Suppressed sneezing as a cause of hearing loss and vertigo

Two cases of inner ear injury caused by suppressed sneezing are described. One patient experienced vestibular symptoms in the form of reflexogenic vertigo that was relieved by surgical section of the tensor tympani tendon. The other patient had a sudden severe permanent sensorineural hearing loss. I...

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Bibliographic Details
Published inAmerican journal of otolaryngology Vol. 6; no. 6; pp. 468 - 470
Main Authors Schuknecht, Harold F., Witt, Robert L.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.11.1985
Elsevier
Subjects
Adult
Barotrauma - etiology
Biological and medical sciences
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Ear, Inner - injuries
Electronystagmography
Female
Hearing Loss, Sensorineural - etiology
Humans
Male
Medical sciences
Middle Aged
Nausea - etiology
Otorhinolaryngology. Stomatology
Sneezing
Tensor Tympani - surgery
Vertigo - etiology
Human
Etiology
Ear disease
Suppression
ENT disease
Vertigo
Hearing loss
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Summary:Two cases of inner ear injury caused by suppressed sneezing are described. One patient experienced vestibular symptoms in the form of reflexogenic vertigo that was relieved by surgical section of the tensor tympani tendon. The other patient had a sudden severe permanent sensorineural hearing loss. It is proposed that the aerodynamic pressure increase associated with suppressed sneezing is transmitted via the eustachian tube to cause an implosive fistula of either the round or oval window with injury to the membranous labyrinth.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0196-0709
1532-818X
DOI:10.1016/S0196-0709(85)80027-2