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Persistent inner ear injury after diving.

Ajnacska Rozsasi1, Otto Sigg, Tilman Keck

  • 1Department of Otorhinolaryngology, University Medical School, Ulm, Germany. ajnirozsasi@hotmail.com

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|March 7, 2003
PubMed
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Sudden sensorineural hearing loss can occur after diving, even from low heights, potentially due to round window rupture. Treatment did not significantly restore hearing in these cases.

Area of Science:

  • Otolaryngology
  • Sports Medicine
  • Diving Medicine

Background:

  • Sudden sensorineural hearing loss (SSNHL) is an otologic emergency.
  • Diving activities can pose risks to auditory health.

Observation:

  • Two teenage swimmers developed unilateral SSNHL after headfirst dives.
  • No contact with the pool bottom occurred; dives were from low heights.

Findings:

  • One patient had an intraoperative round window rupture; the other did not.
  • Surgical repair and medical therapy did not lead to significant hearing improvement.

Implications:

  • Round window rupture is a possible cause of SSNHL after diving, independent of impact or barotrauma.
  • Whiplash mechanisms should be considered in diving-related hearing loss.

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