Kılıç Erbil, Genç Hakan, Aydın Ümit, Aşık Burak, Satar Bülent
Department of Otolaryngology, Head and Neck Surgery, Gülhane Military Medicine Academy, Haydarpaşa Training Hospital, İstanbul-Turkey.
Ulus Travma Acil Cerrahi Derg. 2017 Mar;23(2):163-166. doi: 10.5505/tjtes.2016.88580.
Lightning strike can cause fatal or nonfatal injuries. Some nonfatal injuries are associated with otological symptoms and findings. Conductive hearing loss due to rupture of the tympanic membrane is the most common audiovestibular lesion of lightning strike. Various forms of sensorineural hearing loss and dizziness have also been reported. Presently described are 3 cases of lightning strike injury. First patient had mid-frequency hearing loss in right ear and high frequency sensorineural hearing loss in left ear. Second patient had high frequency sensorineural hearing loss in left ear, and the third had peripheral facial palsy with perilymphatic fistula on same side. This is the first documented case of mid-frequency hearing loss occurring after lightning strike.
雷击可导致致命或非致命伤害。一些非致命伤害与耳科症状和体征有关。鼓膜破裂导致的传导性听力损失是雷击最常见的听觉前庭病变。也有各种形式的感音神经性听力损失和头晕的报道。目前描述了3例雷击伤病例。首例患者右耳中频听力损失，左耳高频感音神经性听力损失。第二例患者左耳高频感音神经性听力损失，第三例患者同侧周围性面瘫伴外淋巴瘘。这是首例有记录的雷击后发生中频听力损失的病例。
