DOI QR코드

DOI QR Code

A Case of Korean Medical Treatment of Sudden Hearing Loss with Severe Vertigo

심한 현훈을 동반한 돌발성 난청 치험 1례

  • Han, Jung-Min (Dept. of Oriental Medical Opthalmology & Otolaryngology & Dermatology, Dong-eui University) ;
  • Jang, In-Uk (Dept. of Oriental Medical Opthalmology & Otolaryngology & Dermatology, Dong-eui University) ;
  • Yoon, Hwa-Jung (Dept. of Oriental Medical Opthalmology & Otolaryngology & Dermatology, Dong-eui University) ;
  • Ko, Woo-Shin (Dept. of Oriental Medical Opthalmology & Otolaryngology & Dermatology, Dong-eui University)
  • 한정민 (동의대학교 한의과대학 안이비인후피부과학교실) ;
  • 장인욱 (동의대학교 한의과대학 안이비인후피부과학교실) ;
  • 윤화정 (동의대학교 한의과대학 안이비인후피부과학교실) ;
  • 고우신 (동의대학교 한의과대학 안이비인후피부과학교실)
  • Received : 2013.04.05
  • Accepted : 2013.05.10
  • Published : 2013.05.25

Abstract

Objectives : Sudden sensorineural hearing loss(SSNHL) is defined as an unexplainable decline in hearing which o㏄urs within a short period of time. This study describes a case of SSNHL accompanied by many unfavourable prognosis factors including severe vertigo. Methods : We treated 1 SSNHL patient who had many unfavourable prognosis factors including severe vertigo. After Korean medical treatment for 23 days, we measured the hearing recovery and decrease of vertigo. For diagnosis, pure tone audiometry was done. The degree of improvement was evaluated by Siegel's Criteria. Decrease of vertigo was assessed by Vertigo Scale. Results & Conclusions : The pure tone 5 frequency(0.25, 0.5, 1, 2, $4_{KHz}$) average improved by 25dB(slightly recovered). Vertigo score decreased from 4 to 1. We may expect that the Korean medical therapy improves the hearing recovery in the SSNHL patients who have unfavourable prognosis factors such as vertigo.

