VESTIBULAR AND AUDIOMETRIC CONSEQUENCES OF BLAST INJURY TO THE EAR

The effects of blast on the middle ear and cochlea are well documented . Vestibular damage resulting from blast is generally considered to be uncommon and insignificant. Five men who suffered blast injury to the ear were examined and followed up. The vestibular evaluation included electronystagmography and the smooth harmonic acceleration test. Acut e vestibular symptoms and clinical and laboratory signs were found in three patients. These resolved along with the clinical improvement. De spite the evident vestibular compensation, permanent vestibulopathy wa s diagnosed in two patients. Our observations stress the importance of complete vestibular evaluation in cases of blast injury to the ear, r egardless of a perhaps misleading clinical picture. Apart from the med icolegal aspects, such patients should be cautioned regarding the poss ibility of spatial disorientation during future exposure to unusual en vironmental conditions.