Trauma-Associated Tinnitus and Hearing Loss

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Neurology".

Deadline for manuscript submissions: 20 November 2026 | Viewed by 1991

Editors


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Guest Editor
ENT Clinic Department, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania
Interests: hearing loss; neonatal hearing screening; cochlear implants; vestibular disorders; bone conduction auditory devices; auditory-evoked potentials

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Guest Editor Assistant
Department of General Surgery and Qualified Care in Surgical Specialties, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Interests: audiology (hearing screening, hearing electrophysiology, cochlear implants, tinnitus); vestibular pathology and vestibular rehabilitation

Special Issue Information

Dear Colleagues,

Hearing loss affects 5% of the world’s population (over 430 million people, with over 34 million being children). Bilateral hearing loss severely impacts people’s quality of life, either by affecting speech and language development in children or by affecting social life, self-confidence, learning, and job opportunities in adults.

Tinnitus by itself is a major issue and health problems due to its moderate response to treatment options and psychological negative impact on patients’ overall wellbeing.

Having both of these diseases is, of course, an even greater challenge.

One of the etiologic mechanisms behind hearing loss and/or tinnitus is trauma: physical traumatism (head/brain, temporo-mandibular joint, or cervical spine trauma) or noise-induced cochlear trauma.

One of the purposes of this Special Issue is to draw attention to hearing loss and/or tinnitus related to physical trauma, especially as in some cases (e.g., in comatose patients or severe orthopedic or neurosurgical post-traumatic lesions), hearing loss due to trauma is discovered late.

Regarding noise-induced hearing loss and/or tinnitus, prevention is key, and further studies on this pathology are needed.

We invite colleagues from across different medical specialties to submit research on trauma-related hearing loss and tinnitus to promote the further development of multidisciplinary networks and treatment options to enable the best possible outcome for each patient. All types of manuscripts are welcome, including full-length original articles and reviews (narrative and systematic, with or without a meta-analysis).

Dr. Sebastian Cozma
Guest Editor

Dr. Madalina Gabriela Georgescu
Guest Editor Assistant

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Keywords

  • acute tinnitus
  • chronic tinnitus
  • tinnitus related quality of life
  • traumatic brain injury
  • cochlear concussion
  • third window syndrome
  • tinnitus management

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Published Papers (1 paper)

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Review

24 pages, 398 KB  
Review
Trauma-Associated Tinnitus and Hearing Loss: A Comprehensive Narrative Review of Prevalence, Risk Factors, and Clinical Outcomes
by Daniel George Boicu, Oana Roxana Bitere-Popa, Romică Sebastian Cozma, Madalina-Maria Diac, Andrei Scripcaru, Cristian Marius Mârțu, Raluca Olariu, Iustin Mihai Iațentiuc and Diana Bulgaru Iliescu
Medicina 2026, 62(6), 1164; https://doi.org/10.3390/medicina62061164 - 15 Jun 2026
Viewed by 1393
Abstract
Background and Objectives: Trauma-associated auditory dysfunction, encompassing tinnitus and hearing loss, represents a frequent yet underrecognized sequela of acoustic overexposure, blast injury, and head trauma. Despite increasing clinical awareness, the published literature exhibits substantial heterogeneity in reported prevalence estimates and recovery outcomes [...] Read more.
Background and Objectives: Trauma-associated auditory dysfunction, encompassing tinnitus and hearing loss, represents a frequent yet underrecognized sequela of acoustic overexposure, blast injury, and head trauma. Despite increasing clinical awareness, the published literature exhibits substantial heterogeneity in reported prevalence estimates and recovery outcomes across different injury mechanisms. This narrative review aims to synthesize available evidence on the prevalence, clinical characteristics, recovery patterns, and prognostic factors of tinnitus and hearing loss following traumatic injury, with a particular focus on comparing outcomes across distinct trauma mechanisms and evaluating the impact of early intervention. Materials and Methods: A comprehensive literature search was conducted in PubMed, Embase, Scopus, and Web of Science for studies published between January 2010 and December 2025. The search strategy combined terms related to traumatic injury (e.g., “acoustic trauma,” “blast injury,” “traumatic brain injury,” “head trauma”) with terms related to auditory dysfunction (e.g., “tinnitus,” “hearing loss,” “auditory dysfunction”). Eligible studies included observational studies (cohort, cross-sectional, case–control) reporting original data on tinnitus and/or hearing loss prevalence, recovery outcomes, or prognostic factors in adult or mixed populations exposed to traumatic injury. A narrative synthesis was organized thematically around the key research questions. Results: The available evidence consistently indicates that tinnitus and hearing loss are frequent consequences of blast injury, acute acoustic trauma, and traumatic brain injury, although reported prevalence estimates vary considerably across studies due to differences in populations, injury mechanisms, and diagnostic criteria. Blast injury is associated with mixed hearing loss (conductive and sensorineural components), while acute acoustic trauma typically causes sensorineural hearing loss, often with a characteristic high-frequency notch. Traumatic brain injury can lead to central auditory processing deficits even when pure-tone thresholds are normal. Recovery is variable and often incomplete; tympanic membrane perforations frequently heal spontaneously, but sensorineural components often persist. Early treatment (within days to two weeks) is associated with better recovery outcomes. Conclusions: Trauma-associated tinnitus and hearing loss are highly prevalent and frequently result in persistent disability. The strong association between early treatment and improved recovery outcomes supports the implementation of prompt audiological evaluation and intervention following traumatic injury. These findings underscore the need for routine audiological screening in at-risk populations and for continued research into preventive strategies, standardised assessment protocols, and optimised treatment regimens. Full article
(This article belongs to the Special Issue Trauma-Associated Tinnitus and Hearing Loss)
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