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      • KCI등재

        한방 복합 치료 및 소리재활치료로 호전된 양측성 돌발성 난청 치험 1례

        박소영,제하경,민예은,강준혁,홍은빈 대한한방안이비인후피부과학회 2022 한방안이비인후피부과학회지 Vol.35 No.2

        Objectives : The purpose of this study is to report the case of a bilateral sudden sensorineural hearing loss patient whose hearing had improved by Korean medical treatment combined with threshold sound. Methods : A woman diagnosed with bilateral sudden sensorineural hearing loss has treated with Korean medical interventions(acupuncture combined with electromagnetic stimulation and pharmacoacupuncture) and threshold sound conditioning(TSC) for 20 weeks. Pure tone audiometry(PTA) was performed for the evaluation. Results : The average hearing level has improved from mild to normal level. The level of tinnitus has decreased from VAS 10 to VAS 4. Conclusions : We observed an improvement in a bilateral sudden sensorineural hearing loss patient’s hearing and hereby suggest the possibility of Korean medical treatment and TSC’s ameliorating effect on sensorineural hearing loss.

      • KCI등재

        양측 돌발성 난청이 동반된 Klebsiella 수막염으로 사망한 증례와 문헌고찰

        강용경,이은섭,심현준 대한이비인후과학회 2015 대한이비인후과학회지 두경부외과학 Vol.58 No.10

        Bilateral sudden sensorineural hearing loss (SSNHL) is very uncommon. Unlike unilateral SSNHL, bilateral SSNHL is more closely associated with serious systemic diseases and shows a more severe degree of hearing loss, poorer hearing prognosis and more significant impairment in morbidity. Although meningitis is one of possible causes of bilateral SSNHL, only a few cases were reported. We present a case of fatal Klebsiella meningitis accompanied by bilateral SSNHL with a literature review.

      • KCI등재

        Isolated Sudden Bilateral Neurosensory Hearing Loss as a Presentation of Lyme Neuroborreliosis: A Case Study

        Rochd Sara,Benhoummad Othmane,Salhi Salma,Lakhdar Youssef,Rochdi Youssef,Raji Abdelaziz,Oualhadj Hamza,Kamouni Youssef El,Zouhair Said 대한청각학회 2024 Journal of Audiology & Otology Vol.28 No.1

        Lyme neuroborreliosis (LNB) is a rare but potentially serious manifestation of Lyme disease, caused by the spirochete <i>Borrelia burgdorferi</i>. Although LNB can affect various neurological systems, neurosensory hearing loss as the sole presentation is uncommon. We report a case of a 23-year-old woman who presented with a 2-month history of temporal headache, tinnitus, and instability, which was followed by sudden bilateral hearing loss without any other associated symptoms. Pure-tone audiometry revealed profound bilateral hearing loss. Serological testing for various pathogens was negative, except for <i>B. burgdorferi</i> IgM, which was confirmed using Western blot analysis. The patient received doxycycline treatment; unfortunately, no recovery of hearing was observed. This case report highlights the importance of considering LNB as a potential cause of neurosensory hearing loss, particularly in areas where Lyme disease is endemic, as well as the need for timely diagnosis and treatment to prevent potential complications.

      • KCI등재

        Clinical Factors Influencing the Trial and Purchase of Bilateral Microphones with Contralateral Routing of Signal in Patients with Asymmetric Sensorineural Hearing Loss

        Jeon Seong,Seung Koo Yang,Pilkeun Jang,Sang-Yeon Lee,Marge Carandang,최병윤 대한청각학회 2020 Journal of Audiology & Otology Vol.24 No.1

