Ear injuries sustained by British service personnel subjected to blast trauma.
OBJECTIVE
To describe the pattern of ear injuries sustained by all British servicemen serving in Iraq and Afghanistan between 2006 and 2009; to identify all servicemen evacuated to the Royal Centre for Defence Medicine following blast injury; to ascertain how many underwent otological assessment; and to calculate the incidence of hearing loss.


METHODS
A retrospective analysis of data obtained from the Joint Theatre Trauma Registry and the Defence Analytical and Statistics Agency, together with audiometry records from the University Hospitals Birmingham National Health Service Trust.


RESULTS
Ear damage was present in 5 per cent of all British servicemen sustaining battle injuries. Tympanic membrane rupture occurred in 8 per cent of personnel evacuated with blast injuries. In 2006, 1 per cent of servicemen sustaining blast injury underwent audiography; this figure rose to 13 per cent in 2009. Fifty-three per cent of these audiograms were abnormal.


CONCLUSIONS
The incidence of tympanic membrane rupture was higher than that found in previous conflicts. Otological assessment prior to and following military deployment is required to determine the incidence of ear injury amongst British servicemen following blast trauma.
Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK.
J
J
Breeze
H
H
Cooper
C R
CR
Pearson
S
S
Henney
A
A
Reid
D055826:Afghan Campaign 2001-; D001299:Audiometry / Q000706:statistics & numerical data*; D001753:Blast Injuries / Q000145:classification / Q000150:complications* / Q000453:epidemiology; D004423:Ear / Q000293:injuries*; D004429:Ear Ossicles / Q000293:injuries; D004431:Ear, External / Q000293:injuries; D034381:Hearing Loss / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D054542:Iraq War, 2003-2011; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data*; D038781:Otoscopy / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D012042:Registries / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D018058:Tympanic Membrane Perforation / Q000453:epidemiology* / Q000209:etiology; D006113:United Kingdom / Q000453:epidemiology