Contralateral profound hearing loss after head trauma: A case report

Sakallıoğlu, Öner; Polat, Cahit; Soylu, Erkan; Orhan, İsrafil; Altınsoy, Hasan Baki

doi:10.5152/tao.2011.16

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…Both conductive and sensorineural hearing loss have been demonstrated in cases of closed head injuries with or without bone fracture [30]. Ipsilateral sensorineural hearing loss is commonly associated with transverse type temporal bone fractures, and labyrinthine concussions are believed to be the mechanism of contralateral profound hearing loss [5,31]. Research regarding the association between ZMC fractures and sudden hearing loss is limited; therefore, the etiology could still be attributed to trauma, sensorineural injury, or both.…”

Section: Sudden Hearing Lossmentioning

confidence: 99%

“…ZMC-fractured patients may have various presentations, such as soft tissue swelling, edema, ecchymosis, cheek numbness, trismus, diplopia, and epistaxis, depending on the associated injuries. In addition to these, ear-associated problems such as sudden hearing loss [5][6][7], tinnitus [8,9], trigeminal neuralgia [10,11], and vertigo [12,13] have also been reported.…”

Section: Introductionmentioning

confidence: 99%

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Risk of Ear-Associated Diseases After Zygomaticomaxillary Complex Fracture

Yang

Tai

Chien

et al. 2015

J. Maxillofac. Oral Surg.

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Purpose Investigate the risk of ear-associated diseases after zygomaticomaxillary complex (ZMC) fracture in a population-based retrospective cohort study. Materials and Methods This is a retrospective cohort study using Taiwan's National Health Insurance Research Database of reimbursement claims. A total of 1,330 ZMC fracture patients and 5,320 non-ZMC fracture participants were included and newly developed ear-associated disease data were collected. A Poisson regression and multivariate Cox proportion hazard regression were used for data analysis. Results The ZMC fracture cohort had a higher incidence of tinnitus than non-ZMC fracture cohort (IRR 1.64, 95 % CI 1.37-1.96), particularly in younger patients (B34 years of age; IRR 4.05, 95 % CI 3.18-5.15) and male patients (IRR 2.08, 95 % CI 1.12-3.73). ZMC fracture patients also showed a significantly increased risk of having trigeminal neuralgia [IRR 4.06, 95 % CI 3.34-4.94, adjusted HR 4.07 (1.02-16.3)]. For sudden hearing loss and peripheral vertigo, the incidence densities were higher in the ZMC fracture cohort, but these relationships were not significant in the multivariate Cox proportional hazard regression analyses (HR 2.69, 95 % CI 0.76-9.53 for risk of sudden hearing loss; HR 1.36, 95 % CI 0.77-2.40 for risk of peripheral vertigo). Conclusions The findings of the study suggest an increased risk of ear-associated diseases among individuals with ZMC fractures, particularly within 2-years follow-ups after injury. We suggest performing detailed examinations for ear-associated diseases in patients with ZMC fractures for early diagnosis and adequate treatment.Chao-Chih Yang and Chih-Jaan Tai have contributed equally to this work.

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Section: Sudden Hearing Lossmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk of Ear-Associated Diseases After Zygomaticomaxillary Complex Fracture

Yang

Tai

Chien

et al. 2015

J. Maxillofac. Oral Surg.

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“…One of the outcomes is hearing loss as it occurs in THI especially after temporal bone injuries or fracture base of the skull (2). The transverse type of temporal fracture was associated with sensorineural hearing loss (3), while the conductive type was associated with damage of the petrous pyramid and middle ear structure (2). However, there are reported cases of hearing loss without apparent skull fracture.…”

Section: Introductionmentioning

confidence: 99%

A tale of 1 year: a case of bilateral conductive hearing loss due to bilateral ossicular chain disruption post head trauma

Aljehani¹,

Al-Shamani²

2019

Journal of Surgical Case Reports

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The traumatic hearing loss is a common finding after head trauma that involves the temporal bone fracture or skull base injury, but the late presentation of the hearing loss bilaterally is a rare presentation. This case report describes the rare and late presentation of bilateral conductive hearing loss 1-year after the head trauma, limited to ossicular chain disruption and hearing loss. This case of post head trauma that was limited to ossicular chain distribution progressed to bilateral conductive hearing loss without temporal bone fracture. A 14-year-old male was presented conductive hearing loss of one year after head injury, CT scan revealed bilateral ossicles disruption. Afterwards, osicuoloplasty was performed which improved the hearing of the patient. In conclusion, bilateral hearing loss with no obvious skull fracture should be suspected and investigated so an early intervention could be established. The CT was considered the imaging modality of choice for ossicular chain distribution.

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Effects of Rhinoplasty on Labyrinthine Function

Tekın

Soylu

Dizdar

et al. 2018

Aesthetic Surgery Journal

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Background Rhinoplasty is a common surgical procedure that is requested and accepted by patients for cosmetic and functional reasons. Osteotomies are performed on nasal bone, maxillary crest, or vomer to fix the deviations of the nasal dorsum or septum. During the percussion of the osteotomes with the surgical mallet, the vibration energy diffuses to the cranium. Auditory and vestibular systems may be affected by these vibrations. Objectives To assess the effects of rhinoplasty, in which osteotomies were performed using a hammer, on the audiovestibular system. Methods Thirty adults who underwent rhinoplasty were included in the study group. Ten age and gender matched adults who had nasal surgery without surgical mallet or osteotome served as the control group. The patients in both groups were assessed using pure tone audiometry, tympanometry, distortion product otoacoustic emission testing, and vestibular-evoked myogenic potential, as well as video head impulse tests (vHIT) before the operation and 1 week after the operation. Results On auditory assessment, there was no significant difference between the study and control groups regarding pure tone thresholds at frequencies of 250 Hz to 8 kHz (P > 0.05) as well as otoacoustic emissions. The vestibular assessment performed by using vestibular-evoked myogenic potential and vHIT did not reveal a statistically significant difference between the groups, before surgery or after surgery (P > 0.05). Conclusions Rhinoplasty appears to be a safe operation in terms of audiovestibular functions, and osteotomy, in which a hammer is usually used, does not have an impact on hearing or balance functions of the ear. Level of Evidence: 2

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Contralateral profound hearing loss after head trauma: A case report

Cited by 3 publications

References 14 publications

Risk of Ear-Associated Diseases After Zygomaticomaxillary Complex Fracture

Risk of Ear-Associated Diseases After Zygomaticomaxillary Complex Fracture

A tale of 1 year: a case of bilateral conductive hearing loss due to bilateral ossicular chain disruption post head trauma

Effects of Rhinoplasty on Labyrinthine Function

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