Hearing loss in mine-blast injuries: pathogenesis and clinical manifestations
- Autores: Bedoeva V.V.1, Gappoeva E.T.1, Gekhaev A.U.2,3
-
Afiliações:
- North Ossetian State Medical Academy
- Chechen State University named after A.A. Kadyrov
- Republican Oncology Dispensary
- Edição: Volume 32, Nº 4 (2025)
- Páginas: 205-211
- Seção: Восстановительная медицина
- URL: https://journals.eco-vector.com/2073-4034/article/view/687770
- DOI: https://doi.org/10.18565/pharmateca.2025.4.205-211
- ID: 687770
Citar
Texto integral



Resumo
Mine-blast injuries (MBI) are a serious medical problem in the context of modern military conflicts and terrorist attacks. The most common and severe complication of MBI is hearing loss, which significantly reduces the quality of life of victims, limiting their communication capabilities, contributing to social isolation, deterioration of cognitive functions and psychological state. Hearing loss in MBI develops as a result of the impact of shock and sound waves on the auditory apparatus, which leads to damage to the structures of the middle and inner ear, as well as the auditory nerve. There are conductive, sensorineural and mixed forms of hearing loss, each of which has its own pathogenesis features and requires specific approaches to diagnosis and treatment. Clinical manifestations vary from acute to chronic forms and are accompanied by varying degrees of hearing loss. Hearing loss resulting from MBI is caused by complex mechanical and pathophysiological processes occurring in the auditory apparatus under the influence of a shock wave. The shock wave, interacting with the tissues of the body, causes mechanical damage that affects the structures of the inner ear and the auditory nerve. Understanding the pathogenesis and clinical manifestations of hearing loss allows to develop effective methods of prevention, diagnosis and treatment, which helps improve the quality of medical care.
Palavras-chave
Texto integral

Sobre autores
V. Bedoeva
North Ossetian State Medical Academy
Email: gekhaev_alikhan@mail.ru
ORCID ID: 0009-0000-3575-8784
Postgraduate Student at the Department of Otolaryngology and Ophthalmology
Rússia, VladikavkazE. Gappoeva
North Ossetian State Medical Academy
Email: gekhaev_alikhan@mail.ru
Dr. Sci. (Med.), Associate Professor, Head of the Department of Otolaryngology and Ophthalmology
Rússia, VladikavkazAlikhan Gekhaev
Chechen State University named after A.A. Kadyrov; Republican Oncology Dispensary
Autor responsável pela correspondência
Email: gekhaev_alikhan@mail.ru
ORCID ID: 0009-0009-8536-1190
Código SPIN: 3125-7758
Cand. Sci. (Med.), Teaching Assistant at the Department of Hospital Surgery, Chechen State University named after A.A. Kadyrov, Head of the Department of Head and Neck Tumors, Republican Oncology Dispensary
Rússia, Grozny; GroznyBibliografia
- Mizutari K. Blast-induced hearing loss. Journal of Zhejiang University Science. 2019;20(2):111–115. https://doi.org/10.1631/jzus.B1700051
- Гурьев С.О., Кравцов Д.И., Казачков В.Е., Ордатий А.В. Минно-взрывная травма вследствие современных боевых действий на примере антитеррористической операции на Востоке Украины. Сообщение 1. Клинико-эпидемиологическая характеристика пострадавших с минно-взрывной травмой на раннем госпитальном этапе оказания медицинской помощи. Травма. 2015;16(6):5–8. [Guryev S.O., Kravtsov D.I., Kazachkov V.E., Ordatiy A.V. Mine-blast injury due to modern combat operations on the example of the anti-terrorist operation in the East of Ukraine. Report 1. Clinical and epidemiological characteristics of victims with mine-blast injury at the early hospital stage of medical care. Travma. 2015;16(6):5–8. (In Russ.)].
