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Author's Response

Author's Response Letters Our study was designed and written before the publication of some recent randomised controlled trials on treatment of facial palsy, including those mentioned by Dr Amer and also some others using acupuncture; our design and results will have been different if those results were known. The number of patients in the steroid group was larger, due to randomisation, which was unexpected and uncontrollable. We tried to focus our study on compari- son of steroid and acupuncture. The initial grade of facial palsy did affect the outcome, as mentioned in our Discussion column, but stratifi cation would split them into even smaller groups and would further decrease the statistical signifi cance. The effects of diabetes and hypertension were not the focus of our study. We tried to recruit more patients into the study by including those with onset within 2 weeks. Most patients were treated early with an average onset of just 2.6 days. There were various reported acupuncture regime in treating facial palsy, including elec- troacupuncture, acupuncture plus moxibus- tion, acupuncture using different acupoints, strength and duration, and we based our pro- tocol on standard offi cial acupuncture text- books for senior colleges in mainland China. Electroacupuncture is not recommended for acute facial paralysis, according to the textbooks. Our study was certainly not perfect, as we mentioned in the Discussion. We hope we can prompt a large-scale study on the comparison of effi cacies of steroid and acupuncture with suffi cient statistical signifi cance in future. F M Tong Correspondence to Dr F M Tong, Department of ENT, Pamela Youde Nethersole Eastern Hospital, ENT Unit, PYNEH, Lok Man Road, Chai Wan, Hong Kong 852, PR China; tongfm@yahoo.com Provenance and peer review Not commissioned; not externally peer reviewed. Accupunct Med 2010;28:56. doi:10.1136/aim.2010.002451 56 Acupunct Med March 2010 Vol 28 No 1 16_am002337, am002451.indd 56 16_am002337, am002451.indd 56 3/11/2010 7:39:08 PM 3/11/2010 7:39:08 PM http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acupuncture in Medicine SAGE

Author's Response

Acupuncture in Medicine , Volume 28 (1): 1 – Mar 1, 2010

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Publisher
SAGE
Copyright
© 2010 British Medical Acupuncutre Society
ISSN
0964-5284
eISSN
1759-9873
DOI
10.1136/aim.2010.002451
Publisher site
See Article on Publisher Site

Abstract

Letters Our study was designed and written before the publication of some recent randomised controlled trials on treatment of facial palsy, including those mentioned by Dr Amer and also some others using acupuncture; our design and results will have been different if those results were known. The number of patients in the steroid group was larger, due to randomisation, which was unexpected and uncontrollable. We tried to focus our study on compari- son of steroid and acupuncture. The initial grade of facial palsy did affect the outcome, as mentioned in our Discussion column, but stratifi cation would split them into even smaller groups and would further decrease the statistical signifi cance. The effects of diabetes and hypertension were not the focus of our study. We tried to recruit more patients into the study by including those with onset within 2 weeks. Most patients were treated early with an average onset of just 2.6 days. There were various reported acupuncture regime in treating facial palsy, including elec- troacupuncture, acupuncture plus moxibus- tion, acupuncture using different acupoints, strength and duration, and we based our pro- tocol on standard offi cial acupuncture text- books for senior colleges in mainland China. Electroacupuncture is not recommended for acute facial paralysis, according to the textbooks. Our study was certainly not perfect, as we mentioned in the Discussion. We hope we can prompt a large-scale study on the comparison of effi cacies of steroid and acupuncture with suffi cient statistical signifi cance in future. F M Tong Correspondence to Dr F M Tong, Department of ENT, Pamela Youde Nethersole Eastern Hospital, ENT Unit, PYNEH, Lok Man Road, Chai Wan, Hong Kong 852, PR China; tongfm@yahoo.com Provenance and peer review Not commissioned; not externally peer reviewed. Accupunct Med 2010;28:56. doi:10.1136/aim.2010.002451 56 Acupunct Med March 2010 Vol 28 No 1 16_am002337, am002451.indd 56 16_am002337, am002451.indd 56 3/11/2010 7:39:08 PM 3/11/2010 7:39:08 PM

Journal

Acupuncture in MedicineSAGE

Published: Mar 1, 2010

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