• Research in Vestibular Science
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• 제17권4호
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• pp.170-174
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• 2018

Epidural anesthesia has significantly advanced in neuraxial anesthesia and analgesia. It is used for surgical anaesthesia and treatment of chronic pain. Hearing loss during or after epidural anesthesia is rare, and it is known to occur by the change of the intracranial pressure. Cerebrospinal fluid is connected with perilymph in the cochlear and vestibule that is important to hearing and balance. If the intracranial pressure is abruptly transferred to the inner ear, perilymph can be leak, that called perilymphatic fistula, dizziness, and hearing loss can occur suddenly. We report a 65-year-old woman who presented with acute onset dizziness and hearing loss during the epidural nerve block for back pain, wherein we speculated a possibility of perilymphatic fistula as the mechanism of hearing loss and dizziness. The mechanism of dizziness and hearing loss was suspected with perilymphatic fistula.

• 한방안이비인후피부과학회지
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• 제29권1호
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• pp.157-167
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• 2016

Objective : The purpose of this study is to know the effect of Korean medical treatments on sudden sensorineural hearing loss(SSNHL) without systemic or intratympanic steroid treatments.Method : We conducted retrospective review who was diagnosed as SSNHL and treated with Korean medicine in Dept. of Otolaryngology Kyung Hee University Hospital at Gangdong. There were two patients with SSNHL who refused to be treated with western medicine and were treated with Korean medicine including acupuncture, moxibustion, and herbal medicine.Result : One patient recovered completely after eight days of admission, and another patient partial recovered during 30 days through Korean medical treatments.Conclusion : Through these studies, SSNHL is expected to treated more effectively by conventional Korean medical treatments than corticosteroid treatments alone. But the additional study is needed to reveal the exact effects of Korean medical treatments.

• 대한청각학회지
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• 제24권1호
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• pp.24-28
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• 2020

Background and Objectives: Systemic steroid therapy (SST) and intratympanic steroid injection (ISI) have been the treatment of choice for sudden sensorineural hearing loss (SSNHL). We studied the effect of ISI administered at different intervals on hearing outcomes in patients with SSNHL. Subjects and Methods: We performed a retrospective study of 427 patients diagnosed with SSNHL at Bundang Jesaeng Hospital, of whom 51 patients with SSNHL who received SST and four ISIs were included in this study. Patients were treated with four ISIs either every day for 4 days (group 1) or at intervals (mean duration of interval: 2.21 days) (group 2). Hearing outcomes were evaluated using the pure-tone test before the injection and 14 days, 1 month, and 3 months after the final injection. Recovery rates were classified based on Siegel's criteria. Results: The amount of improvement was 27.67 dB (±20.45) in group 1 and 32.79 dB (±21.42) in group 2. However, there were no significant differences between the two groups (p= 0.714). The recovery rates based on Siegel's criteria were 18/27 (66.7%) and 16/24 (66.7%) in groups 1 and 2, respectively, with no significant difference (p=1.000). Considering only complete recoveries in hearing recovery, the recovery rates were 15/27 (55.6%) and 14/24 (58.3%) in groups 1 and 2, respectively, with no significant difference (p=0.842). Conclusions: There were no significant differences in hearing outcomes or recovery rates after ISI administration every day or at intervals of 2-3 days.

• Journal of Audiology & Otology
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• 제24권1호
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• pp.24-28
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• 2020

Background and Objectives: Systemic steroid therapy (SST) and intratympanic steroid injection (ISI) have been the treatment of choice for sudden sensorineural hearing loss (SSNHL). We studied the effect of ISI administered at different intervals on hearing outcomes in patients with SSNHL. Subjects and Methods: We performed a retrospective study of 427 patients diagnosed with SSNHL at Bundang Jesaeng Hospital, of whom 51 patients with SSNHL who received SST and four ISIs were included in this study. Patients were treated with four ISIs either every day for 4 days (group 1) or at intervals (mean duration of interval: 2.21 days) (group 2). Hearing outcomes were evaluated using the pure-tone test before the injection and 14 days, 1 month, and 3 months after the final injection. Recovery rates were classified based on Siegel's criteria. Results: The amount of improvement was 27.67 dB (±20.45) in group 1 and 32.79 dB (±21.42) in group 2. However, there were no significant differences between the two groups (p= 0.714). The recovery rates based on Siegel's criteria were 18/27 (66.7%) and 16/24 (66.7%) in groups 1 and 2, respectively, with no significant difference (p=1.000). Considering only complete recoveries in hearing recovery, the recovery rates were 15/27 (55.6%) and 14/24 (58.3%) in groups 1 and 2, respectively, with no significant difference (p=0.842). Conclusions: There were no significant differences in hearing outcomes or recovery rates after ISI administration every day or at intervals of 2-3 days.

• 대한한의학회지
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• 제30권4호
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• pp.169-178
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• 2009

Objectives: Sudden sensorineural hearing loss (SSHL) is considered an ENT emergency. Despite being a well-recognized condition, SSHL remains one of the most controversial issues in otology. Nowadays, more and more patients have an interest in Oriental medicine for treatment of SSHL. So, to ascertain the therapeutic effect of Oriental Medicine on SSHL, nineteen cases of SSHL patients who had taken Oriental medical therapy in Kyung Hee Oriental Medical Hospital were examined and analyzed. Methods: Nineteen patients who received over 10 times acupuncture therapy and a minimum 2 weeks of herbal medicine from Sep. 1, 2007 to Aug. 31, 2008 were examined and analyzed. The patients who were in the categories below were excluded: - within 7 days after onset - didn't fulfill 10 times acupuncture therapy - failed to recheck hearing outcome after treatment - less than 30dB at mean dB from 250Hz${\sim}$4000Hz. Results: The patients consisted of 12 men and 7 women with a mean age of 45.63 years (19${\sim}$76). Before treatment, 17 patients had tinnitus, 16 patients had pressure in the ear and 6 patients had dizziness, and mean dB of all patients was 66.89 dB. After treatment, 9 patients still had tinnitus, 4 patients felt pressure in the ear and 2 patents felt dizziness, and mean dB of all patients was 54.57dB. After treatment, 9 patients showed effectiveness in improving both hearing level and speech discrimination, 6 patients showed effectiveness only on speech discrimination and 4 patients showed no therapeutic effect. Conclusion: Oriental medical therapy had some therapeutic effects on SSHL even it was started 7 days after onset of the disease.

