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2 Cases of Olfactory Disorders due to Chronic Sinusitis treated with Korean Medical Treatment

한의약 치료로 호전된 만성부비동염으로 인한 후각장애 2례

  • Kang, Se-Hyun (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Park, Jung-Gun (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kang, Dong-Won (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Yoon-Bum (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Nam, Hae-Jeong (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Kyu-Seok (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Bong-Hyun (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University)
  • 강세현 (경희대학교 한의과대학 안이비인후피부과) ;
  • 박중군 (경희대학교 한의과대학 안이비인후피부과) ;
  • 강동원 (경희대학교 한의과대학 안이비인후피부과) ;
  • 김윤범 (경희대학교 한의과대학 안이비인후피부과) ;
  • 남혜정 (경희대학교 한의과대학 안이비인후피부과) ;
  • 김규석 (경희대학교 한의과대학 안이비인후피부과) ;
  • 김봉현 (경희대학교 한의과대학 안이비인후피부과)
  • Received : 2018.10.09
  • Accepted : 2018.11.05
  • Published : 2018.11.25

Abstract

Objectives : The purpose of this study is to report the effect of Korean medicine on olfactory disorders due to chronic sinusitis. Methods : Two patients with chronic sinusitis complaining of olfactory disturbances, nasal obstruction, and purulent discharge were treated with herbal medicines and acupuncture treatment. The nasal endoscopic examination and paranasal sinuses x-ray series (PNS x-ray) were performed. In addition, numeral rating scale (NRS) of olfactory disturbances and degrees of nasal obstruction and purulent discharge were evaluated. Results : In cases 1 and 2, NRS of olfactory disturbances decreased from 9 to 1. Nasal obstruction and purulent discharge decreased to no symptoms or intermittent level at moderate or severe level. The endoscopic findings and PNS x-ray findings were improved after treatments. Among various treatments of Korean medicine, Gamitonggyu-tang may play a crucial role in the reduction of sinusitis and olfactory disorders. Conclusions : This case report can be used as a basis for the use of Korean medicine, Gamitonggyu-tang, for olfactory disorder due to chronic sinusitis.

Keywords

References

  1. Hong SC, Ahn JY, Cho JH, Lim DJ, Park GH. Clinical Analysis of the Etiology of Korean Olfactory Disorders. Korean J Otorhinolaryngol-Head Neck Surg. 2008;51:717-21.
  2. Park SW. Current Trend of Olfactory Disorder Management. Korean J Otorhinolaryngol-Head Neck Surg. 2012;55:272-7. https://doi.org/10.3342/kjorl-hns.2012.55.5.272
  3. DeCastro A, Mims L, Hueston WJ. Rhinosinusitis. Prim Care. 2014;41(1):57.
  4. Yun YH, Park JS, Kim KS, Kim NK, Kim KJ, Kim HT, et al. A study on the development of guideline for assessing anterior nasal cavity using nasal endoscopy on allergic rhinitis patients. Kor J Oriental Preventive Med Soc. 2013;17(1):199-207.
  5. Kim HT, Nam CG, Bae SH. A case of Olfactory Disturbance Treated with Ryetaktongi-tang. Korean J Oriental Medical Physiol Pathol. 2001;15(5):830-2.
  6. Moon YK, Kang SH, Park JG, Nam HJ, Kim YB, Kim KS. A Case of Postviral Olfactory Disorder Treated with Dangguijakyak-san and Acunpucture. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017;30(1):118-25. https://doi.org/10.6114/JKOOD.2017.30.1.118
  7. Jeon BR, Min SY, Kim EJ. A Case Study of an Olfactory Disorder in Two Patients Combined by Intranasal Acupuncture Treatment. J Pediatr Korean Med. 2017; 31(2):25-33. https://doi.org/10.7778/jpkm.2017.31.1.025
  8. Downey LL, Jacobs JB, Lebowitz RA. Anosmia and chronic sinus disease. Otolaryngol Head Neck Surg 1996;115(1):24-8. https://doi.org/10.1016/S0194-5998(96)70131-6
  9. Larsen KL, Lange B, Darling P, Jorgensen G, Kjeldsen AD. The validity of nasal endoscopy in patients with chronic rhinosinusitis- An inter-rater agreement study. Clin Otolaryngol. 2018;43(1):144-6. https://doi.org/10.1111/coa.12916
  10. Heo J. Donguibogam. Hadong:Donguibogam Publishing. 2010:566-9.
  11. Kim HI, Hong SH, Ku JM, Kang S, Kim TY, Shin YC, et al. Tonggyu-tang, a traditional Korean medicine, suppresses proinflammatory cytokine production through inhibition of MAPK and NF-${\kappa}B$ activation in human mast cells and keratinocytes. BMC Complement Altern Med. 2017;17(1):186. https://doi.org/10.1186/s12906-017-1704-5
  12. Lee KJ, Nam HJ, Kim YB. Effect of Tongqiao-tang on OVA induced allergic rhinitis mouse model. J Korean Oriental Med. 2008;29(5):96-103.
  13. Jung JY, Kim YB. The effect of Tongkyutang on the ovalbumin-inhalation rat model with allergic rhinitis. J Korean Med Ophthalmol Otolaryngol Dermatol. 2005;18(2):36-50.
  14. Kim IL, Kim HC, Kuk YB, Park SJ, Park YG, Park JH, et al. Herbal medicine. Seoul:YeongLim. 2011:162,578.