional acupuncture group （P〈0.05）. Conclusion Compared with the conventional acupuncture, the efficacy on peripheral facial para

关键词： peripheral facial paralysis acupuncture methods acupoint, Renying (人迎 ST 9) stellate ganglion block (SGB)

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The research progress of acupuncture and moxibustion in the treatment of peripheral facial paralysis

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Medical Data Mining 2021年第1期4卷 20-27页

作者： Ming-Zhu Jiang Xin-Yue Guo Run Li Heilongjiang University of traditional Chinese Medicine Harbin 150040China

As a common and frequently-occurring disease in clinic,peripheral facial paralysis is worth paying attention *** fact,as one of the methods for the treatment of peripheral facial paralysis,acupuncture has been widely promoted and applied in clinic,and has been recognized by doctors at home and ***,there are many other factors that affect the curative effect in clinic due to their different operating ***,there are still many disputes in the treatment of peripheral facial *** relevant literatures in recent years were searched and consulted in order to understand the current situation and provide routine treatment methods for clinical acupuncturists to treat this *** we intended to analyze and introduce from acupuncture manipulation,warm acupuncture,electroacupuncture,giant acupuncture,fire acupuncture,acupuncture combined with massage,acupuncture timing and other treatments,and different classification of acupuncture points and methods.

关键词： peripheral facial paralysis Acupuncture and moxibustion Review

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Therapeutic Effect Observations on Individualized Treatment of peripheral facial Palsy

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Journal of Acupuncture and Tuina Science 2006年第6期4卷 350-352页

作者：何希俊谭吉林王本国郭瑞兰韩丑萍 Rehabilitation Department of Zhongshan Hospital affiliated to Guangzhou TCM University

Objective： To investigate the curative effect of individualized treatment on peripheral facial paralysis. Methods： A treatment group of 121 patients was treated with acupuncture under an individualized plan based on the condition of disease. For a control study, 118 patients were treated with conventional acupuncture. The courses of treatment and the curative effects were compared. Results： The cure and marked efficacy rate was 90.9% in the treatment group and 69.5% in the control group. There was a significant difference （P〈0.01）. There was also a significant difference in the cure and marked efficacy rate in each courses of treatment between the two groups （P〈0.01）. Conclusion： Individualized acupuncture treatment is better in the effect and shorter in the courses than conventional acupuncture treatment for peripheral facial paralysis.

关键词： peripheral facial paralysis Acupuncture Therapy Contralateral Needling Penetration Needling

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Acupuncture for facial nucleus paralysis

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World Journal of Acupuncture-Moxibustion 2013年第2期23卷 58-60页

作者：王声强汪建平 Liu Zhao 河北医科大学第一医院中医针灸推拿理疗科

Case of acupuncture for facial nucleus paralysis was reported. Compared with peripheral facial paralysis, facial nucleus paralysis is more complex with a high-level and high-degree injury, leading to a low cured rate in clinic. This case was cured successfully, which might be related to less bleeding amount from patients＇ lesion and more complete absorption of blood stasis, as well as accuracy of clinical syndrome differentiation, positioning and appropriateness of treatment method and acupoint selection of acupuncture in the mid to late stage.

关键词： peripheral facial paralysis facial nucleus paralysis acupuncturetherapy

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Treatment of Bell facial paralysis by comprehensive rehabilitation therapy

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中国组织工程研究 2002年第5期6卷 761-761页

作者：徐纪香 General Staff Hospital Zhongyuan Petroleum Field Puyang 457001 China

Background:Bell facial paralysis is characterized by acutely peripheral facial *** approaches can aggravate symptoms and induce permanent facial *** therapy time may be *** therapy is effective in treating the condition.

关键词：康复治疗贝尔面瘫 rehabilitation therapy peripheral facial paralysis

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