Direct trauma to ear or head injury can cause conductive, sensorineural or mixed hearing loss
Management of conductive hearing loss
- Often delayed as polytrauma
- May need facial nerve decompression if no recovery and EMG studies
- Many need to manage CSF leak, most settle but may need repair
- May need hearing restoration - hearing aid or ossiculoplasty
Management of sudden sensorineural hearing loss
- Treat as emergency
- Weber test
- High dose steroids (1 mg/kg)
- Consider intratypanic treatment
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