Three Cases of Pulsatile Tinnitus Improved by Acupotomy with Acupuncture

Soyoung Park; Ha-Kyung Jea; Ye-Eun Min; Eun-Been Hong; Na-Hyun Lee; Park, Soyoung; Jea, Ha-Kyung; Min, Ye-Eun; Hong, Eun-Been; Lee, Na-Hyun

doi:10.13048/jkm.23009

JKM > Volume 44(1); 2023 > Article

Park, Jea, Min, Hong, and Lee: Three Cases of Pulsatile Tinnitus Improved by Acupotomy with Acupuncture

Case Report

The Journal of Korean Medicine 2023; 44(1): 99-107.

Published online: March 1, 2023

DOI: https://doi.org/10.13048/jkm.23009

Three Cases of Pulsatile Tinnitus Improved by Acupotomy with Acupuncture

Soyoung Park¹^{, *}

, Ha-Kyung Jea¹

, Ye-Eun Min¹

, Eun-Been Hong¹

, Na-Hyun Lee¹

¹Ebian Oriental Medical Clinic

Correspondence to: Soyoung Park, Ebian Oriental Medical Clinic 325, Omok-ro, Yangcheon-gu, Seoul, Republic of Korea. Tel: +82-2-2651-8080, E-mail: psyoung3000@gmail.com

Received November 18, 2022 Revised December 14, 2022 Accepted February 14, 2023

Abstract

Objectives

The purpose of this study is to report the three cases of pulsatile tinnitus without any cause improved by acupotomy and acupuncture.

Methods

Three patients diagnosed with pulsatile tinnitus with no abnormalities detected on examination were treated with acupotomy and acupuncture. The improvement of symptoms was evaluated by visual analogue scale(VAS).

Results

The visual analogue scale has decreased from 7 to 0, from 5 to 1, and from 6 to 0, respectively.

Conclusions

Acupotomy had shown a positive clinical effect in the treatment of the pulsatile tinnitus without any cause in this case reports.

Keywords: Acupotomy, Acupuncture, Pulsatile tinnitus, Case report

Fig. 1

Visual analogue scale

Fig. 2

Improvement of tinnitus after treatment

Table 1

VAS^* changes during treatment

Date (Times of treatment )
Case 1	2022/1/11 (1) 7	2022/1/23 (4) 0
Case 2	2022/1/20 (1) 5	2022/2/10 (8) 2	2022/3/3 (15) 5	2022/3/24 (22) 3	2022/4/29 (36) 3	2022/5/27 (48) 2	2022/6/24 (59) 1
Case 3	2022/1/18 (1) 6	2022/1/25 (2) 1	2022/2/11 (5) 5	2022/2/15 (6) 2	2022/3/22 (15) 3	2022/4/19 (19) 3	2022/5/10 (22) 3	2022/6/3 (23) 0

VAS, Visual analogue scale

참고문헌

1. Liyanage SH, Singh A, Savundra P, Kalan A. 2006; Pulsatile tinnitus. J Laryngol Otol. 120:2. 93–97. https://doi.org/10.1017/S0022215105001714

2. Tunkel DE, Bauer CA, Sun GH, Rosenfeld RM, Chandrasekhar SS, Cunningham ER, et al. 2014; Clinical practice guideline: tinnitus. Otolaryngology–Head and Neck Surgery. 151:2_suppl. S1–S40. https://doi.org/10.1177/0194599814545325

3. Sismanis A. 2011; Pulsatile tinnitus: contemporary assessment and management. Curr Opin Otolaryngol Head Neck Surg. 19:5. 348–357. https://doi.org/10.1097/MOO.0b013e3283493fd8

4. Goh EK, Choi SW. 2016; Pulsatile Tinnitus ; Etiology and Management. J Clinical Otolaryngol. 27:2. 262–268. https://doi.org/10.35420/jcohns.2016.27.2.262

5. Pegge SAH, Steens SCA, Kunst HPM, Meijer FJA. 2017; Pulsatile Tinnitus: Differential Diagnosis and Radiological Work-Up. Curr Radiol Rep. 5:1. 5 https://doi.org/10.1007/s40134-017-0199-7

6. Kim GJ. 2019; Analysis of Tinnitus Pattern by Visceral Pattern Identification and Treatment Efficiency by Pattern Identification Type. J Korean Med Ophtalmol Otolaryngol Dermatol. 32:3. 77–86. https://doi.org/10.6114/jkood.2019.32.3.077

7. Yoon SH, Kwon CY, Leem J. 2019; Adverse event of miniscalpel-needle treatment in Korea: A systematic review. Eur J Integr Med. 27:7–17. https://doi.org/10.1016/j.eujim.2019.02.002

8. The Association of Korean Medicine. Standardization of classification system for each category of non-paid travel agency and research on behavior definition development (Korean Medicine). 2013. [cited 2022 Nov 16]. Available from: URL:https://cis.kiom.re.kr/terminology/search.do

9. Wang SH, Jin SY, Kang HY. 2021; The Effect of Acupotomy Treatment on the Tinnitus: Case Series. J of Korean Medical Society of Soft Tissue. 5:2. 190–205. https://doi.org/10.54461/JKMST.2021.5.2.190

10. Cheong TY, Yun J, Jung KW, Lee JM. 2021; A case of Sigmoid Sinus Reshaping Surgery for Pulsatile Tinnitus without Structural Abnormalities. J Clinical Otolaryngol. 32:1. 65–69. DOI:https://doi.org/10.35420/jcohns.2021.32.1.65

