Journal of Audiology & Otology  2015;19(3):182-185

doi:10.7874/jao.2015.19.3.182

Bilateral Sequential Pneumolabyrinth Resulting from Nose Blowing.

Joong Seob LEE 1 ; Sae Young KWON ; Ji Heui KIM ; Hyung Jong KIM

Affiliations

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Keywords

Pneumolabyrinth; Perilymphatic fistula; Hearing loss; Valsalva maneuver

Country

Republic of Korea

Language

English

Abstract

Pneumolabyrinth describes a condition with entrapped air in the labyrinth and usually occurs in temporal bone fractures that involve the otic capsule. While sporadic cases of bilateral pneumolabyrinth have been reported, cases lacking head trauma are very rare. We report the case of a 43-year-old man who had sudden hearing loss bilaterally after blowing his nose at an interval of 1 year. Although conservative management for the right ear and exploratory tympanotomy with sealing of the possible site of perilymphatic leakage in the left ear were performed, hearing outcome was poor in both ears. To our knowledge, this is the first case of bilateral pneumolabyrinth occurring as a result of nose blowing.