• 디지털콘텐츠학회 논문지
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• 제11권4호
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• pp.425-431
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• 2010

본 연구에서는 돌발성 난청을 보이는 환자를 대상으로 임상에서 자주 사용 하는 기법인 3D FSE과 새로운 기법인 3D FIESTA-C 을 정량적으로 비교 분석하여 3D FIESTA 기법의 효과와 유용성을 고찰해보고자 한다. 감각신경성 난청으로 진단받은 40명의 환자를 대상으로 3.0T MR scanner를 이용하여 3D FSE 영상과 3D FIESTA 영상인 축상면 T2 영상을 획득하였다. 획득한 3D FSE 영상과 3D FIESTA 영상은 신경의 주행방향에 수직으로 재구성을 시행하여 내이도의 오른쪽, 왼쪽의 시상면 영상을 획득 하였다. 분석 결과 3D FSE 기법을 이용한 그룹과 3D FIESTA기법을 이용한 두 그룹에서의 신호대 잡음비는 3D FIESTA 기법을 이용한 그룹에서 높은 신호대 잡음비를 보였으며 두 그룹에서의 대조도대 잡음비는 3D FIESTA 기법을 이용한 그룹에서 높은 대조도대 잡음비를 보였다.

• 한방안이비인후피부과학회지
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• 제32권3호
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• pp.212-223
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• 2019

Objectives : The purpose of this study is to report three cases of Korean medical treatment for sudden sensorineural hearing loss(SSHL). Methods : This study conducted with three sensorineural hearing loss patients who hospitalized in Ophthalmology, Otolaryngology & Dermatology Clinic of Korean Medical Hospital. Three patients were treated with herbal medicine(Sunkihwalhyeol-tang, Ikgibohyeol-tang, Gongjindan) and acupuncture. After treatment, we evaluated Siegel's Criteria with pure tone audiometry and subjective symptoms alteration. Results : All three patients were completely recovery about Siegel's Criteria and improved subjective symptoms after treatment. Conclusions : This study suggests that Korean medical treatment may be effective about SSHL.

• 혜화의학회지
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• 제22권1호
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• pp.193-200
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• 2013

고막 스테로이드 주사 치료에 잘 반응하지 않는 돌발성 난청 환자에게 신허(腎虛)로 인한 허롱(虛聾)으로 판단하고 삼일신기환(三一腎氣丸) 가미방(加味方)을 투여하고 수소양삼초경(手少陽三焦經)의 이문(耳門), 예풍(翳風), 외관(外關), 수태양소장경(手太陽小腸經)의 청궁(聽宮), 족소양담경(足少陽膽經)의 청회(聽會),완골(完骨),양백(陽白),협계(俠谿)를 선혈(選穴)하여 침(鍼)치료를 하였고 한약제를 이용한 증기치료를 시행하여 이명, 이충만감 등의 동반 증상의 호전을 확인하였으며 청력검사 상 경미하게 호전된 상태를 확인하였다. 이는 본 질환에 대한 한방치료의 유효성을 보여주는 것으로 생각된다.

• 혜화의학회지
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• 제19권1호
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• pp.55-74
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• 2010

1. Causes of SSHL are deficiency of kidney, pathogen of wind, meridian of soyang and sutaeyang, and pathogen of fire. 2. Four methods are used to treat SSHL, heath cultivation, herbal medicine for internal use, external remedy and acumoxatherapy. 3. Meridians, those are related with treatment of SSHL, are Kidney Meridian(Chok-soyin), Triple energizer Meridian(Shou-soyang), Gallbladder Meridian(Chok-soyang), Large intestine Meridian(Shou-yangmyong) and Small intestine Meridian(Shou-taeyang). 4. Pokrong, Jolrong and Gualrong, those are appeared some oriental documentary records, are not same with SSHL correctly. 5. In oriental medically, Yirong contains SSHL except slow progress. To teat SSHL, it is helpful to investigate method according to each symptoms and conditions in oriental medical documentary records.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1983년도 제17차 학술대회연제순서 및 초록
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• pp.20-20
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• 1983

40세 된 남자 환자로, 12일 전 스쿠바다이빙을 한 후에 나타난, 돌발성난청.이충만감.이명을 주소로 입원하였다. 발병 16 일째에 시험적 고실 개방술을 시행하였다. 등골-난원창 관절의 전방에서 밝은 액체가 누출되는 것을 볼 수 있었고, 그곳을 이수에서 Ep어낸 작은 지방조직으로 봉했다. 술후, 순음청력이 85㏈에서 15㏈로 좋아졌다. 그러나 4KHz 이상의 고음역에서는 변화가 없었다. 중이강을 보다 많이 탐사 함으로 해서 ,돌발성 난청을 일으키는 미노루공을 발견하는 데 많은 도움이 될 것이다.