• 제목/요약/키워드: Sensorineural

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돌발성 난청 환자 3례에 대한 임상적 고찰 (The Clinical Study of Three Patients Hospitalized Due To Sudden Sensorineural Hearing Loss)

  • 권강;최관호;박재영;위종성;박희수;박영환
    • 한방안이비인후피부과학회지
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    • 제15권2호
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    • pp.156-168
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    • 2002
  • Backgrounds : sudden sensorineural hearing loss is defined as a disease that has abrupt onset of sensorineural hearing loss without definite cause. In some cases, this disease cause tinnitus, vertigo, headache addition to hearing loss. In traditional oriental medicine, sudden sensorineural hearing loss is could be diagnosed as deficiency of Yang-Gi(陽氣). Objects & Methods : This study is clinical observation about three sudden sensorineural hearing loss cases. For diagnosing in these cases, pure tone audiometry was used. For treatment, acupuncture, herbal-medicine and moxibustion therapy were used. Results & Conclusions : as follows. 1. Generally, in this disease, the shorter the whole period from the time that occurs to the time that starts to treat is, the more the results are better. The research shows that short-term case is more efficient than the other long-term two cases in the aspects of symptoms and pure tone audiometry . 2. In making a diagnosis of sudden sensorineural hearing loss and measuring the effect, subjective symptoms generally correspond to the improvement of pure tone audiometry, but not completely. Therefore, in treating patients, the doctor must consider these both aspects and keep the balance.

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돌발성 난청을 동반한 이명 환자 1례에 대한 증례보고 (A Clinical Case Study on the Tinnitus with Sudden Sensorineural Hearing Loss)

  • 김석주;이현
    • 혜화의학회지
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    • 제16권1호
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    • pp.1-7
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    • 2007
  • Tinnitus is noise from ear or head without any external sound stimulation and can cause hearing difficulties, psychologenic disturbances or many difficulties in everyday life. the etiology has yet been discussed and the management is also very difficult. Sensorineural hearing loss is defined as a sudden hearing impairment which was develope over a period of hours to days. I report one tinnitus case which accompanied with sudden sensorineural hearing loss. In the early and acute stage which judged as Dam-Wha, herbal treatment with Tong-myeong-ri-gi-tang was efficacious on the tinnitus. In the convalescent stage and judged as Sin-heo, herbal treatment with Ja-sin-tong-i-tang was efficacious on the tinnitus that accompanied with sudden sensorineural hearing loss.

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감각신경성 난청의 예후 인자에 대한 평가와 침구 치료에 대한 임상적 고찰 (The Assessments of Prognotic Factors on Sensorineural Hearing Loss And The Clinical Study with Acupuncture Treatment)

  • 문경숙;이소열;권오섭;장조웅;권혁성;윤대환
    • Korean Journal of Acupuncture
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    • 제23권4호
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    • pp.101-110
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    • 2006
  • Objectives : The purpose of this study was clinical observation about sensorineural hearing loss compare with acupucture treatment and assessments of prognotic factors. Methods : This study was clinical observation about sensorineural hearing loss cases. for diagnosing in these cases, pure tone audiometry was used. The treatment, acupuncture was used. Results : Three patients(37.5%) remarkably improved, one patient(12.5%), slightly improved, four patients(50%), no change. Conclusions : These results suggest that the prognosis by age and initial hearing threshold was significant. The treatment on sensorineural hearing loss considered that bone condution improved.

