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Sudden sensorineural hearing loss (SSNHL) is considered an alarming symptom that often prompts an urgent visit to an otolaryngology specialist. It occurs abruptly, developing loss of hearing, and is usually unilateral. Most patients present with a sensation of a blocked or full ear. And it is often accompanied by
tinnitus or vertigo. Oral corticosteroid has been considered first-line therapy for SSNHL. The prognosis is better in patients with treatment started within 2 weeks after onset. The etiology of SSNHL is uncertain, and the management strategies are vary and uncertain. As a result, patients may seek complementary and
alternative medicines such as traditional Chinese medicine (TCM).
This patient was a 30 years old female presented with unilateral sudden hearing loss after a stressful event. The pattern was binding depression of liver qi, transforming into fire, harassing the ear. She had been treated by acupuncture combined with oral corticosteroid. The acupuncture points were located on the
Sanjiao Meridian, Small Intestine Meridian, and Gallbladder Meridian. We also chose other acupuncture points due to TCM etiology and pathogenesis theory. After two weeks of acupuncture combined with oral corticosteroid treatment, the hearing loss of the patient fully recovered. Therefore, this case report is provided as a clinical reference for treatment of SSNHL.
Keywords： sudden sensorineural hearing loss, acupuncture, traditional Chinese medicine
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231.17 針灸結合類固醇治療突發性耳聾病例報告
