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Case 103: Sequelae of sudden deafness * Dizziness, ear blockage, tinnitus, echo, hearing loss

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症例103 :突発性難聴の後遺症 *めまい・耳閉塞感・耳鳴り・反響音・難聴

Patient: Female, 60s. Complaints: Dizziness, vertigo, right ear fullness, tinnitus, echo, hearing loss.

〇Current medical history

Six years ago, he developed sudden hearing loss in his right ear.
Two days later, the patient visited an ENT specialist due to dizziness.
I was prescribed steroids for two weeks and was able to rest at home.
This year, I moved from the city to my parents’ house and visited a local ENT clinic.
Hearing test results: low readings on both sides
The current symptoms are as per the complaint.
Dizziness and lightheadedness when standing or walking
Vertigo when eyes are closed
Right ear blockage
Tinnitus = Right 8 > Left 2, buzzing, clanging at night
Echo = Double or triple echo on the right side
Almost no hearing in the right ear
Stiff shoulders on both sides

〇General condition
Appetite and bowel movements = normal
Sleep: 6-7 hours. Wake up after 1 hour of sleep. Have shallow dreams.
Blood pressure = 120/82 Pulse 67

〇Treatment plan
Near-infrared therapy (Super Laser PX) is used to promote blood flow to the inner ear and neck and improve sleep.
Thin needles are energized at the acupuncture points on the ear for 20 minutes, and scattered needles are used for stiff neck and shoulders.

〇Progress (Treatment period: 3 months 23 days: 18 treatments *Treatment is still ongoing)
Before the second treatment = slightly improved
Before the third treatment: physical condition 50%, ear blockage 50%, dizziness 50%, echo recovery 70%, tinnitus unchanged
*Up to three times, I took a 1 hour 10 minute express bus to the hospital. I had to prepare a plastic bag and get on the bus while feeling nauseous.
Before the 5th treatment: physical condition 70%, ear blockage 70%, dizziness 90%, echo 100%, tinnitus = recovered before going to bed and when awake. *I am in good physical condition and drive my car slowly on public roads to the hospital.
*Up to 6 treatments, twice a week
Before the 7th treatment: Health condition 70%. Ear blockage. Dizziness. Echo = disappeared. Tinnitus = high-pitched ringing.
Before 8th treatment = Health condition 80%
Before the 10th treatment = physical condition 80% *Since the condition is good, the needles were changed to shorter ones
Before the 12th treatment = I was in good health and drove to Fukuoka on regular roads
Before the 13th treatment: I was in good health over the New Year holidays and was able to start work in the new year.
Before the 14th treatment: Low-pitched tinnitus and stiff shoulders
Before the 16th treatment: Health condition 80%. I can hear with my right ear.
Before the 18th treatment: Health condition 80%. When the left ear is blocked, the right ear can hear as well as the left ear. I still have tinnitus.
Before the 23rd treatment: Right ear hearing was lower than normal in the health check, but recovered to 1000Hz right 30, left 25, 4000Hz right 45, left 35
His eyesight also improved to 2.0 in the right eye and 1.5 in the left eye. *It is believed that the near-infrared treatment of the stellate ganglion was effective.
My health is good, my hearing has improved, and from today I am receiving treatment using only the near-infrared laser (Super Laser PX)
*Currently, treatment is being continued once every three weeks to maintain health. In the future, the interval between treatments will be considered depending on the patient’s condition.

〇Conclusion
At the time of the first consultation, the patient was not expected to recover his hearing, and wanted to first improve his rotational and floating dizziness.
The patient’s symptoms gradually improved, and he was able to drive his car to the hospital on regular roads for about an hour, continue working, and lead a normal life.
I was surprised to hear that my right ear hearing loss, which I had given up on, has improved.
The other day, before his 23rd treatment, he underwent a health check at an internal medicine clinic and although his hearing was not normal, it was surprising to see that his hearing had almost completely recovered.

*Prognosis of sudden deafness
1/3 – Complete recovery with treatment
1/3 – Hearing is not complete, but has improved enough that it does not interfere with daily life
1/3 – No improvement is seen even with treatment, and symptoms such as hearing loss and tinnitus remain.
Please note that the effectiveness of treatment may vary from person to person depending on the patient’s current physical condition, the progression of the disease, the time since the onset of the disease, age, etc.
It would be best if symptoms steadily improved, but please be aware that there may be improvement reactions, periods of stagnation, and periods of progress and setbacks.
*Healing reaction = A temporary worsening physical reaction that occurs during the treatment process.

〇 For International Patients
Since communication of consultation is important between patients and our clinic, interpreters and translation applications are inadequate and will interfere with the treatment. Please be sure to come to the clinic with a Japanese interpreter for your first visit.
From the second time onwards, we would appreciate it if you could provide a Japanese interpretation over the phone.

Acupuncture, massage, Super Laser PX (3rd generation: near-infrared laser therapy machine: 3 units)
Autonomic nervous system disorders, sleep disorders, moderate depression, facial paralysis, and treatment for COVID-19 sequelae
Fertility support (autonomic nervous system function adjustment, menstrual pain and irregularities, uterine and ovarian function improvement)
Onodera Acupuncture Clinic
4-16-9 Setogoe, Sasebo City, Nagasaki Prefecture (near Ohno Mall)
TEL: (0956)40-6666

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