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Medulloblastoma Manifesting as Sudden Sensorineural Hearing Loss

  • Terakawa, Yuzo;Tsuyuguchi, Naohiro;Takami, Toshihiro;Ohata, Kenji
    • Journal of Korean Neurosurgical Society
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    • 제50권1호
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    • pp.51-53
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    • 2011
  • We present a rare case of medulloblastoma which presented with unilateral sudden sensorineural hearing loss as an initial symptom. A 19-year-old man was admitted to our hospital with a chief complaint of dizziness and facial numbness on the right side. His illness had begun two years previously with sudden hearing loss on the right side, for which he had been treated as an idiopathic sudden hearing loss. Magnetic resonance imaging demonstrated abnormal signals located mainly in the right middle cerebellar peduncle. We performed partial resection of the tumor by suboccipital craniotomy. The histopathological diagnosis was medulloblastoma. Intrinsic brain tumor is an extremely rare cause of sudden sensorineural hearing loss and is therefore easily overlooked as was in the present case. The present case highlights not only the need to evaluate patients with sudden sensorineural hearing loss by magnetic resonance imaging but also the importance of paying attention to intrinsic lesions involving the brainstem. Although this condition like the presented case might be rare, intrinsic brain tumor should be considered as a potential cause of sudden sensorineural hearing loss, as it may be easily missed leading to a delay in appropriate treatment.

한방 복합 치료 및 소리재활치료로 호전된 양측성 돌발성 난청 치험 1례 (Therapeutic Effects of Korean Medical Treatment Combined with Threshold Sound Conditioning on Bilateral Sudden Sensorineural Hearing Loss : A Case Report)

  • 박소영;제하경;민예은;강준혁;홍은빈
    • 한방안이비인후피부과학회지
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    • 제35권2호
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    • pp.72-81
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    • 2022
  • Objectives : The purpose of this study is to report the case of a bilateral sudden sensorineural hearing loss patient whose hearing had improved by Korean medical treatment combined with threshold sound. Methods : A woman diagnosed with bilateral sudden sensorineural hearing loss has treated with Korean medical interventions(acupuncture combined with electromagnetic stimulation and pharmacoacupuncture) and threshold sound conditioning(TSC) for 20 weeks. Pure tone audiometry(PTA) was performed for the evaluation. Results : The average hearing level has improved from mild to normal level. The level of tinnitus has decreased from VAS 10 to VAS 4. Conclusions : We observed an improvement in a bilateral sudden sensorineural hearing loss patient's hearing and hereby suggest the possibility of Korean medical treatment and TSC's ameliorating effect on sensorineural hearing loss.

The Effect of the Speech Enhancement Algorithm for Sensorineural Hearing Impaired Listeners

  • Kim, Dong-Wook;Lee, Young-Woo;Lee, Jong-Shill;Chee, Young-Joon;Lee, Sang-Min;Kim, In-Young;Kim, Sun-I.
    • 대한의용생체공학회:의공학회지
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    • 제28권6호
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    • pp.732-743
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    • 2007
  • Background noise is one of the major complaints of not only hearing impaired persons but also normal listeners. This paper describes the results of two experiments in which speech recognition performance was determined for listeners with normal hearing and sensorineural hearing loss in noise environment. First, we compared speech enhancement algorithms by evaluation speech recognition ability in various speech-to-noise ratios and types of noise. Next, speech enhancement algorithms by reducing background noise were presented and evaluated to improve speech intelligibility for sensorineural hearing impairment listeners. We tested three noise reduction methods using single-microphone, such as spectrum subtraction and companding, Wiener filter method, and maximum likelihood envelop estimation. Their responses in background noise were investigated and compared with those by the speech enhancement algorithm that presented in this paper. The methods improved speech recognition test score for the sensorineural hearing impaired listeners, but not for normal listeners. The results suggest the speech enhancement algorithm with the loudness compression can improve speech intelligibility for listeners with sensorineural hearing loss.

