Emergency War Surgery NATO Handbook: Part IV: Regional Wounds and Injuries: Chapter XXVI: Wounds and Injuries of the Ear
United States Department of Defense
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Trauma to the inner ear may occur in combination with the above injuries or as an isolated injury secondary to blunt trauma. Such injury may be accompanied by total hearing loss, severe vertigo, high-pitched tinnitus, or facial nerve palsy. These injuries should be treated symptomatically and evacuated to the care of an otolaryngologist. If a basilar skull fracture is suspected, the use of antibiotics (usually penicillin) is mandatory. In all of these instances the patient should be cautioned against blowing his nose.
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