Keywords

References

  1. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Otorhinolaryngology. Seoul:Ilchokak. 2002.
  2. Wilson WR, Veltri RW, Laird N, Sprinkle PM. Viral and epidemiologic studies of idiopathic sudden hearing loss. Otolaryngol Head Neck Surg. 1983;91:653-8. https://doi.org/10.1177/019459988309100612
  3. Monsell EM, Teixido MT, Wilsom MD, Hughes GB. Nonhereditary hearing loss. In:Hughes GB, Pensak ML. Clinical Otology 2nd Ed. Newyork:Thieme-stratton. 1997:294-5.
  4. Yoon TH, Paparella MM, Schachern PA, Avella M. Histopathology of sudden hearing loss. Laryngoscope. 1990;100(7):707-15.
  5. Nam HJ. Oriental medical therapy for sudden Sensorineural Hearing Loss. J Korean Oriental Med. 2009;30(4):169-78.
  6. Mattox DE, Simmons FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol. 1977;86(4 Pt 1):463-80. https://doi.org/10.1177/000348947708600406
  7. Chung YY. Assessments of Prognostic Factors on Sudden Deafness. J Soonchunhyang Med Coll. 1997;3(2):695-706.
  8. Lee EJ, Han GC, Kim KS. Hearing Recovery in Patients of Sudden Hearing Loss with Vertigo; Incheon. Res Vestibul Sci. 2003; 2(1):103-6.
  9. Byl FM. Sudden hearing loss research clinic. Otolaryngol Clin North Am. 1978;11(1):71-9.
  10. Anderson RG, Meyerhoff WL. Sudden sensorineural hearing loss. Otolaryngol Clin North Am. 1983;16:189-95.
  11. Kwon K, Choi KH, Park JY, Owi JS, Park HS, Park YH. The Clinical Study of Three Patients Hospitalized due to Sudden Sensorineural Hearing Loss. The Journal of Oriental Medical Surgery, Ophthalmology & Otolaryngology. 2002;15(2):156-68.
  12. Chun SC, Jo SH, Jee SY. Two Cases of Sudden Deafness Treated with Herbal Acupucture Therapy. The Journal of Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2003;16(1):206-13.
  13. Yoon Hs, Lee SE, Han EJ, Kim YB. Six Cases of Sudden Sensorineural Hearing Loss. The Journal of Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2003;16(2): 221-43.
  14. Yu HJ, Hong SU. Three Cases of Sudden Sensorineural Hearing Loss with Marked or Complete Recovery. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2006;19(2): 263-71.
  15. Song MK, Hong SU. A Case of Bilateral Sudden Sensorineural Hearing Loss with Incomplete Recovery by Oriental and Western Medical Therapy. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2010;23(1): 289-99.
  16. Shin SO. Management of Sudden Sensorineural Hearing Loss. Seoul Symposium. 2007;13: 108-17.
  17. Chau JK, Lin JR, Atashband S, Irvine RA, Westerberg BD. Systematic review of the evidence for the etiology of adult sudden sensorineural hearing loss. Laryngoscope. 2004;114(10):1686-92. https://doi.org/10.1097/00005537-200410000-00003
  18. 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
  19. Chang DS, Park SW, Choi JY, Kim AY, Park KY, Cho CS, et al. Estimate Hearing Recovery Rate Using Statistical Analysis of Sudden Sensorineural Hearing Loss. Korean J Otorhinolaryngol-Head Neck Surg. 2011;54: 603-9. https://doi.org/10.3342/kjorl-hns.2011.54.9.603
  20. Sheehy JL. Vasodialator therapy in sensoryneural hearing loss. Otolaryngol Clin North Am. 1975;8(2):467-73.
  21. Byl FM Jr. Sudden hearing loss: eight years' experience and suggested prognostic table. Laryngoscope. 1984;94(5 Pt 1):647-61.
  22. Nakashima, T, Yanagita N. Outcome of sudden deafness with and without vertigo. Laryngoscope. 1993:103(10):1145-9.
  23. Ahn JH, Yoon TH, Chung JW. Analysis of prognosis in patient with sudden sensorineural hearing loss and dizziness. Korean J Otolaryngol-Head Neck Surg. 2001;44(10):1032-7.
  24. Yun JE, Rho HA, Rho SS. Study of oriental medical documentary records of sudden sensorineural hearing loss. The journal of Research Institute of Korean Medicine, Taejon University. 2010;19(1):55-74.
  25. Heo J. Donguibogam. trans. Yoon SH, Kim HJ, Choi CH, Jeon JH, Nam MK, Kang YH, et al. Hadong:Donguibogam. 2005.
  26. Kam BS, Kim IL, Kim HC, Guk YB, Park YK, Seo BI, et al. Herbal medicine. Seoul:Younglimsa. 2006.

Cited by

  1. A Case Report of Tinnitus with Sudden Sensorineural Hearing Loss Treated with Melonis Calyx Vomiting Therapy vol.28, pp.4, 2015, https://doi.org/10.6114/jkood.2015.28.4.186
  2. Two Cases of Korean Medical Treatments of Sudden Sensorineural Hearing Loss without Corticosteroid Treatments vol.29, pp.1, 2016, https://doi.org/10.6114/jkood.2016.29.1.157
  3. 돌발성 난청의 침치료에 대한 최근 임상 연구 동향 vol.30, pp.4, 2013, https://doi.org/10.6114/jkood.2017.30.4.141
  4. 돌발성 난청의 침치료에 대한 최근 임상 연구 동향 vol.30, pp.4, 2013, https://doi.org/10.6114/jkood.2017.30.4.141
  5. 대전한방병원 한방안이비인후피부과로 내원한 귀 질환 환자 특성 분석 -2012년 3월부터 2019년 2월까지- vol.33, pp.2, 2013, https://doi.org/10.6114/jkood.2020.33.2.023