DOI QR코드

DOI QR Code

Analysis of the Characteristics of Tinnitus Patients who Visited the Korean Medicine Clinic According to the Presence of Headache: A Retrospective Chart Review

한의원에 내원한 이명 환자의 두통 동반 여부에 따른 특성 분석: 후향적 차트 리뷰

  • Lee, Keun-Hee (Department of Ophthalmology, Otolaryngology & Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Sae-Byeol (Kabsan Korean Medicine Clinic) ;
  • Lee, Ga-Young (Kabsan Korean Medicine Clinic) ;
  • Lee, Ju-Hyun (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University) ;
  • Ryu, Won-Jin (Kabsan Korean Medicine Clinic) ;
  • Nam, Hae-Jeong (Department of Ophthalmology, Otolaryngology & Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University)
  • 이근희 (경희대학교 한의과대학 안이비인후피부과학교실) ;
  • 이새별 (갑산한의원) ;
  • 이가영 (갑산한의원) ;
  • 이주현 (원광대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 류원진 (갑산한의원) ;
  • 남혜정 (경희대학교 한의과대학 안이비인후피부과학교실)
  • Received : 2021.11.18
  • Accepted : 2022.02.12
  • Published : 2022.02.25

Abstract

Objectives : The purpose of this study is to analyze the characteristics of tinnitus patients according to the presence of headache. Methods : The medical records of 110 tinnitus patients who visited oo Korean Medicine Clinic from June 2019 to June 2021 were retrospectively reviewed. Clinical characteristics including gender, age, onset, cause, tinnitus site, severity of tinnitus and accompanied symptoms were analyzed. Results : Among all patients, 40s and 50s and chronic tinnitus over 1 year was the most frequent group. After an average of 2 months of treatment, 61 patients(55.5%) showed improvement, and there were prescribed more frequently 50s and 60s and with tinnitus grade mild to moderate group. The proportions of female(65%, p=0.012) and herbal dialectics which 'tonify and replenish' and 'tranquilize'(32.5%, p=0.043) were prescribed more frequently in patients with headache than those without headache. Dizziness, ear pain, heart symptoms, fatigue, and neck stiffness were more frequent in patients with headache(p<0.05). In patients with improvement in tinnitus, tinnitus grade improved significantly in patients with improvement in headache compared to those with no improvement in headache(1.83±0.79 vs 0.80±0.84, p=0.018). Conclusions : In tinnitus patients treated with Korean medicine, there was no significant difference in the improvement of tinnitus according to the presence or improvement of headache, but the patients with improvement of both tinnitus and headache showed significantly more degree of improvement in tinnitus severity than patients with only tinnitus improved. Based on these findings, further study is needed regarding the correlation headache and tinnitus in clinical setting.

Keywords

References

  1. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Otorhinolaryngology (Otology). 1st ed. Paju:Koonja. 2018:877,879.
  2. Kim HJ, Cho AR, Kim CH. A clinical case report of tinnitus after head trauma. J Korean Med Ophthalmol Otolaryngol Dermatol. 2011;24(2):111-8. https://doi.org/10.6114/JKOOD.2011.24.2.111
  3. Lee HM, Han KD, Kong SK, Nam EC, Park SN, Shim HJ, et al. Epidemiology of clinically significant tinnitus: A 10-Year trend from nationwide health claims data in South Korea. Otol Neurotol. 2018;39:680-7. https://doi.org/10.1097/MAO.0000000000001832
  4. Langguth B, Hund V, Busch V, Jurgens TP, Lainez JM, Landgrebe M, et al. Tinnitus and headache. Biomed Res Int. 2015:7.
  5. Rubinstein B, Axelsson A, Carlsson GE. Prevalence of signs and symptoms of craniomandibular disorders in tinnitus patients. J Craniomandib Disordvol. 1990;4(3):186-92.
  6. Sindhusake D, Golding M, Newall P, Rubin G, Jakobsen K, Mitchell P. Risk factors for tinnitus in a population of older adults: the blue mountains hearing study. Ear Hear. 2003;24(6):501-7. https://doi.org/10.1097/01.AUD.0000100204.08771.3D
  7. Heo J. Donguibogam. 3rd ed. Seoul: Namsangdang. 1976:359-77.
  8. Heller AJ. Classification and epidemiology of tinnitus. Otolaryngol Clin North Am. 2003;36(2):239-48. https://doi.org/10.1016/S0030-6665(02)00160-3
  9. Langguth B, Hund V, Landgreve M, Schecklmann M. Tinnitus patients with comorbid headaches: the influence of headache type and laterality on tinnitus characteristics. Front Neurol. 2017;8:440. https://doi.org/10.3389/fneur.2017.00440
  10. Korean Otological Society. Current opinion on Tinnitus. 3rd ed. Seoul:Sejong Medicine. 2019:206.
  11. Cong W, Xu W, Bin Y, Mengchen C, Xueling W, Qixuan W, Hao W, Zhiwu H. Changes in GABA and glutamate receptors on auditory cortical excitatory neurons in a rat model of salicylate-induced tinnitus. American Journal of Translational Research. 2018;10(12):3941-55.
  12. Norena AJ, Eggermont JJ. Enriched acoustic environment after noise trauma reduces hearing loss and prevents cortical map reorganization. The Journal of Neuro- science. 2005;25(3):699-705.
  13. Deborah R, Mariana AdA, Larissa R, Luis AB, Katia dM, Bruno F. Association between headache and tinnitus among medical students: Arq Neuropsiquiatr. 2021;79(11):982-8. https://doi.org/10.1590/0004-282x-anp-2021-0023