EVAS as Cause of Hearing Loss after Head Trauma

EVAS as Cause of Hearing Loss after Head Trauma

Dušan Pavlović, Aleksandra StojiljkovićHearing and Balance Center

17yr boy lost hearing after head trauma

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At same ear loss of vestib function

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Spont Ny to the left

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No temporal bone fracture

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• KT

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WHAT ABOUT GOOD EAR?

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Tympanometry type A

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Cochlear conductive hearing loss

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Enlarged vestibular aqeduct

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Ct koji pokazuje uvećan aq.

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Prognosis and therapy

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Corticosteroid therapy ? Hyperbaric oxygen therapy ? Cohclear implant ? Laser ? Other ideas?

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4 months later

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Conclusions

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VEMPs very useful in diagnosing pseudoconductive hearing loss

we still don’t know the mechanlijlisdjflsijdfism of hearing loss in EVAS patients and how the hearing deteriorate after head traumawe don't have therapy for patients with EVAS except councelig to avoid head trauma

VEMPs very useful in diagnosing pseudoconductive hearing lossthird window theory explains conductive hearing loss in EVASwe still don’t know the VEMPs very useful in diagnosing pseudoconductive hearing lossthird window theory explains conductive hearing loss in EVASwe still don’t know the mechanism of hearing loss in EVAS patients and how the hearing deteriorate after head traumawe don't have therapy for patients with EVAS except councelig to avoid head traumamechanism of hearing loss in EVAS patients and how the hearing deteriorate after head traumawe don't have therapy for patients with EVAS except councelig to avoid head trauma

Regarding diagnostic: VEMPs are very useful in diagnosing pseudoconductive hearing lossthird window theory explains conductive hearing loss in EVAS

Regarding therapy: We still don’t know the mechanism of hearing loss in EVAS patients

and how the hearing deteriorate after head traumawe don't have therapy for patients with EVAS

except councelig to avoid head trauma

March 30th Belgrade