CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(04): 595-599
DOI: 10.1055/s-0042-1757431
Original Article

Assessment of Hearing Loss in Minor Head Injury: A Prospective Study

Sumit Bansal
1   Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Chappity Preetam
2   Department of ENT, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Ashis Patnaik
1   Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Rabi Narayan Sahu
1   Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
› Institutsangaben

Abstract

Introduction Hearing loss following a head injury is common and well known. The numbers of road traffic accidents have increased recently, with minor head injuries being very common, and usually go unreported. Hearing loss after a minor head injury is often unnoticed. Available literature is limited in this regard.

Objective This study was done to assess hearing loss in patients with minor head injuries and to define its natural history and progression/regression by a serial assessment of hearing.

Methods This prospective study was done in the Department of Neurosurgery, AIIMS, Bhubaneshwar, Odisha, India, for a period of 24 months to look at the profile of hearing levels of patients presenting with history suggestive of minor head injury.

Results This study has shown that some form of hearing loss is common after a minor head injury and should be evaluated in all patients to detect subclinical hearing loss. A significant number of patients having minimal or a mild degree of hearing loss, if managed properly, improve to preinjury status. Distortion product oto-acoustic emission testing should be used as the screening and follow-up tool.

Conclusion This study highlights the importance of hearing assessment in minor-head-injury patients and the prognosis of recovery as per the severity of hearing loss and head injury.



Publikationsverlauf

Artikel online veröffentlicht:
28. Oktober 2022

© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Schuknecht HF. Mechanism of inner ear injury from blows to the head. Ann Otol Rhinol Laryngol 1969; 78 (02) 253-262
  • 2 Emerson LP, Mathew J, Balraj A, Job A, Singh PR. Peripheral auditory assessment in minor head injury: a prospective study in tertiary hospital. Indian J Otolaryngol Head Neck Surg 2011; 63 (01) 45-49
  • 3 Yetiser S, Hidir Y, Gonul E. Facial nerve problems and hearing loss in patients with temporal bone fractures: demographic data. J Trauma 2008; 65 (06) 1314-1320
  • 4 Browning GG, Swan IR, Gatehouse S. Hearing loss in minor head injury. Arch Otolaryngol 1982; 108 (08) 474-477
  • 5 Munjal SK, Panda NK, Pathak A. Audiological deficits after closed head injury. J Trauma 2010; 68 (01) 13-18 , discussion 18
  • 6 Lezak MD. . In: Lezak MD, ed. Neurophysiology for Neurophysiologists. New York: Oxford University Press, Inc; 1995: 176-193
  • 7 Bergemalm PO, Borg E. Long-term objective and subjective audiologic consequences of closed head injury. Acta Otolaryngol 2001; 121 (06) 724-734
  • 8 Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet 1974; 2 (7872): 81-84
  • 9 Makishima K, Snow JB. Pathogenesis of hearing loss in head injury. Studies in man and experimental animals. Arch Otolaryngol 1975; 101 (07) 426-432
  • 10 Fitzgerald DC. Head trauma: hearing loss and dizziness. J Trauma 1996; 40 (03) 488-496
  • 11 Griffiths MV. The incidence of auditory and vestibular concussion following minor head injury. J Laryngol Otol 1979; 93 (03) 253-265