        Background and Objectives: Bilateral microphones with contralateral routing of signal (BiCROS) hearing aid is an option for hearing rehabilitation in individuals with asymmetric sensorineural hearing loss (ASNHL). The clinical factors influencing the trial and purchase of BiCROS were investigated. Subjects and Methods: We reviewed the medical records of 78 patients with ASNHL who were recommended to use BiCROS and analyzed the demographic and audiological factors influencing the trial and purchase of BiCROS. Results: Among the 78 patients, 52 (66.7%) availed of the free BiCROS trial and 21 (26.9%) purchased BiCROS. The mean pure tone audiometry (PTA) air conduction (AC) threshold of the better- and worse-hearing ears were 44.2±12.8 dB and 90.7±22.5 dB HL, respectively. The decision for trial or purchase of BiCROS was not influenced by age, sex, duration of hearing loss of the worse-hearing ear, or PTA AC threshold or speech discrimination score of both ears. The first and third quartiles of the PTA AC thresholds for the better-hearing ear of BiCROS buyers were 38.75 dB and 53.75 dB HL, respectively. The counterpart values for the worse-hearing ear were 72.50 dB and 118.75 dB HL, respectively. Conclusions: The clinical factors analyzed in this study were found to be irrelevant to the trial and purchase of BiCROS in patients with ASNHL. Nevertheless, the distribution range of the auditory thresholds of the subjects using BiCROS can be a useful basis for the counseling of patients with ASNHL and selection of candidates for BiCROS use.

      • Identification of evidence for autoimmune pathology of bilateral sudden sensorineural hearing loss using proteomic analysis

        Lee, Jeon Mi,Kim, Jin Young,Bok, Jinwoong,Kim, Kyu-Sung,Choi, Jae Young,Kim, Sung Huhn Elsevier 2017 Clinical immunology Vol.183 No.-

        <P><B>Abstract</B></P> <P>Sudden sensorineural hearing loss (S-SNHL) is an inner ear disorder with an abrupt hearing loss occurring <3days. The pathologic mechanism of the disease remains unclear, although autoimmunity has been regarded as one of the suggested causes, especially in bilateral form. In this study, we aimed to provide evidence for the involvement of autoimmunity in bilateral S-SNHL using proteomic approaches such as ProtoArray®, western blotting, immunoprecipitation, and liquid column mass spectrometry for mass screening of candidate antigens and autoantibodies based on the hypothesis that multiple autoantibodies and target antigens must exist in order for autoimmune bilateral S-SNHL to develop. As the final outcome, we have proven the involvement of autoimmunity in the disease, and investigated the existence of circulating autoantibodies and candidate antigens. These findings could provide basic evidence necessary for the development of diagnostic biomarkers as well as the understanding of the pathological mechanisms underlying bilateral S-SNHL.</P> <P>S-SNHL: sudden sensorineural hearing loss; LC-MS: liquid chromatography-mass spectrometry; MS: mass spectrometry; autoAb: autoantibody; 1-DE: one-dimensional electrophoresis.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Evidences for autoimmunity were revealed by proteomic techniques in bilateral S-SNHL. </LI> <LI> Multiple autoantibodies and their target antigens were involved in the autoimmunity. </LI> <LI> The results can provide a basis for understanding autoimmune inner ear disorder. </LI> <LI> Biomarkers in autoimmune inner ear disorder can be developed based on the results. </LI> </UL> </P>

      • KCI등재

        한양방 동시 치료를 통하여 회복되지 않은 양측성 돌발성 난청 환자 1례

        송민경,홍승욱,Song, Min-Kyung,Hong, Seung-Ug 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.1

        Back ground & Objectives : Bilateral sudden sensorineural hearing loss(SSNHL) is very rare disease. This is the first case report in the oriental medical literature. This study describes a case of bilateral SSNHL with incomplete recovery. Methods : We treated 1 patient who had SSNHL sequentially in both ears. He received oriental and western medical treatments for more than 2 weeks and measured the hearing recovery. For diagnosis on this case, pure tone audiometry was used. The degree of improvement was evaluated by Siegel's Criteria. Results & Conclusions : This patient discharged without hearing improvement. For bilateral SSNHL patients, the result of treatment is important for their qualities of life. But the recovery rate of hearing in bilateral SSNHL is lower than unilateral SSNHL. The oriental medical therapy had some theraputic effects on SSNHL and the theraputic effects on bilateral SSNHL requires further study.

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