11. Azar STH, Cummings M. 2022; Electroacupuncture for cervicogenic dizziness with somatosensory pulsatile tinnitus. Acupunct Med. 40:3. 275–277. https://doi.org/10.1177/09645284221076514. Epub 2022 Feb 23

12. Figueiredo RR, Azevedo AA, Oliveira PM. 2009; Correlation analysis of the visual-analogue scale and the Tinnitus Handicap Inventory in tinnitus patients. Brazilian journal of otorhinolaryngology. 75:1. 76–79. https://doi.org/10.1016/s1808-8694(15)30835-1

13. Raj-Koziak D, Gos E, Swierniak W, Rajchel JJ, Karpiesz L, Niedzialek I, et al. 2018; Visual Analogue Scales as a Tool for Initial Assessment of Tinnitus Severity: Psychometric Evaluation in a Clinical Population. Audiology & neuro-otology. 23:4. 229–237. https://doi.org/10.1159/000494021

14. Raj-Koziak D, Gos E, Świerniak W, Karpiesz L, Niedziałek I, Włodarczyk E, et al. 2019; Relationship Between Tinnitus Loudness Measure by Visual Analogue Scale and Psychoacoustic Matching of Tinnitus Loudness. Otology & Neurotology. 40:1. 16–21. https://doi.org/10.1097/MAO.0000000000002070

15. Lee KY, Hong CH. 2015; Recent Clinical Research of Acupuncture for the Treatment of Tinnitus. J Korean Med Ophthalmol Otolaryngol Dermatol. 28:3. 48–65. https://doi.org/10.6114/JKOOD.2015.28.3.048

16. Yoo HJ, Kim KJ, Kim Y-S. 2020; A Review on Tinnitus Treatment in Korean Medicine by Analyzing Case Studies Published in Korean Journal - Focused on Herbal Medicine Treatment. J Korean Med Ophthalmol Otolaryngol Dermatol. 33:3. 86–98. https://doi.org/10.6114/JKOOD.2020.33.3.086

17. Marion MS, Cevette MJ. 1991; Tinnitus. Mayo Clin Proc. 66:6. 614–612. https://doi.org/10.1016/S0025-6196(12)60521-7

18. Mattox DE, Hudgins P. 2008; Algorithm for evaluation of pulsatile tinnitus. Acta oto-laryngologica. 128:4. 427–431. https://doi.org/10.1080/00016480701840106

19. Sonmez G, Basekim CC, Ozturk E, Gungor A, Kizilkaya E. 2007; Imaging of pulsatile tinnitus: a review of 74 patients. Clinical imaging. 31:2. 102–108. https://doi.org/10.1016/j.clinimag.2006.12.024

20. The Society of Korean Medicine. 2019. Ophthalmology. Otolaryngology & Dermatology. Paju /Korea: Globooks.

21. Levine RA, Nam EC, Melcher J. 2008; Somatosensory pulsatile tinnitus syndrome: somatic testing identifies a pulsatile tinnitus subtype that implicates the somatosensory system. Trends in amplification. 12:3. 242–253. https://doi.org/10.1177/1084713808321185

22. Sanchez TG, da Silva Lima A, Brandão AL, Lorenzi MC, Bento RF. 2007; Somatic modulation of tinnitus: Test reliability and results after repetitive muscle contraction training. Annals of Otology, Rhinology, and Laryngology. 116:1. 30–35. https://doi.org/10.1177/000348940711600106

23. Sanchez TG, Rocha CB. 2011; Diagnosis and management of somatosensory tinnitus: Review article. Clinics. 66:6. 1089–1094. https://doi.org/10.1590/S1807-59322011000600028

24. The Institute of Korean Acupotomy Medicine. 2003. Acupotomy. Seoul: Jeongdam.

25. Yuk DI, Kim KM, Jeon JH, Kim YI, Kim JH. 2014; A Review of Trends for Acupotomy. The Acupuncture. 31:3. 35–43. https://doi.org/10.13045/acupunct.2014041

26. Lee J, Chu H, Kang K, Moon JH, Kim J, Park J, et al. 2021; Effects of Korean Medicine Treatment focusing on Acupotomy of headache: A Case Report of Four Patients. Journal of Korean Medicine. 42:3. 176–184. https://doi.org/10.13048/jkm.21033

27. Jin G, Guo F, Zuh Y, Li J, Cao J, Yao ZL. 2020; Micro Needle Knife Releasing Therapy in Treatment of Cervicogenic Headache. Chinese Manipulation and Rehabilitation Medicine. 11:2. 7–9.

28. Liu F, Zhou F, Zhao M, Fang T, Chen M, Yan X. 2017; Acupotomy Therapy for Chronic Nonspecific Neck Pain: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine : eCAM. 2017:6197308 https://doi.org/10.1155/2017/6197308

29. Park S, Jea HK, Min YE, Kang JH, Hong EB. 2022; Therapeutic Effects of Korean Medical Treatment Combined with Threshold Sound Conditioning on Bilateral Sudden Sensorineural Hearing Loss: A Case Report. J Korean Med Ophthalmol Otolaryngol Dermatol. 35:2. 72–81. https://doi.org/10.6114/JKOOD.2022.35.2.072

30. Lewis S, Chowdhury E, Stockdale D, Kennedy V. 2020; Assessment and management of tinnitus: summary of NICE guidance. BMJ. 368:m976 https://doi.org/10.1136/bmj.m976

31. Adamchic I, Langguth B, Hauptmann C, Tass PA. 2012; Psychometric evaluation of visual analog scale for the assessment of chronic tinnitus. American journal of audiology. 21:2. 215–225. https://doi.org/10.1044/1059-0889(2012/12-0010)