• 혜화의학회지
• /
• 제22권1호
• /
• pp.193-200
• /
• 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.

• 한방안이비인후피부과학회지
• /
• 제29권2호
• /
• pp.98-105
• /
• 2016

Objectives : The purpose of this study is to report the Korean medical treatment on sudden sensorineural hearing loss(SSNHL). Methods : The patient who has been diagnosed SSNHL had symptoms with hearing loss, tinnitus, and aural fullness. The patient was received outpatient to Dunsan oriental hospital for 3 months and was treated with oriental medicine(acupuncture, herbal-medicine, converting of Hominis placenta, warm needling and vapor treatment). Two approaches were used in order to evaluate the effect of the treatment. The hearing recovery was measured with pure tone audiometry, and the decrease of tinnitus and aural fullness was identified by patient's subjective expression. Results : The patient has his hearing restored fully and the symptoms of SSNHL accompanied with adjunctive symptoms including tinnitus and aural fullness were improved.Conclusions : This study shows that the Korean medical treatment effects on the SSNHL.

• 사상체질의학회지
• /
• 제26권3호
• /
• pp.328-337
• /
• 2014

Objectives The aim of this study was to report significant improvement of vertigo, tinnitus and aural fullness after treatment with Cheongsimyeonja-tang in a Taeeumin patient with Meniere's disease. Methods The patient was diagnosed with Taeeumin Dry-heat symptomatic pattern and treated with Cheongsimyeonja-tang and acupuncture. The patient's subjective symptoms of vertigo, tinnitus and aural fullness were observed using Global Assessment Scale (GAS) during the treatment period. Results & Conclusions The symptoms of vertigo, tinnitus and aural fullness decreased from GAS 100 to GAS 0 for seven weeks. Furthermore, the patient's symptoms of insomnia, urinary frequency, chest discomfort and fatigue were reported to be improved after treatment. In conclusion, this study shows that Sasang Constitutional Medicine can be effective treatment for Taeeumin patient with Meniere's disease diagnosed as Dry-heat symptomatic pattern.

• 대한청각학회지
• /
• 제23권1호
• /
• pp.15-19
• /
• 2019

Background and Objectives: To determine the efficacy of filling the external auditory meatus with 1% clotrimazole at a single visit for the treatment of otomycosis. Subjects and Methods: This prospective study included 40 patients who were referred to our clinic with complaints of ear itching, pain, and fullness, and were diagnosed with unilateral otomycosis. After cleaning the mycotic hyphae from the external auditory meatus, the ear canal was filled with 1% clotrimazole, using an intravenous catheter and syringe. The patients received follow-up examinations on post-treatment days 7, 15, and 45. Results: The follow-up otomicroscopic examinations revealed that 95% of the ear canals were entirely clean and that all symptoms had resolved. The post-treatment scores of pain, aural fullness and itching were significantly lower than the pre-treatment scores (p<0.01). Conclusions: Filling the external auditory meatus with 1% clotrimazole at a single visit is an easy, efficient, and cost-effective treatment for otomycosis. Additionally, high patient compliance makes this treatment superior to long-term topical therapy.

• Journal of Audiology & Otology
• /
• 제23권1호
• /
• pp.15-19
• /
• 2019

Background and Objectives: To determine the efficacy of filling the external auditory meatus with 1% clotrimazole at a single visit for the treatment of otomycosis. Subjects and Methods: This prospective study included 40 patients who were referred to our clinic with complaints of ear itching, pain, and fullness, and were diagnosed with unilateral otomycosis. After cleaning the mycotic hyphae from the external auditory meatus, the ear canal was filled with 1% clotrimazole, using an intravenous catheter and syringe. The patients received follow-up examinations on post-treatment days 7, 15, and 45. Results: The follow-up otomicroscopic examinations revealed that 95% of the ear canals were entirely clean and that all symptoms had resolved. The post-treatment scores of pain, aural fullness and itching were significantly lower than the pre-treatment scores (p<0.01). Conclusions: Filling the external auditory meatus with 1% clotrimazole at a single visit is an easy, efficient, and cost-effective treatment for otomycosis. Additionally, high patient compliance makes this treatment superior to long-term topical therapy.

