벨마비 환자의 동반 증상 분석

이호윤; 류은웅; 박수완; 김수진; 여승근; 박문서

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자료유형: 학술저널

저자정보: 이호윤 류은웅 박수완 김수진 여승근 박문서

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제54권 제10호

발행연도: 2011.1

수록면: 683 - 687 (5page)

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Background and Objectives We aimed to evaluate associated symptoms in patients with Bell’s palsy and prognosis according to associated symptoms. Subjects and Method Seventy-four patients with Bell’s palsy were enrolled in this study. We evaluated the degree of facial palsy with Facial Nerve Grading System 2.0. The grade of facial palsy was determined as initial facial palsy at admission and as final facial palsy at visit after 3 months. Afterwards, we examined symptoms (such as otalgia, facial numbness, taste disturbance, eye problems, hyperacusis, and tinnitus) and co-morbid diseases (such as diabetes mellitus and hypertension) associated with facial palsy. After 3 months of the onset of facial palsy, we examined the changes in the associated symptoms. Results At admission, 71.6 percent of all patients had symptoms associated with facial palsy. Of the associated symptoms, facial numbness and taste disturbance were the most common, which were still found in 23% of the patients after 3 months of the onset of facial palsy. Patients with a high initial grade of facial palsy were accompanied by taste disturbance and hyperacusis more than by other symptoms. Also patients who had auricular pain during the recovery period of Bell’s palsy showed poor prognosis. Compared to non-hypertension patients, for patients with hypertension, taste disturbance was more common during the early period whereas eye problems were more common during the recovery period. Conclusion Patients with Bell’s palsy had diverse symptoms associated with facial palsy. During the early period of Bell’s palsy, we concluded that there was no correlation between the symptoms and the prognosis. However, patients with pain around the ear during the recovery period showed poor recovery of facial palsy.

#Bell's palsy ㆍPrognosis ㆍAssociated symptoms.

참고문헌 (19)

참고문헌 신청

Adour KK / 1978 / The true nature of Bell’s palsy:analysis of 1,000 consecutive patients / Laryngoscope 88 (5) : 787 ~ 801

Berg T / 2009 / The course of pain in Bell’s palsy:treatment with prednisolone and valacyclovir / Otol Neurotol 30 (6) : 842 ~ 846

Chida K / 2002 / Retroauricular pain preceding Bell’s palsy:report of three cases and clinical analysis / Tohoku J Exp Med 197 (3) : 139 ~ 143

Engstrom M / 1993 / Facial nerve enhancement in Bell’s palsy demonstrated by different gadolinium-enhanced magnetic resonance imaging techniques / Arch Otolaryngol Head Neck

Ikeda M / 2005 / Clinical factors that influence the prognosis of facial nerve paralysis and the magnitudes of influence / Laryngoscope 115 (5) : 855 ~ 860