• 제목/요약/키워드: tinnitus

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이충만감 및 불안, 우울 소견을 동반한 이명 환자의 복합 한의진료 경과 : 증례보고 (Complex Korean Medicine Therapy for Tinnitus with Ear Fullness, Depression, and Anxiety: A Case Report)

  • 문향란;조희근
    • 대한한방내과학회지
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    • 제41권6호
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    • pp.1300-1306
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    • 2020
  • Background: The aim of this study was to determine the clinical effects of complex Korean medicine therapy for tinnitus associated with ear fullness, depression, and anxiety. Case Report: A 52-year-old female patient suffering from tinnitus with ear fullness, depression, and anxiety was treated with acupuncture, pharmacopuncture, and herbal medicine. We used the Tinnitus Handicap Inventory (THI), Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI), and a Verbal Numerical Rating Score (VNRS) to assess the patient's symptoms. The administration of the acupuncture, pharmacopuncture, and herbal medicine improved the ear fullness, depression and anxiety symptoms. No side effects were observed during the treatment. Conclusion: The study findings suggest that complex Korean medicine therapy, such as acupuncture, pharmacopuncture, and herbal medicine, may be effective for the treatment of tinnitus associated with ear fullness, depression, and anxiety.

Non-Invasive Neuromodulation for Tinnitus

  • Langguth, Berthold
    • 대한청각학회지
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    • 제24권3호
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    • pp.113-118
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    • 2020
  • Tinnitus is a prevalent disorder that has no cure currently. Within the last two decades, neuroscientific research has facilitated a better understanding of the pathophysiological mechanisms that underlie the generation and maintenance of tinnitus, and the brain and nerves have been identified as potential targets for its treatment using non-invasive brain stimulation methods. This article reviews studies on tinnitus patients using transcranial magnetic stimulation, transcranial electrical stimulation, such as transcranial direct current stimulation, alternating current stimulation, transcranial random noise stimulation as well as transcutaneous vagus nerve stimulation and bimodal combined auditory and somatosensory stimulation. Although none of these approaches has demonstrated effects that would justify its use in routine treatment, the studies have provided important insights into tinnitus pathophysiology. Moreover bimodal stimulation, which has only been developed recently, has shown promising results in pilot trials and is a candidate for further development into a valuable treatment procedure.

Non-Invasive Neuromodulation for Tinnitus

  • Langguth, Berthold
    • Journal of Audiology & Otology
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    • 제24권3호
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    • pp.113-118
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    • 2020
  • Tinnitus is a prevalent disorder that has no cure currently. Within the last two decades, neuroscientific research has facilitated a better understanding of the pathophysiological mechanisms that underlie the generation and maintenance of tinnitus, and the brain and nerves have been identified as potential targets for its treatment using non-invasive brain stimulation methods. This article reviews studies on tinnitus patients using transcranial magnetic stimulation, transcranial electrical stimulation, such as transcranial direct current stimulation, alternating current stimulation, transcranial random noise stimulation as well as transcutaneous vagus nerve stimulation and bimodal combined auditory and somatosensory stimulation. Although none of these approaches has demonstrated effects that would justify its use in routine treatment, the studies have provided important insights into tinnitus pathophysiology. Moreover bimodal stimulation, which has only been developed recently, has shown promising results in pilot trials and is a candidate for further development into a valuable treatment procedure.

Severe Temporal Hyper-Activated States Caused by Noise in Tinnitus and Hyperacusis with Normal Hearing

  • Bae, Eun Bit;Lee, Jun Ho
    • 대한청각학회지
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    • 제23권3호
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    • pp.160-166
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    • 2019
  • Lots of neuroimaging and animal studies have revealed that tinnitus and hyperacusis share the same patterns in the bottom up central auditory process. The aim was to identify the abnormal central patterns commonly observed in both tinnitus and hyperacusis in humans. We investigated two cases of normal hearing: a tinnitus patient and a hyperacusis patient. We compared the differences between the severe temporal hyper-activated state (STHS), with spikes, fast beta and gamma frequencies after noise exposure, and the mild temporal hyperactivated state (MTHS), in no sound exposed condition. The power of the gamma band in the two cases was increased in both auditory cortices compared to the other brain regions. Our results of human with normal hearing were the first to identify how tinnitus and hyperacusis caused by sound are abnormally active and how they maintain constant pathological states.

Severe Temporal Hyper-Activated States Caused by Noise in Tinnitus and Hyperacusis with Normal Hearing

  • Bae, Eun Bit;Lee, Jun Ho
    • Journal of Audiology & Otology
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    • 제23권3호
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    • pp.160-166
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    • 2019
  • Lots of neuroimaging and animal studies have revealed that tinnitus and hyperacusis share the same patterns in the bottom up central auditory process. The aim was to identify the abnormal central patterns commonly observed in both tinnitus and hyperacusis in humans. We investigated two cases of normal hearing: a tinnitus patient and a hyperacusis patient. We compared the differences between the severe temporal hyper-activated state (STHS), with spikes, fast beta and gamma frequencies after noise exposure, and the mild temporal hyperactivated state (MTHS), in no sound exposed condition. The power of the gamma band in the two cases was increased in both auditory cortices compared to the other brain regions. Our results of human with normal hearing were the first to identify how tinnitus and hyperacusis caused by sound are abnormally active and how they maintain constant pathological states.

