한의 치료로 호전을 보인 소음성 난청 환자 2례: 음향 외상과 일시적 역치 변동을 중심으로
Korean Medicine for Noise-Induced Hearing Loss: A Report of Two Cases of Acoustic Trauma and Temporary Threshold Shift
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Objectives: The purpose of this study is to report two cases of patients with noise-induced hearing loss with Korean medicine treatments. Methods: This study reports on two patients with distinct types of noise-induced hearing loss. Case 1 presented with acoustic trauma, characterized by persistent subjective symptoms including hyperacusis, diplacusis, and sound distortion after conventional treatment failed. Case 2 presented with temporary threshold shift, showing significant hearing loss after noise exposure. Both patients received comprehensive Korean medicine treatments, including customized herbal medicine, acupuncture, moxibustion, and steam therapy. Improvements were evaluated using pure tone audiometry and a visual analogue scale. Results: Case 1 showed a complete resolution of debilitating subjective symptoms and recovery on pure tone audiometry, with the 4㎑ notch improving from 30㏈ to 20㏈. Case 2 demonstrated a rapid and significant recovery of hearing thresholds, with the average pure tone threshold of the left ear improving from 47.5㏈ to 20㏈. Conclusions: It is considered that Korean medicine could be applied to the treatment of noise-induced hearing loss.
Abstract
Objectives: The purpose of this study is to report two cases of patients with noise-induced hearing loss with Korean medicine treatments. Methods: This study reports on two patients with distinct types of noise-induced hearing loss. Case 1 presented with acoustic trauma, characterized by persistent subjective symptoms including hyperacusis, diplacusis, and sound distortion after conventional treatment failed. Case 2 presented with temporary threshold shift, showing significant hearing loss after noise exposure. Both patients received comprehensive Korean medicine treatments, including customized herbal medicine, acupuncture, moxibustion, and steam therapy. Improvements were evaluated using pure tone audiometry and a visual analogue scale. Results: Case 1 showed a complete resolution of debilitating subjective symptoms and recovery on pure tone audiometry, with the 4㎑ notch improving from 30㏈ to 20㏈. Case 2 demonstrated a rapid and significant recovery of hearing thresholds, with the average pure tone threshold of the left ear improving from 47.5㏈ to 20㏈. Conclusions: It is considered that Korean medicine could be applied to the treatment of noise-induced hearing loss.
