The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
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A Clinical Analysis on Outpatients with Ear Diseases of Korean Medicine Ophthalmology, Otolaryngology & Dermatology Department at Daejeon Korean Medicine Hospital - From March, 2013 to February, 2019-

대전한방병원 한방안이비인후피부과로 내원한 귀 질환 환자 특성 분석 -2012년 3월부터 2019년 2월까지-

  • Jea, Ha-Kyung (Dept. of Oriental Ophthalmology, Otolaryngology & Dermatology, College of Oriental Medicine, Daejeon University) ;
  • An, Jae-Hyun (Dept. of Oriental Ophthalmology, Otolaryngology & Dermatology, College of Oriental Medicine, Daejeon University) ;
  • Kim, Su-Yeong (Dept. of Oriental Ophthalmology, Otolaryngology & Dermatology, College of Oriental Medicine, Daejeon University) ;
  • Jung, Hyun-A (Dept. of Oriental Ophthalmology, Otolaryngology & Dermatology, College of Oriental Medicine, Daejeon University)
  • 제하경 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 안재현 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 김수영 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 정현아 (대전대학교 한의과대학 한방안이비인후피부과교실)
  • Received : 2020.04.05
  • Accepted : 2020.05.05
  • Published : 2020.05.25
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Abstract

Objectives : This study is designed to analyze the outpatients who received medical treatments for ear diseases in ophthalmology & otolaryngology & dermatology clinic of Daejeon Korean Medical Hospital from March, 2013 to February, 2019. Methods : We classified the otology outpatients who received medical treatments in ophthalmology & otolaryngology & dermatology clinic of Daejeon Korean Medical Hospital from March, 2012 to February, 2019 according to gender, year, age, season, anatomical parts, and main diagnosis. The statistical analysis was performed using SPSS 25.0. Results : 1. The number of outpatients with ear diseases were 880; 505 female and 375 male. The number of female patients were approximately 1.7 times higher. 2. The average age of the outpatients with ear diseases were 50.0. The number of middle-aged (40-50s) patients were 439, which is almost half the number(49.9%) of the whole patients. 3. By analyzing the number of patients classified by year, we found out that the number of the outpatients with ear diseases has increased gradually for the past 7 years. 4. In the analysis of the number of patients classified by the anatomical parts of the ear, the inner ear diseases group were the largest, amounting to 79.3% of the whole patients. 5. In the analysis of the number of patients classified by main diagnosis, Tinnitus turns out to be the largest group with 338 patients, followed by sudden sensorineural hearing loss, dizziness, otalgia, Meniere's syndrome, otitis, auditory tube dysfunction, BPPV. 6. No statistical-significant difference were shown in the analysis of the number of patients classified by season. Conclusions : It turns out that patients with ear diseases had increased by the years, and middle aged patients (40-50s) were the largest among the age groups. Most of the patients came for the inner-ear diseases, and tinnitus, sudden sensorineural hearing loss took up the largest proportions.

Keywords

References

  1. Cho YS, Choi SH, Park KH, Park HJ, Kim JW, Moon IJ, et al. Prevalence of otolaryngologic diseases in South Korea: data from the Korea national health and nutrition examination survey 2008. Clin Exp Otorhinolaryngol. 2010;3(4):183-93. https://doi.org/10.3342/ceo.2010.3.4.183
  2. Health Insurance Review & Assessment Service [Internet]. 2018 Jan-Dec[cited 2019 DEC 2]. Available from: URL:http://opendata.hira.or.kr/op/opc/olapMdclCaAsisStatsInfo.do
  3. Kim SH, Kim SJ, Kim TH, Song JJ, Chae SW. A Trend in Sudden Sensorineural Hearing Loss: Data from a Population-Based Study. Audiol Neurotol, 2017;22(6):311-6. https://doi.org/10.1159/000485313
  4. Kim HY, Choi YJ, Sung EJ, Jo EH, Kim HY, Park MC. A Clinical Study of Tinnitus. J Korean Med Ophthalmol Otolaryngol Dermatol. 2009;22(2):139-52.
  5. Kim YB. A Statistics Study of Surgery, Ophthalmology & Otolaryngology. J Korean Med Ophthalmol Otolaryngol Dermatol. 2000; 13(1):280-90.
  6. Jung SY, Seo HS. A Clinical Analysis of Ophthalmology, Otorhinolaryngology & Dermatology. J Korean Med Ophthalmol Otolaryngol Dermatol. 2005;18(5):51-61.