벌유충 분말 서플리먼트의 이명에 대한 임상적 연구 (A clinical study for effect of a supplement(Bee Larva) in subjects with tinnitus)

  • 강다혜;오민지;김희택
    • 한방안이비인후피부과학회지
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    • 제25권2호
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    • pp.20-37
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    • 2012
  • Objectives : The primary purpose of present study is to evaluate the effect of a supplement of Bee Larva on tinnitus. the second is to comparatively evaluate safety of this supplement. Methods : Among those patients who visited Semyung Oriental Medical Center from January 11st, 2010 to February 20th, 2010, we screened 45 patients considered suitable for this study after some examinations and consent of the patients. they were devided into 2 groups. Group A took 5 tablets of this supplement everyday for 4 weeks, group B, placebo, in the same way. for 4 weeks, we checked changes in intensity, duration, extent of tinnitus on daily life and sleep and THI(Tinnitus Handicap Inventory) score. to evaluate safety of this supplement, adverse events, assessment of vital sign, hematologic examination were recorded. Result : Through 4 weeks of the clinical trial, we found that this supplement is effective on tinnitus and it improves intensity, duration and extent (its influence on daily life) of tinnitus, influence of tinnitus on sleep and THI score more effectively than the placebo drug. Also, in the assessment of the safety of the study the supplement of bee Larva and placebo drug, there were no adverse events and side effects over the average which need treatment for it. Moreover, there were not any abnormal findings in change of blood pressure and hematologic examination. Conclusion : According to this experiment, we confirmed that the supplement of bee Larva can be used effectively and safely on tinnitus.

청심연자탕으로 관리한 이명을 동반한 돌발성 난청 치험례 (A Case Study of a Taeeumin Patient with Idiopathic Sudden Sensorineural Hearing Loss that accompanied with Tinnitus who was treated with Cheongsimyeonja-tang)

  • 이미숙;황민우;김윤희
    • 사상체질의학회지
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    • 제23권3호
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    • pp.419-428
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    • 2011
  • 1. Objective: The aim of this study was to report significant improvement of tinnitus and insomnia after treatment with Cheongsimyeonja-tang in a Taeeumin patient with Idiopathic Sudden Sensorineural Hearing Loss(SSHL) that accompanied with Tinnitus. 2. Method: We measured the hearing recovery. For diagnosis on this case, pure tone audiometry was used. The degree of improvement was evaluated by Siegel's Criteria. Visual Analogue Scale(VAS) and Tinnitus Handicap Inventory(THI) were also used to assess tinnitus objectively. 3. Result: There was no improvement in pure tone audiometry by Siegel's Criteria. However, VAS score was decreased from 10 to 1 and THI score was also decreased from 74 to 48. 4. Conclusion: A patient with SSHL, who has little possibility of recovery of hearing loss, was treated with Cheongsimyeonja-tang in a short period and significant improvement in tinnitus and insomnia was observed. We consider that consistent treatment of Cheongsimyeonja-tang can contribute to improve the hearing loss.

이명과 이충만감을 동반한 돌발성 난청 치험 1례 (A case of Korean Medical Treatment of sudden hearing loss with tinnitus, aural fullness)

  • 김경한;정현아
    • 혜화의학회지
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    • 제22권1호
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    • pp.193-200
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    • 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.

군집분석을 이용한 이명환자의 양도락 패턴 분류 (Ryodoraku pattern classifications of tinnitus patients using cluster analysis)

  • 김봉현;홍유진;신준혁;남혜정;김규석
    • 한방안이비인후피부과학회지
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    • 제26권4호
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    • pp.51-59
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    • 2013
  • Objective : The aim of this study is to classify the patterns of Ryodoraku using cluster analysis on tinnitus patients. Method : 261 patients with tinnitus and 159 patients with other disease were analyzed. We used cluster analysis with SPSS 20.0 to classify the pattern of Ryodoraku. We searched the cluster characteristics and tried to interpret the specific patterns from previous studies. Result : We divided tinnitus patients to four groups and control patients to five groups. There were some shared patterns between tinnitus group and control group. One group on tinnitus patients showed lower age than other groups. Time, sex, total average did not show any differences among groups. Conclusion : Cluster analysis on tinnitus patients showed the possibility of presenting the specific Ryodoraku patterns. But because of weak Ryodoraku studies, clinical usefulness is unknown. Further study is needed.

타각적 이명 환자에 대한 임상적 고찰 (Clinical Study on a Case of Objective Tinnitus)

  • 박민철;조남근;조은희
    • 동의생리병리학회지
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    • 제19권3호
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    • pp.826-829
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    • 2005
  • The study was performed to evaluate the effect of oriental medical treatment for objective tinnitus. This clinical study was carried out 1 case with objective tinnitus, who had been treated from 23 June 2004 to 1 september 2004 in the department of acupunture and moxibustion, Gun-San Medical Center. There was improvement in condition of the patient treated by oriental medical treatment. Oriental medical treatment may improve objective tinnitus. Further many studies are required.