한방안이비인후피부과학회지 (The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology)

  • 제35권4호
  • /
  • Pages.172-180
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  • 2022
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  • 1738-6640(pISSN)
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  • 2234-4020(eISSN)
대한한방안이비인후피부과학회 (The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology)
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한의 치료로 호전된 이명 동반 돌발성 난청 환자 1례

A Case Report of Korean Medicine Treatment for Sudden Hearing Loss Accompanied by Tinnitus

  • Seo, Ji-In (College of Korean Medicine, Woosuk University) ;
  • Ko, Seo-Lim (College of Korean Medicine, Woosuk University) ;
  • Lee, Yun-Jae (College of Korean Medicine, Woosuk University) ;
  • Ha, Dong-Lim (Hadonglim Korean Medicine Clinic) ;
  • Park, Ji-Hyeon (Hadonglim Korean Medicine Clinic) ;
  • Kim, Jun-Hyeong (Sunchang Health Center and County Hospital) ;
  • Seo, Hyung-Sik (Dept. of Ophthalmology, Otolaryngology & Dermatology, Pusan National University Korean Medicine Hospital) ;
  • Choi, Yoo-Min (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Woosuk University)
  • 투고 : 2022.10.17
  • 심사 : 2022.11.17
  • 발행 : 2022.11.25
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초록

Objectives : This study reports a 61-year-old man with sudden hearing loss and tinnitus whose symptoms improved remarkably after treatment with Korean medicine. Methods : The patient was treated with herbal medicine(gamisoyo-san, samul-tang gagambang, gongjindan, and yukmijihwang-hwan), acupuncture and moxibustion. Puretone audiometry(PTA), speech audiometry(SA), Korean tinnitus handicap inventory(K-THI), patient self-report, numeric rating scale(NRS) 11, and review of system(ROS) were performed. Results : After a month of treatment, PTA was improved from profound to mild and audiometric findings were improved in speech reception threshold and word recognition score. After 2 months of treatment, K-THI decreased from 92 to 28 and NRS 11 score decreased more than 6 in every item. Conclusions : These results demonstrate that Korean medicine could be effective sudden hearing loss and tinnitus.

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과제정보

본 논문은 2022년도 우석대학교의 연구비 지원에 의해서 수행됨

참고문헌

  1. Chandrasekhar SS, Tsaido BS, Schwartz SR, Bontempo LJ, Faucett EA, Finestone SA, et al. Clinical practice guideline: sudden hearing loss (update). Otolaryngol Head Neck Surg. 2019;161(1):1-45. https://doi.org/10.1177/0194599819851463
  2. Kang WS, Kim YH, Park KH, Seo MW, Son EJ, Yoo SY, et al. Treatment strategy for sudden sensorineural hearing loss. Korean J Otorhinolaryngol-Head Neck Surg. 2011;54(10):675-82. https://doi.org/10.3342/kjorl-hns.2011.54.10.675
  3. Nadel DM. The use of systemic steroids in otolaryngology. Ear Nose Throat J. 1996;75(8):502-5,509-12. https://doi.org/10.1177/014556139607500809
  4. Rauch SD, Halpin CF, Antonelli PJ, Babu S, Carey JP, Gantz BJ, et al. Oral vs intratympanic corticosteroid therapy for idiopathic sudden sensorineural hearing loss: a randomized trial. JAMA. 2011;305(20):2071-9. https://doi.org/10.1001/jama.2011.679
  5. Battaglia A, Lualhati A, Lin H, Burchette R, Cueva R. A prospective, multi-centered study of the treatment of idiopathic S41 sudden sensorineural hearing loss with combination therapy versus high-dose prednisone alone: a 139 patient follow-up. Otol Neurotol. 2014;35(6):1091-8. https://doi.org/10.1097/MAO.0000000000000450
  6. The Society of Korean Medicine Ophthalmology, Otolaryngology and Dermatology. Otolaryngology. 1st ed. Paju:Globooks. 2019:97-100.
  7. Lee YR, Kim KS, Choi HS, Kim SM. Review on case reports of Korean medical treatments for sudden sensory neural hearing loss. J Korean Med Physiol & Pathol. 2018;32(1):62-9. https://doi.org/10.15188/kjopp.2018.02.32.1.62
  8. Kang YJ, Ha DL, Yeum JY, Oh SY. A case report of yeoldahanso-tang on sudden hearing loss and tinnitus after trigeminal schwannoma surgery. J Sasang Constitut Med. 2021;33(4):23-31.
  9. Kim JW, Jeong HG, Lee JY, Kim KH, Kim TY, Lee TG, et al. Recent clinical research on effect of acupuncture on sudden hearing loss. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017;30(4):131-41.
  10. Ko HY, Kim JH, Lee ME, Kim MH. A case report of vestibular schwannoma misdiagnosed as idiopathic sudden sensorineural hearing loss. J Korean Med Ophthalmol Otolaryngol Dermatol. 2021;34(3):80-91.
  11. Kim GS. Pure tone assessment. Korean J Occup Health Nurs. 2006;13(3):16-23.
  12. Clark JG. Uses and abuses of hearing loss classification. Speech Lang Hear Assoc. 1981;23(7):493-500.
  13. Siegel LG. The treatment of idiopathic sudden sensorineural hearing loss. Otolaryngol Clin North Am. 1975;8(2):467-73. https://doi.org/10.1016/S0030-6665(20)32783-3
  14. Newman CW, Jacobson GP, Spitzer JB. Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg. 1996;122(2):143-8. https://doi.org/10.1001/archotol.1996.01890140029007
  15. Joint Compiling Committee for Herbal Formula. Herbal formula science in Korean medicine. Seoul:Gunja. 2020:584-6.
  16. Atay G, Kayahan B, Cinar BC, Sarac S, Sennaroglu L. Prognostic factors in sudden sensorineural hearing loss. Balkan Med J. 2016;33(1):87-93. https://doi.org/10.5152/balkanmedj.2015.15216
  17. Choung YH, Park KH, Mo JY, Oh JH, Kim JS. The effects of intratympanic steroid injection for the patients with refractory sudden sensorineural hearing loss. Korean J Otorhinolaryngol-Head Neck Surg. 2005;48(6):706-12.