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Similarly, Zhang et al [51] performed a systematic review and meta-analysis of 12 RCTs, demonstrating that manual acupuncture or EA combined with medication outperformed medication alone in improving hearing outcomes, with some evidence suggesting that EA alone was superior to medication. Additionally, Chen and Jing [52] reported 2 refractory cases where EA alone (12 sessions over 4 weeks) led to complete recovery of unilateral sensorineural hearing loss.
JMIR Res Protoc 2025;14:e69163
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