음향외상으로 발생한 양측 소음성 난청 환자 치험 1례
A Case Report on Bilateral Noise-Induced Hearing Loss Caused by Acoustic Trauma
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Abstract Objectives : This study reports a case of noise-induced hearing loss caused by acoustic trauma, in which hearing and associated symptoms improved following integrative treatment. Methods : A 20-year-old male diagnosed with noise-induced hearing loss after firearm exposure on April 28, 2025 received integrative treatment combining Korean and Western medicine from May 2, 2025 to June 16, 2025. Korean medical interventions included herbal medicine(Ohyaksungi-san, Tonggyuhwalhyeol-tang, Uwhangchungsimwon), acupuncture, moxibustion, cupping therapy, and pharmacoacupuncture. Western medical interventions included systemic oral steroids and intratympanic steroid injections. Evaluation was conducted using Pure Ttone Audiometry, Tinnitogram, Tinnitus Handicap Inventory, and Visual Analogue Scalea,. Results : Average hearing thresholds at 3000, 4000, and 8000㎐ improved from moderate to mild on the left and from mild to normal on the right. Tinnitus loudness decreased bilaterally. THI scores improved from 80 to 10, and VAS scores for tinnitus and related symptoms also decreased, with otalgia, aural fullness, and autophonia fully resolved. Conclusions : This case suggests that Korean medicine combined with Western medicine may be beneficial in treating noise-induced hearing loss.
Abstract
Abstract Objectives : This study reports a case of noise-induced hearing loss caused by acoustic trauma, in which hearing and associated symptoms improved following integrative treatment. Methods : A 20-year-old male diagnosed with noise-induced hearing loss after firearm exposure on April 28, 2025 received integrative treatment combining Korean and Western medicine from May 2, 2025 to June 16, 2025. Korean medical interventions included herbal medicine(Ohyaksungi-san, Tonggyuhwalhyeol-tang, Uwhangchungsimwon), acupuncture, moxibustion, cupping therapy, and pharmacoacupuncture. Western medical interventions included systemic oral steroids and intratympanic steroid injections. Evaluation was conducted using Pure Ttone Audiometry, Tinnitogram, Tinnitus Handicap Inventory, and Visual Analogue Scalea,. Results : Average hearing thresholds at 3000, 4000, and 8000㎐ improved from moderate to mild on the left and from mild to normal on the right. Tinnitus loudness decreased bilaterally. THI scores improved from 80 to 10, and VAS scores for tinnitus and related symptoms also decreased, with otalgia, aural fullness, and autophonia fully resolved. Conclusions : This case suggests that Korean medicine combined with Western medicine may be beneficial in treating noise-induced hearing loss.