- Денисов А.В., Хоминец В.В., Логаткин С.М. и др. Разработка шкалы оценки тяжести минно-взрывных ранений защищенных нижних конечностей человека. Вестник Российской военно-медицинской академии. 2021;23(3):195–204. [Denisov A.V., Khominets V.V., Logatkin S.M., et al. Development of a scale for assessing the severity of mine-blast wounds of protected human lower extremities. Vestnik Rossiyskoy voyenno-meditsinskoy akademii. 2021;23(3):195–204. (In Russ.)]. https://doi.org/10.17816/brmma73198
- Smith J.E., Garner J. Pathophysiology of primary blast injury. J R Army Med Corps. 2019;165(1):57–62. https://doi.org/10.1136/jramc-2018-001058
- Remenschneider A.K., Lookabaugh S., Aliphas A., et al. Otologic outcomes after blast injury: the Boston Marathon experience. Otol Neurotol. 2014;35(10):1825–1834. https://doi.org/10.1097/MAO.0000000000000616
- Brokaw E.B., S Brungart D., M Byrne R., et al. Recommendations for a military health system auditory blast injury prevention standard. Military Medicine. 2023;188(Suppl 6):176–184. https://doi.org/10.1093/milmed/usad078
- Shukla A., Harper M., Pedersen E., et al. Hearing loss, loneliness, and social isolation: a systematic review. Otolaryngol Head Neck Surg. 2020;162(5):622–633. https://doi.org/10.1177/0194599820910377
- Park S.Y., Ho S.H., Hong Y.J., et al. The effect of hearing loss on cognitive function in subjective cognitive decline. Dement Geriatr Cogn Disord. 2022;51(4):348–356. https://doi.org/10.1159/000526230
- Kim H.J., Jeong S., Roh K.J., et al. Association between hearing impairment and incident depression: a nationwide follow-up study. The Laryngoscope. 2023;133(11):3144–3151. https://doi.org/10.1002/lary.30654
- Cheng Y.-F., Xirasagar S., Yang T.-H., et al. Association of hearing loss with land transport accidents: a nationwide population-based study. Int J Audiol. 2022;61(9):731–735. https://doi.org/10.1080/14992027.2021.1998677.
- Плиш Н.Ю., Кривенко С.Н., Медведев Д.И., и др. Результаты лечения пострадавших с минно-взрывными травмами. Вестник неотложной и восстановительной хирургии. 2019;4(3):90–104. [Plish N.Yu., Krivenko S.N., Medvedev D.I., et al. Results of treatment of victims with mine-blast injuries. Vestnik neotlozhnoy i vosstanovitel’noy khirurgii. 2019;4(3):90–104. (In Russ.)].
- Глазников Л.А., Буйнов Л.Г., Нигмедзянов Р.А., и др. Состояние микроциркуляции крови в бульбарном отделе конъюнктивы у пострадавших с акубаротравмой слуховой системы. Авиакосмическая и экологическая медицина. 2017;51(2):41–47. [Glaznikov L.A., Buynov L.G., Nigmedzyanov R.A., et al. State of blood microcirculation in the bulbar conjunctiva in victims with acubarotrauma of the auditory system. Aviakosmicheskaya i ekologicheskaya meditsina. 2017;51(2):41–47. (In Russ.)]. https://doi.org/10.21687/0233-528X-2017-51-2-41-46
- Paik C.B., Pei M., Oghalai J.S. Review of blast noise and the auditory system. Hearing research. 2022;425:108459. https://doi.org/10.1016/j.heares.2022.108459
- Choi C.-H. Mechanisms and treatment of blast induced hearing loss. Korean J Audiol. 2012;16(3):103–107. https://doi.org/10.7874/kja.2012.16.3.103
- Тюрин М.В., Озерецковский Л.Б., Денисов А.В. Судебно-медицинские аспекты механогенеза взрывной травмы. Судебно-медицинская экспертиза. 2013;56(3):31–34. [Tyurin M.V., Ozeretskovsky L.B., Denisov A.V. Forensic aspects of the mechanogenesis of blast trauma. Sudebno-meditsinskaya ekspertiza. 2013;56(3):31–34. (In Russ.)].