  7. Kim MJ, Kim JH, Park SY, Choi JH, Park YH, Kim DS, et al. A survey on patient preferences who had visited Dept. of Ophthalmology, Otolaryngology & Dermatology Hospital of Dong Shin University, J Korean Med Ophthalmol Otolaryngol Dermatol. 2007;20(3):181-90.
  8. Cha JH, Kim YB, Nam HJ. The stastical analysis of ophthalmology, otolaryngology, dermatology new outpatients. J Korean Med Ophthalmol Otolaryngol Dermatol. 2007;20(3):169-80.
  9. An JH, Jung HA. The Analysis on Annual, Seasonal tendency of Outpatients in ophthalmology & otolaryngology & dermatology clinic of Korean Medical hospital from 2012 to 2016. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017;30(2):19-37. https://doi.org/10.6114/jkood.2017.30.2.019
  10. Jung ARNR, Hong SU. A Clinical Analysis of Inpatient of Dermatology, Ophthalmology & Otorhinolaryngology. J Korean Med Ophthalmol Otolaryngol Dermatol. 2008;21(1):121-32.
  11. Hwang ML, Jung HA. A Study on the Characteristics of Inpatients in Korean Medicine Ophthalmology, Otolaryngology & Dermatology Clinic. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019;32(1):16-31. https://doi.org/10.6114/JKOOD.2019.32.1.016
  12. Choi IH. A Clinical Study of Elderly Patients with Skin Diseases. J Korean Med Ophthalmol Otolaryngol Dermatol. 2002;15(2):289-301.
  13. Jung ARNR, Hong SU. A Clinical Analysis of Outpatient with Skin Disease. J Korean Med Ophthalmol Otolaryngol Dermatol. 2007;20(2):151-60.
  14. Son BK, Choi IH. A Clinical Study of According to Prevalence of Dermatoses in a Oriental Medicine Hospital of Gang-Dong Area in Seoul. J Korean Med Ophthalmol Otolaryngol Dermatol. 2007;20(3):161-8.
  15. Ryu YJ, Kim JE, Kim JH, Kwon K, Seo HS. The Statistical Study of Dermatoses Outpatients in Oriental Hospitals Located in Gwangwon Province. J Korean Med Ophthalmol Otolaryngol Dermatol. 2010;23(3):66-77.
  16. Jeong WY, Moon YK, Kang SH, Kim KS, Nam HJ, Kim YB. A Statistical Analysis of Outpatients in Dermatology of Korean Medicine at Kyung Hee University Korean Medicine Hospital in 2011-2015. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(3):50-8. https://doi.org/10.6114/jkood.2016.29.3.050
  17. Heo EJ, Kim JH, Kang DH, Kwon K. The Statistical Analysis on Outpatients Who Had Visited Chuncheon Oriental Medical Hospital with Otolaryngology and Respiratory Diseases. J Korean Med Ophthalmol Otolaryngol Dermatol. 2010;23(3):202-15.
  18. Kang SH, Moon YK, Park JG, Nam HJ, Kim KS, Kim BH, Kim YB. A Statistical Analysis of Outpatients in Ophthalmology and Otolaryngology of Korean Medicine at Kyung Hee University Korean Medicine Hospital in 2012-2016. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017;30(4):1-24. https://doi.org/10.6114/jkood.2017.30.4.001
  19. The society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology. Korean Medicine Ophthalmology, Otolaryngology & Dermatology-Otolaryngology. 1st ed. Paju:Globooks. 2019:8-10.
  20. Jeon GS, Choi ES, Lee HY. Gender-related Difference in the Utilization of Health Care Services by Korean Adults. Journal of Korean public health nursing. 2010;24(2):182-96. https://doi.org/10.5932/JKPHN.2010.24.2.182
  21. Song MY, Lim WY, Kim JI. Gender Based Health Inequality and Impacting Factors. Korean J Women Health Nurs. 2015;21(2):150-9. https://doi.org/10.4069/kjwhn.2015.21.2.150
  22. Park RJ, Moon JD. Prevalence and risk factors of tinnitus: the Korean National Health and Nutrition Examination Survey 2010-2011, a cross-sectional study. Clin Otolaryngol. 2014;39(2):89-94. https://doi.org/10.1111/coa.12232
  23. Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC. Sudden Sensorineural Hearing Loss: A Review of Diagnosis, Treatment, and Prognosis. Trends Amplif. 2011;15(3):91-105. https://doi.org/10.1177/1084713811408349
  24. Chung WH, Lee HJ, Hong BS, Lee HJ, Hong SH, Cho YS. Effects of Medical Treatment on Meniere's disease. Journal of the Korean Balance Society. 2003;2(1):113-20.
