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    References for Barotrauma and Sudden Hearing Loss in Divers

    Pullen FW 2d, et al.         [See Related Articles]
    Sudden hearing loss in divers and fliers.
    Laryngoscope. 1979 Sep; 89(9 Pt 1): 1373-1377.
    In our experience immediate surgical exploration and correction of sudden severe or profound sensorineural deafness in the diver or flier is absolutely essential and the excellent results of hearing improvement in this select group certainly corroborates this theory.

    Butler FK Jr, Thalmann ED        [See Related Articles]
    Report of an isolated mid-frequency hearing loss following inner ear barotrauma.

    Undersea Biomed Res. 1983 Jun; 10(2): 131-134.
    A case describing an isolated mid-frequency hearing loss as a result of inner ear barotrauma is presented. The onset of symptoms was insidious but progressed to a profound total-range hearing loss in the right ear. This loss resolved rapidly with cessation of diving activity, bed rest, and head elevation, leaving only an isolated 20-dB hearing decrement at 1000 Hz. Since the diver was participating in evaluation of experimental decompression tables, differentiation had to be made between barotrauma and inner ear decompression sickness.
    Anderson RG, et al.
    Sudden sensorineural hearing loss.

    Otolaryngol Clin North Am. 1983 Feb; 16(1): 189-195.
    Therapy includes efforts to treat known causes either medically or surgically, to keep the patient at reduced physical activity, and depending upon the treating physician's own preference, attempts to favorably alter the ultimate prognosis through medical manipulation.
    Abe T, et al.          [See Related Articles]
    [Acute low tone sensorineural hearing loss caused by inner ear barotrauma].

    Nippon Jibiinkoka Gakkai Kaiho. 1989 Sep; 92(9): 1381-1388. Japanese.
    Inner ear barotrauma and so called labyrinthine window rupture were considered to be one of the diseases needed to differentiate from low tone sudden deafness without reference to mono-attack type or recurrent type.


    Cowan PF, et al.
    Sudden sensorineural hearing loss.

    Am Fam Physician. 1988 Mar; 37(3): 207-210.
    Most patients are ultimately found to have idiopathic sensorineural hearing loss, and the spontaneous recovery rate is high. If no improvement occurs within one month, evaluation to rule out tumor is recommended.
    Talmi YP, et al.
    Barotrauma-induced hearing loss.

    Scand Audiol. 1991; 20(1): 1-9. Review.
    MEBT should be treated by prevention and symptomatically when occurring. A labyrinthine window fistula necessitating surgical repair may be caused by IEBT.
    Pullen FW 2d.          [See Related Articles]
    Perilymphatic fistula induced by barotrauma.

    Am J Otol. 1992 May; 13(3): 270-272.
    Any patient with a history of diving and subsequent sensorineural hearing loss within 72 hours should be suspected of having a round or oval window perilymphatic fistula and surgical exploration and closure of the fistula should be undertaken. Patients who have a loss of hearing, vertigo, nausea, or vomiting followi a decompression dive should be re-compressed and if symptoms do not clear, exploration should be performed. Surgical treatment should be executed as soon as possible after the diagnosis is suspected for the best possible results.
    Shannon DA, et al.
    Surgical treatment of long-term sensorineural hearing loss due to labyrinthine fistula.

    J Am Aud Soc. 1979 Jul; 5(1): 1-5.
    This paper presents the case of a patient whose fistula and resulting hearing loss had persisted ten years before surgical repair. Restoration of normal hearing and discrimination of speech occurred in the ear which had previously presented a severe sensorineural hearing loss with no useful discrimination for speech.
    Whinney DJ, et al.          [See Related Articles]
    Barotraumatic fracture of the stapes footplate.

    Am J Otol. 1996 Sep; 17(5): 697-699.
    We believe that early exploration and repair of suspected perilymph fistulae optimises hearing recovery.
    Amin JM.           [See Related Articles]
    Idiopathic sudden sensorineural hearing loss. University hospital experience.

    Med J Malaysia. 1993 Dec; 48(4): 407-409.
    .The combined regime of bed rest, intravenous dextran 40, vasodilator and steroid therapy produced good improvement in 63.4% of patients. Unfavourable prognostic factors were found to be, hearing loss of more than two weeks duration, vertigo and bilateral hearing loss.
    Edmonds C, et al.
    Hearing loss in Australian divers.

    Med J Aust. 1985 Nov 11; 143(10): 446-448.
    The results of this survey revealed that, even allowing for the very liberal requirements of the Australian Standard for divers, over 60% had unacceptable sensorineural, high frequency deafness.
    Bredenkamp JK, et al.          [See Related Articles]
    Sudden hearing loss. Determining the specific cause and the most appropriate treatment.

    Postgrad Med. 1989 Aug; 86(2): 125-128. Review. No abstract available.

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