- Гурьев С.Е., Кравцов Д.И., Титова Ю.П. Клинико-патоморфологическая характеристика современных боевых ранений. Травма. 2017;18(5):50–53. [Guryev S.E., Kravtsov D.I., Titova Yu.P. Clinical and pathomorphological characteristics of modern combat wounds. Travma. 2017;18(5):50–53. (In Russ.)]. https://doi.org/10.22141/1608-1706.5.18.2017.114117
- Ortega R., Vietor R., Arbelaez C., et al. Blast Injuries. N Engl J Med. 2024;391(23):e58. https://doi.org/10.1056/NEJMvcm2408353
- Hazell G.A., Pearce A.P., Hepper A.E., Bull A.M.J. Injury scoring systems for blast injuries: a narrative review. Br J Anaesth. 2022;128(2):e127–e134. https://doi.org/10.1016/j.bja.2021.10.007
- Michels T.C., Duffy M.T., Rogers D.J. Hearing loss in adults: differential diagnosis and treatment. Am Fam Physician. 2019;100(2):98–108.
- Joseph A.R., Shaw J.L., Clouser M.C., et al. Impact of blast injury on hearing in a screened male military population. Am J Epidemiol. 2018;187(1):7–15. https://doi.org/10.1093/aje/kwx199
- Dougherty A.L., MacGregor A.J., Han P.P., et al. Blast-related ear injuries among U.S. military personnel. J Rehabil Res Dev. 2013;50(6):893–904. https://doi.org/10.1682/JRRD.2012.02.0024
- Королева К.Ю., Савченко И.Ф., Миронов В.Г., Лемешкин Р.Н. Особенности поражения органа слуха при минно-взрывной травме в военных конфликтах. Известия Российской военно-медицинской академии. 2020;39(S4):293–296. [Koroleva K.Yu., Savchenko I.F., Mironov V.G., Lemeshkin R.N. Features of damage to the hearing organ in mine-blast injury in military conflicts. Izvestiya Rossiyskoy voyenno-meditsinskoy akademii. 2020;39(S4):293–296. (In Russ.)].
- Горохов А.А., Миронов В.Г., Касаткин А.Н., и др. Оториноларингологические контузии при минно-взрывной травме. Вестник Российской военно-медицинской академии. 2021;23(2):53–58. [Gorokhov A.A., Mironov V.G., Kasatkin A.N., et al. Otorhinolaryngological contusions in mine-blast injury. Vestnik Rossiyskoy vo-yenno-meditsinskoy akademii. 2021;23(2):53–58. (In Russ.)]. https://doi.org/10.17816/brmma71305
- Ballivet de Régloix S., Crambert A., Maurin O., et al. Blast injury of the ear by massive explosion: a review of 41 cases. J R Army Med Corps. 2017;163(5):333–338. https://doi.org/10.1136/jramc-2016-000733
- Cho S.-I., Gao S.S., Xia A., et al. Mechanisms of hearing loss after blast injury to the ear. PloS One. 2013;8(7):e67618. https://doi.org/10.1371/journal.pone.0067618
- Янов Ю.К., Гофман В.Р., Глазников Л.А., Максимова Т.Г. Клинико-статистические закономерности поражений слуховой системы при минно-взрывной травме. Военно-медицинский журнал. 2001;322(9):32–37. [Yanov Yu.K., Goffman V.R., Glaznikov L.A., Maksimova T.G. Clinical and statistical patterns of damage to the auditory system in mine-blast injury. Voyenno-meditsinskiy zhurnal. 2001;322(9):32–37. (In Russ.)].