  25. Kim HJ, Lee HJ, An SY, Sim S, Park B, Kim SW, et al. Analysis of the prevalence and associated risk factors of tinnitus in adults. PLoS One 2015; 10(5): e0127578. https://doi.org/10.1371/journal.pone.0127578
  26. Coles RR. Epidemiology of tinnitus: prevalence. J Laryngol Otol Suppl. 1984;98(S9):7-15.
  27. Korean Society of Otorhinolaryngology-head and neck surgery. Otorhinolaryngologiy-head and neck surgery. Seoul:Ilchokak. 2009:781-7, 938-50.
  28. The Catholic University of Korea. Current Principles and Clinical Practice of Otolaryngology Head&Neck Surgery. Department of Otolaryngology. College of Medicine. Seoul:Koonja. 2001:509-11, 613-9.
  29. Kiyoshita Y. Acupuncture treatment of tinnitus: evaluation of its efficacy by objective methods. Otolaryngol Head Neck Surg. 1990;62:351-7.
  30. de Azevedo RF, Cbiari BM, Okada DM, Onishi ET. Impact of acupuncture on otoacoustic emissions in patients with tinnitus. Braz J Otorhinolaryngol. 2007;73(5):599-607. https://doi.org/10.1016/S1808-8694(15)30119-1
  31. Axelsson A, Andersson S, Gu LD. Acupuncture in the management of tinnitus: a placebo-controlled study. Audiology. 1994;33(6):351-60. https://doi.org/10.3109/00206099409071892
  32. Okada DM, Onishi ET, Chami FI, Borin A, Cassola N, Guerreiro VM. Acupuncture for tinnitus immediate relief. Braz J Otorhinolaryngol. 2006;72(2):182-6. https://doi.org/10.1016/S1808-8694(15)30053-7
  33. Liu F, Han X, Li Y, Yu S. Acupuncture in the treatment of tinnitus: a systematic review and meta-analysis. European Archives of Oto-Rhino-Laryngology. 2014;273(2):285-94.
  34. Kim JI, Choi JY, Lee DH, Choi TY, Lee MS, Ernst E. Acupuncture for the treatment of tinnitus: a systematic review of randomized clinical trials. BMC Complement Altern Med. 2012;12:97. https://doi.org/10.1186/1472-6882-12-S1-P97
  35. Choi IH. A Clinical Study of Tinnitus. J Korean Med Ophthalmol Otolaryngol Dermatol. 2001;14(2):134-45.
  36. Kim GJ. A Clinical analysis on the Treatment efficiency of Tinnitus by Types of bianzheng. J Korean Med Ophthalmol Otolaryngol Dermatol. 1999;12(2):182-8.
  37. Park GH, Han YM, Ahn SH, Hwang CY. Effect of Tinnitus after Bleeding, Acupuncture, Moxa, and Laser Treatment. J Korean Med Ophthalmol Otolaryngol Dermatol. 1999;12(1):396-409.
  38. Kim JH, Kim MH, Shin SH, Ko WS, Kim KK, Yoon HJ. The effect of Korean Medicine in the Quality of Life for Tinnitus. J Korean Med Ophthalmol Otolaryngol Dermatol. 2006;19(3):158-70.
  39. Koc A, Sanisoglu O. Sudden sensorineural hearing loss: literature survey on recent studies. J Otolaryngol. 2003;32:308-13. https://doi.org/10.2310/7070.2003.11288
  40. Wilson WR, Byl FM, Laird N. The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study. Arch Otolaryngol. 1980;106:772-6 https://doi.org/10.1001/archotol.1980.00790360050013
  41. Wei BP, Stathopoulos D, O'Leary S. Steroids for idiopathic sudden sensorineural hearing loss. Cochrane Database Syst Rev. 2013;7:Cd003998.
  42. Conlin AE, Parnes LS. Treatment of sudden sensorineural hearing loss: II. A Meta-analysis. Arch Otolaryngol Head Neck 2007;133:582-6.
  43. Free RH, Smale ND, de Kleine E, van der Laan BF. Side effects of oral dexamethasone pulse therapy for idiopathic sudden sensorineural hearing loss. Otol Neurotol. 2009;30:691. https://doi.org/10.1097/MAO.0b013e3181ab3380
  44. Chung JH, Kim IS, Kim DH, Yoon HJ, Park CW, Lee SH. The Comparison of Treatment Outcomes between IV and Oral Steroid in Sudden Sensorineural Hearing Loss; Propensity Score Matching Analysis. J Clinical Otolaryngol. 2017;28:42-8. https://doi.org/10.35420/jcohns.2017.28.1.42
  45. Liu YX, Cao XM, Li H, Yu F, Li XN. Clinical and hemorheological effect of contralateral acupuncture treatment for sudden deafness. Acta Chinese Medicine and Pharmacology. 2011;39:111-3.
