• Research in Vestibular Science
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• v.17 no.4
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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.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.29 no.1
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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.

• Korean Journal of Audiology
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• v.24 no.1
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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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• v.24 no.1
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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.

• The Journal of Korean Medicine
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• v.30 no.4
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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.

• Journal of Digital Contents Society
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• v.11 no.4
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• pp.425-431
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• 2010

This study explored the effects and the effectiveness of the new method of 3D FIESTA by making quantitative comparison with the conventional 3D FSE method which is frequently employed on patients with sudden hearing loss in clinical settings. For this study, 3D FSE images acquired with 3.0T MR scanner and T2-weighted axial plane 3D FIESTA images were respectively taken from 40 patients diagnosed with Sensorineural Hearing Loss (SSHL). When obtaining those images, sagittal reconstructions oriented perpendicular to the nerve were performed in order to get sagittal images of both right and left internal auditory canal. The findings showed that both SNR and CNR were higher among the group to whom the 3D FIESTA method was applied than the group to whom the conventional 3D FSE method was applied.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.32 no.3
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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.

• Journal of Haehwa Medicine
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• v.22 no.1
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• pp.193-200
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• 2013

This study describes a case of sudden sensorineural hearing loss(SSNHL) accompanied with adjunctive symptoms including tinnitus and aural fullness. In this case, we evaluated the effect of Korean medicine treatment for SSNHL accompanied with adjunctive symptoms including tinnitus and aural fullness. We treated 1 SSNHL patient who had adjunctive symptoms of tinnitus and aural fullness. After Korean medical treatment for 9 days, 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. After Korean medical treatments, clinical symptoms of SSNHL accompanied with adjunctive symptoms including tinnitus and aural fullness were considered improved. This study shows that the Korean medical treatment effects on the SSNHL accompanied with adjunctive symptoms including tinnitus and aural fullness.

• Journal of Haehwa Medicine
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• v.19 no.1
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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.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1983.05a
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• pp.20-20
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• 1983

A 40-year-old man was admitted with chief complaints of sudden hearing loss, ear fullness and tinnitus of 12 days duration developed following SCUBA diving. An exploratory tympanotomy was done on 16th day of onset, and a small leakage of clear fluid was found on the anterior portion of the stapediovestibular joint, which was sealed off by small piece of fatty tissue from the ear lobe. Postoperatively, his PTA's was improved from 85㏈ to 15㏈, however high tone was remained unchanged above 4KHz. More exploration of the middle ear will be helpful to find the labyrinthine fistula causing sudden type of hearing loss.