- Taşlı H., Gökgöz M.C., Çoban V.K., et al. Does tympanic membrane perforation have a protective effect on the inner ear in blast-injured patients? Ulus Travma Acil Cerrahi Derg. 2021;27(1):79–84. https://doi.org/10.14744/tjtes.2020.87639
- Ashworth E., Baxter D., Gibb I., et al. Injuries in underbody blast fatalities: identification of five distinct mechanisms of head injury. J Neurotrauma. 2023;40(1–2):141–147. https://doi.org/10.1089/neu.2021.0400
- Littlefield P.D., Brungart D.S. Long-term sensorineural hearing loss in patients with blast-induced tympanic membrane perforations. Ear Hear. 2020;41(1):165–172. https://doi.org/10.1097/AUD.0000000000000751
- Nonaka M., Taylor W.W., Bukalo O., et al. Behavioral and myelin-related abnormalities after blast-induced mild traumatic brain injury in mice. J Neurotrauma. 2021;38(11):1551–1571. https://doi.org/10.1089/neu.2020.7254
- Wang Y., Ye Z., Hu X., et al. Morphological changes of the neural cells after blast injury of spinal cord and neuroprotective effects of sodium beta-aescinate in rabbits. Injury. 2010;41(7):707–716. https://doi.org/10.1016/j.injury.2009.12.003
- Янов Ю.К., Кузнецов М.С., Глазников Л.А., и др. Нарушения коркового отдела слухового анализатора при взрывной травме. Вестник оториноларингологии. 2022;87(1):14–20. [Yanov Yu.K., Kuznetsov M.S., Glaznikov L.A., et al. Disorders of the cortical section of the auditory analyzer in blast injury. Vestnik otorinolaringologii. 2022;87(1):14–20. (In Russ.)]. https://doi.org/10.17116/otorino20228701114
- Tripathi P., Deshmukh P. Sudden sensorineural hearing loss: a review. Cureus. 2022;14(9):e29458. https://doi.org/10.7759/cureus.29458
- Тарасова Г.Д., Герцен А.В., Джанумова Г.М. Обоснование функциональной классификации тугоухости. Лечащий врач. 2019;(10):11–16. [Tarasova G.D., Gertsen A.V., Dzhanumova G.M. Justification for the functional classification of hearing loss. Lechashchiy vrach. 2019;(10):11–16. (In Russ.)]. https://doi.org/10.26295/0S.2019.76.80.002
- Le T.N., Straatman L.V., Lea J., Westerberg B. Current insights in noise-induced hearing loss: a literature review of the underlying mechanism, pathophysiology, asymmetry, and management options. J Otolaryngol Head Neck Surg. 2017;46(1):41. https://doi.org/10.1186/s40463-017-0219-x
- Olusanya B.O., Davis A.C., Hoffman H.J. Hearing loss grades and the International classification of functioning, disability and health. Bull World Health Organ. 2019;97(10):725–728. https://doi.org/10.2471/BLT.19.230367
- Kulinski D., Carr W., Garfield B.A., et al. Acute hearing deficits associated with weapons exposure in section 734 blast overpressure study (BOS). Military Medicine. 2023;188(Suppl 6):666–673. https://doi.org/10.1093/milmed/usad299
- Cave K.M., Cornish E.M., Chandler D.W. Blast injury of the ear: clinical update from the global war on terror. Military Medicine. 2007;172(7):726–730. https://doi.org/10.7205/milmed.172.7.726
- Павлов В.В., Кичкина М.М., Теплов А.В. Повреждение органа слуха при взрывной шахтовой травме. Медицина в Кузбассе. 2014;13(1):52–55. [Pavlov V.V., Kichkina M.M., Teplov A.V. Damage to the hearing organ in explosive mine injury. Meditsina v Kuzbasse. 2014;13(1):52–55. (In Russ.)].
- Akin F.W., Murnane O.D., Hall C.D., Riska K.M. Vestibular consequences of mild traumatic brain injury and blast exposure: a review. Brain Injury. 2017;31(9):1188–1194. https://doi.org/10.1080/02699052.2017.1288928
- Lien S., Dickman J.D. Vestibular injury after low-intensity blast exposure. Front Neurol. 2018;9:297. https://doi.org/10.3389/fneur.2018.00297
Arquivos suplementares