  46. Takayama S, Watanabe M, Kusuyama H, Nagase S, Seki T, Nakazawa T, et al. Evaluation of the effects of acupuncture on blood flow in humans with ultrasound color doppler imaging. Evid Based Complement Alternat Med. 2012;513638.
  47. Waki H, Suzuki T, Tanaka Y, Tamai H, Minakawa Y, Miyazaki S, et al. Effects of electroacupuncture to the trigeminal nerve area on the autonomic nervous system and cerebral blood flow in the prefrontal cortex. Acupunct Med. 2017;35:339-44. https://doi.org/10.1136/acupmed-2016-011247
  48. Kim MH, Kim BH, Kang M, Choi I. Delayed recovery of pediatric sudden sensorineural hearing loss treated with acupuncture: A case report. Medicine(Baltimore). 2018;97(51):e13742. https://doi.org/10.1097/md.0000000000013742
  49. Wang CH, Wang ZO, Feng W, Li F, Shi SP, Yang LW, et al. Effect of acupuncture treatment on hemorheology in the patient of sudden deafness. Chin Acupunct Moxibust. 2003;23(2):87-8.
  50. Ying HZ, Yan QF. Effects of acupuncture combined hyperbaric oxygen in treatment of sudden deafness on blood rheology and clinical efficacy. China modern doctor. 2014;52:13-6.
  51. Fan XH, Ding YN, Chang XH, Ouyang YL, Xie Q. Comparative observation on acupuncture-moxibustion and western medication for treatment of sudden deafness. Chin Acupunct Moxibust. 2010;30:630-2.
  52. Yu HJ, Hong SU. Three cases of sudden sensorineural hearing loss with marked or complete recovery. J Korean Med Ophthalmol Otolaryngol Dermatol. 2006;19(2):263-71.
  53. Chun SC, Jo SH, Jee SY. Two cases of sudden deafness treated with herbal acupuncture therapy. J Korean Med Ophthalmol Otolaryngol Dermatol. 2003; 16(1),206-13.
  54. Yoon HS, Lee SE, Han EJ, Kim YB. Six cases of sudden sensorineural hearing loss. J Korean Med Ophthalmol Otolaryngol Dermatol. 2003;16(2):221-43.
  55. Han JM, Jang IU, Yoon HJ, Ko WS. A case of Korean medical treatment of sudden hearing loss with severe vertigo. J Korean Med Ophthalmol Otolaryngol Dermatol. 2013;26(2):98-108. https://doi.org/10.6114/jkood.2013.26.2.098
  56. Nam HJ. Oriental medical therapy for sudden sensorineural hearing loss. J Korean Oriental Med. 2009;30(4):169-78.
  57. Nanbin H, Changwei L. Acupuncture in treating sudden sensorineural hearing loss: a report of 2 cases. Forsch Komplementmed. 2014;21(4):246-9. https://doi.org/10.1159/000365982
  58. Son JW, Kim MH, Ko SG, Choi IH. Two Cases of Korean Medical Treatments of Sudden Sensorineural Hearing Loss without Corticosteroid Treatments. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(1):157-67. https://doi.org/10.6114/jkood.2016.29.1.157
  59. Zhang XC, Xu XP, Xu WT, Hou WZ, Cheng YY, Li CX, et al. Acupuncture therapy for sudden sensorineural hearing loss: a systematic review and meta-analysis of randomized controlled trials. PLoS one. 2015;10(4):1-15.
  60. Kim KH, Jung HA. A case of Korean Medical Treatment of sudden hearing loss with tinnitus, aural fullness. Journal of Haehwa Medicine.2013;22(1):193-200.
  61. An JH, Jung HA. A Case of Korean Medical Treatment of Relapsing sudden hearing loss occurred three months later. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(2):98-105. https://doi.org/10.6114/jkood.2016.29.2.098
  62. Hwang ML, An JH, Jung HA. The Clinical Study on 20 Cases with Sudden Sensorineural Hearing Loss in Korean Medical Hospital Last 3 Years. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017;30(3):182-92. https://doi.org/10.6114/jkood.2017.30.3.182
  63. Kim SY, Kim KH, Ahn JH, Hwang ML, Jea HK, Jung HA. Three Cases of Sudden Sensorineural Hearing Loss with Complete Recovery by Korean Medical Treatment. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019;32(3):212-23. https://doi.org/10.6114/JKOOD.2019.32.3.212