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Otol Neurotol. 2003 Sep;24(5):734-7.

Hearing loss after direct blunt neck trauma.

Author information

1
Department of Otolaryngology, Tel Aviv University, Tel Aviv, Israel.

Abstract

OBJECTIVE:

To report for the first time hearing impairment resulting from blunt neck trauma.

STUDY DESIGN:

Retrospective chart review of clinical, pure tone, and speech audiometric findings. The first obtained within 3 months and the follow-up ones between 6 and 12 months after injury. Three representative examples are given.

PATIENTS:

Eighty-three patients (166 ears) who reported hearing impairment after blunt neck trauma.

RESULTS:

Twenty of the 166 ears (12%) had normal hearing and 137 ears (81.3%) showed an acoustic trauma-like hearing impairment. Eight ears (4.8%) had a hearing loss of at least 30 dB in the speech frequencies (500-2,000 Hz) and two ears (1.2%) had additional impairment in the higher frequencies. Only one ear (0.8%) had a conductive hearing loss. No speech discrimination score was poorer than 80%. Forty-six subjects (55.4%) reported tinnitus.

CONCLUSIONS:

Blunt neck trauma, like whiplash injury, may cause objectively measurable hearing impairment.

PMID:
14501448
[Indexed for MEDLINE]

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