====== Post-traumatic hearing loss ====== Post-traumatic [[hearing loss]] is a common [[functional]] [[disorder]] after [[trauma]], and radiologists should be aware of the ossicular, labyrinthine, or brain lesions that may be responsible. After a trauma, the use of a systematic approach to exploring the main functional components of auditory pathways is essential. [[Conductive hearing loss]] is caused by the disruption of the conductive chain, which may be due to ossicular luxation or fracture. ---- Accompanying intracranial nerve injury, temporal fracture, and intracranial pathologies are considerably high in patients who develop HL following head trauma. The first examination requires a multidisciplinary approach to guide future disability applications ((Alpsoy MY, Sönmez S, Orhan Z, Kocasoy Orhan E, Aslıyüksek H, Orhan KS. Evaluation of Patients with Post-Traumatic Hearing Loss: A Retrospective Review of 506 Cases. J Int Adv Otol. 2021 May;17(3):239-244. doi: 10.5152/iao.2021.9089. PMID: 34100749.)). ---- Podoshin and Fradis report on the [[hearing loss]] of 395 patients who were hospitalized after brain [[concussion]]. The percentage of hearing loss and vestibular disturbances appearing after fracture of the [[temporal bone]] is higher than in cases with skull fractures without fracture of the temporal bone or with brain concussion alone. [[Conductive deafness]] caused by a head injury usually disappears in two months' time. If conductive deafness remains, the suspicion of dislocation of the [[bony ossicles]] arises and such patients must undergo an operation. As the cases where [[sensorineural deafness]] disappeared within six months after head injury was rare, the final evaluation of the [[hearing loss]] can be made one year after the [[head injury]]. In the majority of cases, vestibular disturbances and positional nystagmus disappear within six months after the head injury ((Podoshin L, Fradis M. Hearing loss after head injury. Arch Otolaryngol. 1975 Jan;101(1):15-8. doi: 10.1001/archotol.1975.00780300019004. PMID: 1078976.)).