• 한방안이비인후피부과학회지
• /
• 제35권3호
• /
• pp.95-106
• /
• 2022

Objectives: The purpose of this study is to report a case of lymphadenopathy and hearing loss in a patient after coronavirus disease 2019(COVID-19) vaccination. Methods: The patient diagnosed as lymphadenopathy and hearing loss(sensorineural hearing loss) after the first and second rounds of the Pfizer COVID-19 vaccination. We applied Korean medical treatment including herbal medicine and acupuncture for lymphadenopathy and SSNHL. We used VAS(Visual Analog Scale), CT-scan and Pure Tone Audiometry to estimate they symptoms. Results: After the treatment, general symptoms of lymphadenopathy and hearing loss including aural fullness showed big improvement. Conclusions: This case report shows effect of Korean medicine on lymphadenopathy and SSNHL and suggests a possibility of Korean medicine to treat adverse events following COVID-19 vaccination.

• 한방안이비인후피부과학회지
• /
• 제35권2호
• /
• pp.95-104
• /
• 2022

Objectives : This study is to report a case of otitis media with effusion accompanied by atopic dermatitis improved by Korean medicine monotherapy. Methods : A 31-year-old woman patient visited our clinic for aural fullness, hearing loss, and tinnitus of the left ear on August 14th, 2021. She also had abdominal pain, diarrhea, and general weakness because of side effects of antibiotics. Besides, she had nasal congestion, rhinorrhea, and dry skin. Through otoscopy, her tympanum was fully filled with yellow effusion. She only took Korean medicine therapy including acupuncture and herbal medicine weekly. The treatment continued for about 4 months(total 14 visits) until December 4th, 2021. Otoscopy, numerical rating scale(NRS), scoring atopic dermatitis(SCORAD) index were used to assess the symptoms. Results : On August 30, 2021, her intestinal symptoms improved. The left tympanum was recovered to normal condition as the treatment continued. The effusion disappeared on October 16th, 2021. On November 6th, 2021, peritympanic blood congestion also almost alleviated. Subjective symptoms including aural fullness, hearing loss, and tinnitus disappeared on October 16, 2021. Nasal symptoms and dry skin also improved. The SCORAD index dropped from 15 to 4. Conclusions : These results suggests that otitis media with effusion can be sufficiently managed by Korean medicine therapy. Further, active application of Korean medicine therapy to common otolaryngological diseases is necessary.

• 한방안이비인후피부과학회지
• /
• 제30권3호
• /
• pp.182-192
• /
• 2017

Objectives : The purpose of this study is to report 20 patients who have been diagnosed with sudden sensorineural hearing loss(SSNHL) in the Korean medical hospital for last 3 years. Methods : 20 patients who have been hospitalized with a SSNHL in Korean medical hospital from June 2014 to June 2017 were analyzed by reviewing the patients' charts. Results : In the study group, Pure tone audiometry was performed in 17 patients. 3 of them showed 'Marked improvement' in pure tone audiometry. And 6 of them showed 'Slight Improvement.' On the other hand, 9 of them showed 'No response' or even got worse. However, the symptoms accompanied with hearing loss like tinnitus, aural fullness, vertigo improved most of patients. Conclusions : This study shows that the Korean medical treatment is effective in the SSNHL.

• 한국음향학회지
• /
• 제28권2호
• /
• pp.96-106
• /
• 2009

본 논문에서는 헤드폰의 음향적 특성과 주관적인 선호도간의 상관관계를 분석하고, 이로부터 음향적 특성을 이용한 주관적 선호도의 예측 가능성을 알아보았다. 헤드폰의 음향적 특성으로 좌, 우 채널에 대한 고조파 왜곡, 주파수 특성의 분산, 그리고 충격파 응답의 양이 상관 계수가 사용되었다. 이들 특성은 머리 모형을 이용하여 잡음이 없는 무향 환경에서 측정되었다. 주관적인 선호도는 음량감, 선명감, 공간감, 포만감, 전체적인 느낌의 5개 항목으로 점수화하여 나타내었다. 선호도 평가에는 음악 청취에 경험이 많은 12명의 청취자가 참여하였으며 샘플 음악은 가요, 팝, 경음악, 음성, 클래식의 5 종류의 음악이 사용되었다. 실험에 사용된 헤드폰은 밀폐형 4종, 개방형 2종 귓속 삽입형 2종 등 총 8개가 사용되었다. 주관적인 선호도는 이원 배치 법을 이용하여 주관적 선호도에 영향을 끼치는 요인을 분석하였으며 음향적 특성과 주관적인 선호도 점수 간의 상관 계수를 구하였다. 실험 결과 오른쪽 채널에서 측정된 주파수 크기 응답의 분산이 주관적인 선호도와 가장 높은 상관 계수를 갖는 것으로 나타났으며, 충격파 응답의 양이 상관 계수는 거의 상관 관계가 없는 것으로 나타났다.