Seeking ENT Consultation Options and Treatment for Auditory Sensitivity - Otolaryngology

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Dear Dr.
Hsu,
I am the patient with auditory sensitivity who consulted you previously.
I would like to ask if you have consultations at other hospitals in Taipei City or County, as Keelung is a bit far for me.
Currently, I am experiencing some discomfort in my ears while traveling.

Additionally, you mentioned that there are studies suggesting the option of neurotomy or the administration of medication through the middle ear.
I am concerned whether these procedures might induce dizziness.
I hope you can understand my situation for not following your advice to visit your clinic in person for further discussion.
Please make sure to reply when you have the time.
Thank you.
Sincerely,
Li Lingzhen

Li, 30~39 year old female. Ask Date: 2005/04/26

Dr. Xu Jiazhen reply Otolaryngology


Hello: In response to your question, there are many large hospitals in Taipei where you can find an otolaryngologist to discuss further.

Reply Date: 2005/04/26

More Info


Hello Li Lingzhen,
Thank you for reaching out regarding your auditory sensitivity issues. I understand how challenging it can be to deal with such discomfort, especially when it affects your daily life and well-being. Let's explore your concerns and the options available to you.

Firstly, auditory sensitivity, or hyperacusis, can be a complex condition. It often arises from various factors, including noise exposure, ear damage, or even psychological components. As you mentioned, you have experienced discomfort in your ears while traveling, which can exacerbate your symptoms. It’s crucial to address these symptoms promptly to prevent further complications.

In terms of seeking consultation, there are several ENT (Ear, Nose, and Throat) specialists and clinics in the Taipei area that you can consider. Some reputable hospitals include Taipei Medical University Hospital, National Taiwan University Hospital, and Chang Gung Memorial Hospital. These institutions have experienced ENT specialists who can evaluate your condition comprehensively. I recommend calling ahead to see if they have specialists who focus on auditory sensitivity or hyperacusis.

Regarding the treatment options you mentioned, such as nerve sectioning or drug delivery into the middle ear, these are indeed advanced interventions that are typically considered when conservative treatments have failed. Nerve sectioning can potentially alleviate symptoms, but it does carry risks, including dizziness and balance issues, as the auditory nerve is closely linked to the vestibular system, which controls balance. Therefore, it is essential to have a thorough discussion with your ENT specialist about the potential risks and benefits of these procedures.

In addition to surgical options, there are non-invasive treatments that may help manage your symptoms. Cognitive Behavioral Therapy (CBT) has shown promise in helping patients adapt to their auditory sensitivity. This therapy can help you develop coping strategies and reduce the anxiety associated with sound sensitivity. Sound therapy, which involves gradual exposure to various sounds in a controlled manner, can also be beneficial. This approach aims to desensitize your auditory system over time.

Moreover, lifestyle modifications can play a significant role in managing your symptoms. Avoiding loud environments, using ear protection when necessary, and practicing relaxation techniques can help reduce your sensitivity to sound. It’s also essential to maintain a healthy lifestyle, including regular exercise and a balanced diet, as these factors can influence your overall well-being.

If you are considering acupuncture or traditional Chinese medicine, some studies suggest that these therapies may provide relief for certain auditory conditions. However, it’s crucial to consult with a qualified practitioner who understands your specific situation and can tailor the treatment to your needs.

Lastly, I encourage you to keep a journal of your symptoms, noting when they occur and any potential triggers. This information can be invaluable for your healthcare provider in determining the best course of action.

In conclusion, I recommend seeking an ENT consultation at a nearby hospital in Taipei to discuss your symptoms and explore treatment options. Be open about your concerns regarding potential procedures and ask about all available treatments, including non-invasive options. Remember, you are not alone in this journey, and there are professionals who can help guide you toward a more comfortable and manageable life.

Wishing you the best of health and comfort,
Doctor Q&A Teams

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