Published online May 9, 2023. doi: 10.5319/wjo.v10.i2.30
Peer-review started: December 31, 2022
First decision: April 13, 2023
Revised: April 14, 2023
Accepted: April 27, 2023
Article in press: April 27, 2023
Published online: May 9, 2023
Cupping therapy is used across the globe since ancient Egypt. It is used as a complementary or alternative to daily clinical practice. Cupping therapy could be dry or wet (Al-hijamah) type. It is considered a relatively safe procedure for a variety of clinical problems like lower backache, shoulder pain, neck pain, headache, and migraine. Application of cupping therapy over body orifices is contraindicated.
A 27-year-old gentleman presented with sudden left-sided hearing loss and tinnitus for 7 d. He gave a history of upper respiratory tract infection 14 d before his complaints. He received Al-hijamah over his left ear 3 d before seeking advice from the Otolaryngology clinic, but without benefit. Physical examination showed a dull-looking left ear drum, hemotympanum in the posterior part of the tympanic cavity, two blood clots over the eardrum, and multiple bleeding points over the external ear canal and tympanic membrane. A pure tone audiogram and tympanogram confirmed the diagnosis of middle ear effusion. Conservative treatment (avoidance of water entry, antibiotics, and local and systemic de
We do not recommend using Al-hijamah directly over the ear as a treatment option for hearing loss to avoid unwanted ear trauma as well as there is no benefit from this kind of treatment.
Core Tip: Al-hijamah is a useful treatment for a variety of local and systemic diseases. However, Al-hijamah is contraindicated over the body orifices. A 27-year-old gentleman presented with left-sided hearing loss and tinnitus was treated with a Al-hijamah over the left ear. The patient condition persist as well as there were signs of bleeding (fresh blood, clots, and hemotympanum). Secretary otitis media following upper respiratory tract infection was established on clinical background and audiological tests. He was treated successfully by avoidance of water entry, antibiotics, and decongestant. We don’t recommend the usage of Al-hijamah over the ear to treat hearing loss.