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KERD
논문KCI 등재

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.

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