Direct trauma to ear or head injury can cause conductive, sensorineural or mixed hearing loss

Management of conductive hearing loss

• Often delayed as polytrauma
• May need facial nerve decompression if no recovery and EMG studies
• Many need to manage CSF leak, most settle but may need repair
• May need hearing restoration - hearing aid or ossiculoplasty

Management of sudden sensorineural hearing loss

• Treat as emergency
• Weber test
• High dose steroids (1 mg/kg)
• Consider intratypanic treatment