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International Bulletin of Otorhinolaryngology

Auditory Blast Injury

Hr. Zlatanov, V. Tsvetkov, St. Stoyanov, K. Asenova

Abstract

The frequency of of blast injury incidents raised incredibly during the last years of XX century. This is due to the industrial expansion, the increased use of explosive weapons and the tremendous enhancement of world’s terrorism.

Auditory blast injuries are frequent in the military contingent, but also encountered among civilians after terroristic attacks, public incidents and production crashes. The main symptoms are pain, hearing loss, tinnitus and otohemorrhage.

Approximately 70 – 80% of tympanic blast ruptures have heal spontaneously; 40 – 50% during the 1st month and the others till the end of the 2nd. Spontaneous healing depends on the size and location of the rupture.

Studying the causes and clinic of acute acoustic blast injury will lead to early recognition and adequate treatment of this pathology, decreasing the complications, improving the outcome, better life quality and earlier social reintegration of the victims with acute acoustic blast injury.

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Взривните травми значително зачестиха през последните години на ХХ век. Това се дължи както на индустриалната експанзия, така и на увеличената употреба на взривни оръжия и неимоверното разрастване на терористичната активност в световен мащаб.

Взривната травма на слуховата система се наблюдава най-често сред военни, но се среща и сред цивилния контингент при терористични атаки, битови инциденти и производствени аварии. Основни симптоми при взривна травма на ухото са болка, намален слух, шум в ушите и отохематорея.

Около 70 – 80% от взривните руптури на тъпанчевата мембрана заздравяват спонтанно, 40 – 50% през първия месец, а останалите до 2 месеца след нараняването. Спонтанното зарастване зависи от размера и разположението на руптурата.

Изучаването на причините, демографската характеристика и клиника на взривната травма на слуховия анализатор ще доведе до ранно разпознаване и адекватно лечение на тази патология. Това е свързано с намаляване на усложненията, подобряване на изхода, качеството на живот и социална реинтеграция на пострадали с взривна травма на слуховия анализатор.


Keywords

blast injury, ear, hearing, balance; взривна травма, ухо, слух, равновесие

Full Text


References

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DOI: http://dx.doi.org/10.14748/orl.v4i4.7109

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