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Background and Objectives:We evaluated the clinical characteristics of hearing impairment in patients who sufered a blunt head trauma without any organic problems, including temporal bone fracture or intracranial hemorrhage. Subjects and Method:rs. This study included only patients without temporal bone fracture or intracranial hemorhage. Results:Most patients (90.5%) complained of associated auditory symptoms including tinnitus, diziness, earfullnes and otalgia as wel as headache. In 38 patients (90.5%), the symptom was developed on the injured day. Fifteen ears of 13 patients showed sensorineural hearing los, 2 ears of -ineural hearing los only above 4 kHz, 8 ears of 7 patients mild hearing los, 10 ears of 8 patients moderate hearing los, 3 ears of 3 patients had a moderately-severe hearing los, and 6 ears of 6 patients had a profound hearing los. Al cases (24 ears of 22 patients) who had a normal four-tone average complained many otologic symptoms other than a hearing loss. Conclusion:Blunt auditory symptoms as son as posible. Otologic consultation should be sought in all cases for appropriate management. (Korean J Otolaryngol 2007 ;50 :496-500)