Management of blast ear injuries in mass casualty environments

Abstract

Objectives: To establish a management pathway for blast ear injuries in mass casualty environments and to review the management of ear injuries caused by blast. Method: Relevant literature search on blast injury was performed through MEDLINE. Results: Comprehensive review of management of blast injuries of the ear was undertaken. There was an overview of the pathophysiology of blast and detailed discussion of management of injuries of the external, middle, and inner ear. With any ear symptoms or injury, the patient should be referred to the otolaryngologist for further management. Conclusion: The management of blast injury should ensure detection at an early stage, potentially lifethreatening cases in mass casualty situations and ensuring that subtle injuries affecting the ear are not missed. © Association of Military Surgeons of the U.S. All rights reserved.