Prognostic Value of the Blink Reflex Test in Facial Nerve Palsy Treated with Integrative Traditional Korean Medicine: A Retrospective Study
Background: Several studies have shown the prognostic value of the blink reflex (BR) test in facial nerve palsy (FNP); however, they are limited by small sample sizes and lack of long-term follow-up. To validate the diagnostic value of the BR test in FNP, a large number of patients were followed up...
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| Format: | Article |
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MEDrang Inc.
2024-11-01
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| Series: | Journal of Acupuncture Research |
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| author | Bonhyuk Goo Dahae Kang Jinkyung Park Jung-Hyun Kim Sang-Soo Nam Yonghyeon Baek |
| author_facet | Bonhyuk Goo Dahae Kang Jinkyung Park Jung-Hyun Kim Sang-Soo Nam Yonghyeon Baek |
| author_sort | Bonhyuk Goo |
| collection | DOAJ |
| description | Background: Several studies have shown the prognostic value of the blink reflex (BR) test in facial nerve palsy (FNP); however, they are limited by small sample sizes and lack of long-term follow-up. To validate the diagnostic value of the BR test in FNP, a large number of patients were followed up for 1 year.
Methods: Medical records of 796 patients with FNP who received an integrative traditional Korean medicine treatment were retrospectively reviewed. The BR test was performed 14 (± 2) days after onset, and recovery was evaluated using House-Brackmann (HB) grading until complete recovery or 1 year after onset.
Results: Multivariable Cox regression analysis showed that the presence of ipsilateral early response (R1; hazard ratio [HR], 2.41; p < 0.001) was a significant independent predictive factor for better recovery to HB grade II. R1 (HR, 2.21; p = 0.001) and ipsilateral late response (IR2; HR, 1.88; p = 0.006) were significant independent predictive factors for a higher recovery rate to HB grade I.
Conclusion: These findings confirm that the BR test is a valuable tool for prognostic prediction in FNP. |
| format | Article |
| id | doaj-art-f64ce6d1e70c4b23b63fa12e13d273eb |
| institution | DOAJ |
| issn | 2586-288X 2586-2898 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MEDrang Inc. |
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| series | Journal of Acupuncture Research |
| spelling | doaj-art-f64ce6d1e70c4b23b63fa12e13d273eb2025-08-20T02:51:14ZengMEDrang Inc.Journal of Acupuncture Research2586-288X2586-28982024-11-0141284292https://doi.org/10.13045/jar.24.0034Prognostic Value of the Blink Reflex Test in Facial Nerve Palsy Treated with Integrative Traditional Korean Medicine: A Retrospective StudyBonhyuk Goo0https://orcid.org/0000-0003-4287-2264Dahae Kang1https://orcid.org/0000-0001-5357-8613Jinkyung Park2https://orcid.org/0009-0005-6205-9643Jung-Hyun Kim3https://orcid.org/0000-0003-4909-1348Sang-Soo Nam4https://orcid.org/0000-0002-4754-6970Yonghyeon Baek5https://orcid.org/0000-0002-3389-3269Department of Acupuncture and Moxibustion, Kyung Hee University Hospital at Gangdong, Seoul, KoreaIndustry-Academic Cooperation Foundation, Kyung Hee University, Seoul, KoreaDepartment of Acupuncture and Moxibustion, Kyung Hee University Hospital at Gangdong, Seoul, KoreaDepartment of Acupuncture and Moxibustion, Kyung Hee University Hospital at Gangdong, Seoul, KoreaDepartment of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Kyung Hee University, Seoul, KoreaDepartment of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Kyung Hee University, Seoul, KoreaBackground: Several studies have shown the prognostic value of the blink reflex (BR) test in facial nerve palsy (FNP); however, they are limited by small sample sizes and lack of long-term follow-up. To validate the diagnostic value of the BR test in FNP, a large number of patients were followed up for 1 year. Methods: Medical records of 796 patients with FNP who received an integrative traditional Korean medicine treatment were retrospectively reviewed. The BR test was performed 14 (± 2) days after onset, and recovery was evaluated using House-Brackmann (HB) grading until complete recovery or 1 year after onset. Results: Multivariable Cox regression analysis showed that the presence of ipsilateral early response (R1; hazard ratio [HR], 2.41; p < 0.001) was a significant independent predictive factor for better recovery to HB grade II. R1 (HR, 2.21; p = 0.001) and ipsilateral late response (IR2; HR, 1.88; p = 0.006) were significant independent predictive factors for a higher recovery rate to HB grade I. Conclusion: These findings confirm that the BR test is a valuable tool for prognostic prediction in FNP.bell palsyblink reflexfacial palsyintegrative treatmentramsay-hunt syndrometraditional korean medicine |
| spellingShingle | Bonhyuk Goo Dahae Kang Jinkyung Park Jung-Hyun Kim Sang-Soo Nam Yonghyeon Baek Prognostic Value of the Blink Reflex Test in Facial Nerve Palsy Treated with Integrative Traditional Korean Medicine: A Retrospective Study Journal of Acupuncture Research bell palsy blink reflex facial palsy integrative treatment ramsay-hunt syndrome traditional korean medicine |
| title | Prognostic Value of the Blink Reflex Test in Facial Nerve Palsy Treated with Integrative Traditional Korean Medicine: A Retrospective Study |
| title_full | Prognostic Value of the Blink Reflex Test in Facial Nerve Palsy Treated with Integrative Traditional Korean Medicine: A Retrospective Study |
| title_fullStr | Prognostic Value of the Blink Reflex Test in Facial Nerve Palsy Treated with Integrative Traditional Korean Medicine: A Retrospective Study |
| title_full_unstemmed | Prognostic Value of the Blink Reflex Test in Facial Nerve Palsy Treated with Integrative Traditional Korean Medicine: A Retrospective Study |
| title_short | Prognostic Value of the Blink Reflex Test in Facial Nerve Palsy Treated with Integrative Traditional Korean Medicine: A Retrospective Study |
| title_sort | prognostic value of the blink reflex test in facial nerve palsy treated with integrative traditional korean medicine a retrospective study |
| topic | bell palsy blink reflex facial palsy integrative treatment ramsay-hunt syndrome traditional korean medicine |
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