전정구형낭 청력에 관한 연구 (A Study on Vestibulosaccular Hearing)

  • 허승덕
    • 말소리와 음성과학
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    • 제4권3호
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    • pp.179-186
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    • 2012
  • The aims of this study are to consider auditory physiological characteristics and to confirm audiological evaluation and interpretation in regards to cases of sensorineural hearing loss that observe an abnormal AB gap. Vestibulosaccular hearing occurs when there is an abnormally large air-bone gap (AB gap) in sensorineural hearing loss, also known as pure cochlear conductive hearing loss. Generally, an AB gap is caused by damage to the external and/or middle ear. In conductive hearing loss, loss of air condition hearing occurs due to a loss of resonance in the outer ear and/or impedance mismatching in the middle ear. Most of these types of hearing loss can be treated medically and surgically. However, there is no medical treatment for an AB gap in sensorineural hearing loss and hearing loss can worsen gradually or suddenly. In addition, many studies have reported that head trauma makes hearing loss even more serious. Therefore, in order to differentiate between conductive hearing losses, it is important to check whether or not there is an enlarged vestibular aqueduct by means of temporal bone computerized tomography and/or magnetic resonance imaging.

돌발성난청으로 인한 耳鳴환자 4례에 大陷胸湯을 투여한 증례보고 (Four Cases of Tinnitus with Sudden Sensorineural Hearing Loss Treated by Daehamhyung-tang)

  • 조형래;황보민
    • 한방안이비인후피부과학회지
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    • 제28권3호
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    • pp.145-160
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    • 2015
  • Objective : The purpose of this study was to report a significant improvement of Tinnitus with Sudden sensorineural hearing loss(SSHL) after treatment with Daehamhyung-tang.Methods : We experienced four cases of tinnitus with SSHL treated by Daehamhyung-tang. To evaluate the results of this treatment, we used the visual analogue scale(VAS)Results : After using Daehamhyung-tang, VAS and clinical symptoms of 3 patients were improved remarkably, but 1 case was no interval change.Conclusion : This study suggests that using Daehamhyung-tang is effective on tinnitus with SSHL.

한양방 동시 치료를 통하여 회복되지 않은 양측성 돌발성 난청 환자 1례 (A Case of Bilateral Sudden Sensorineural Hearing Loss with Incomplete Recovery by Oriental and Western Medical therapy)

  • 송민경;홍승욱
    • 한방안이비인후피부과학회지
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    • 제23권1호
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    • pp.289-299
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    • 2010
  • Back ground & Objectives : Bilateral sudden sensorineural hearing loss(SSNHL) is very rare disease. This is the first case report in the oriental medical literature. This study describes a case of bilateral SSNHL with incomplete recovery. Methods : We treated 1 patient who had SSNHL sequentially in both ears. He received oriental and western medical treatments for more than 2 weeks and measured the hearing recovery. For diagnosis on this case, pure tone audiometry was used. The degree of improvement was evaluated by Siegel's Criteria. Results & Conclusions : This patient discharged without hearing improvement. For bilateral SSNHL patients, the result of treatment is important for their qualities of life. But the recovery rate of hearing in bilateral SSNHL is lower than unilateral SSNHL. The oriental medical therapy had some theraputic effects on SSNHL and the theraputic effects on bilateral SSNHL requires further study.

뇌간 청각유발전위 검사에 의해 진단된 보더 콜리의 양측 후발성 감각신경성난청 (Bilateral Later-Onset Sensorineural Deafness Diagnosed by Brainstem Auditory Evoked Response in a Border Collie)

  • 강병재;김용선;이승훈;김완희;권오경
    • 한국임상수의학회지
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    • 제31권2호
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    • pp.129-132
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    • 2014
  • 4년령의 암컷 보더 콜리가 청각장애 평가를 위해 내원하였다. 청력 소실의 원인을 확인하기 위해 임상 검사, 신경계 검사, 검이경, 자기 공명 검사법이 실시되었지만, 특별한 이상을 확인할 수 없었다. 청력 소실을 평가하기 위해 뇌간 청각유발전위 검사가 실시되었고, 양측성 감각신경성난청을 확인하였다. 여러 검사와 병력 확인을 통해 후천적 청력 소실의 가능한 원인들을 배제하여 유전성의 양측 후발성 감각신경성난청으로 잠정 진단하였다. 이 보고는 개에서도 사람에서 보고된 유전성의 후발성 감각신경성난청이 있을 수 있다는 것을 제안한다.