Full Text:   <2026>

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CLC number: R764.4

On-line Access: 2019-01-22

Received: 2017-01-24

Revision Accepted: 2017-04-01

Crosschecked: 2017-10-05

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Citations:  Bibtex RefMan EndNote GB/T7714

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Journal of Zhejiang University SCIENCE B 2019 Vol.20 No.2 P.111-115


Blast-induced hearing loss

Author(s):  Kunio Mizutari

Affiliation(s):  Department of Otolaryngology, Head and Neck Surgery, National Defense Medical College, Saitama, 359-8513, Japan

Corresponding email(s):   tari@mbf.ocn.ne.jp

Key Words:  Blast injury, Hidden hearing loss, Sensorineural hearing loss, Stereocilia, Tympanic membrane perforation

Kunio Mizutari. Blast-induced hearing loss[J]. Journal of Zhejiang University Science B, 2019, 20(2): 111-115.

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DOI - 10.1631/jzus.B1700051

The incidence of blast injury has increased recently. As the ear is the organ most sensitive to blast overpressure, the most frequent injuries seen after blast exposure are those affecting the ear. Blast overpressure affecting the ear results in sensorineural hearing loss, which is untreatable and often associated with a decline in the quality of life. Here, we review recent cases of blast-induced hearing dysfunction. The tympanic membrane is particularly sensitive to blast pressure waves, since such waves exert forces mainly at air–tissue interfaces within the body. However, treatment of tympanic membrane perforation caused by blast exposure is more difficult than that caused by other etiologies. Sensorineural hearing dysfunction after blast exposure is caused mainly by stereociliary bundle disruption on the outer hair cells. Also, a reduction in the numbers of synaptic ribbons in the inner hair cells and spiral ganglion cells is associated with hidden hearing loss, which is strongly associated with tinnitus or hyperacusis.



Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


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