Sudden sensorineural hearing loss (SNHL) is a well-recognized phenomen
on that is attributed to a variety of etiologies. Sudden SNHL after ca
rdiopulmonary bypass surgery has been well reported and is thought to
be due to microemboli, However, a review of the English literature rev
ealed only 15 cases of SNHL after general anesthesia for nonotologic s
urgery, Several etiologies for this loss have been suggested, but no p
roven pathogenesis is yet available. This report adds to the literatur
e three additional cases of sudden SNHL after general anesthesia for n
onotologic surgery. The literature is reviewed and proposed mechanisms
of injury are discussed.