How serious is diving with prior hearing loss?

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I am very new to diving- in fact haven't had a dive yet. While preparing, my doctor would not sign the release due to hearing loss of 80% in one ear. This was sudden loss, but MRI shows no abnormalities. The loss happened about 7 months ago and has stayed the same. My ENT is out of town, so can not consult with him. What are the dangers of diving with previous hearing loss? Should I try anyway, or am I really risking my health?
Thank you in advance for the help!
Shannon
 
I'm no medical type, but one thing I would be wondering about is what caused the hearing loss and whether there's any associated diving-related risk.

You may want to give DAN a call at their non-emergency medical number, and ask for a local referral to a diving-knowledgeable doctor or another ENT. DAN is generally quite open to answering non-member questions, although becoming a member and also getting some dive insurance (even if not DAN) is often highly recommended around SB.

You may want also want to PM any moderator, and ask them to move this thread to the Dive Medicine forum, where more medical types tend to hang out and would be more likely to see your question.
 
What caused this? Is there anything abnormal with the internal part of the ear like the ear drum and the bones?
 
i think so long as you can equalize ok this shouldn't be any problem

i'd be careful for any inner-ear complications, such as vertigo, and proceed slowly
 


A ScubaBoard Staff Message...

Moved to Diving Medicine
 
What caused this? Is there anything abnormal with the internal part of the ear like the ear drum and the bones?

The ENT thinks it was a viral process, I had a clear MRI afterwards and no visible damage on exam. He said it is not common, but in his practice he does see that on a regular basis.
 
I work with a gentleman who suffered the same type of loss many years ago. There was no damage to the ears other than the loss of hearing. As long as you do not have holes, tears, or perhaps scar tissue that would interfere with equalizing I don;t see an issue. Of course your ENT is who would have the final say. I'd wait til he gets back and just have him sign off. BTW the guy at work is starting classes with me in two weeks. Already did the scuba intro with no issues equalizing. The loss is not due to anything that would affect his ability to dive acording to his doc. Not much different than being born deaf.
 
I'm no medical type, but one thing I would be wondering about is what caused the hearing loss and whether there's any associated diving-related risk.

That must be right. Underwater is one place where hearing impairmant doesn't really matter.

But if hearing impairment is a symptom of something else, then you need to know what.
 
I'd question your doctor directly to find out what he thinks the problem is. He shouldn't make a summary judgment about denying a waiver without giving you an adequate (in your eyes) explanation. If you don't understand *why* he wouldn't sign the release then either he isn't giving you all the information you deserve or you aren't asking the right questions.
 
I have a similar situation, only it has happened to me twice. About twenty years ago, I spontaneously lost all hearing in my right ear. Two MRI's, allergy tests, and a battery of other procedures later, my doctor told me that he could find no reason why I had suffered a loss of hearing. I had raced V-8 powered road racing cars since the mid-70's, but the interesting thing is that any hearing loss should have happened in my left ear (toward the outside of the car and exhaust dump). Approximatley nine months later, sitting in a Greek restaurant, just as spontaneously, my hearing re-appeared. Went back to the ear specialist the next week, and the hearing in my right ear was better than in my left, confirming the race car issue.

Fast forward to seven years ago, I developed a severe tinitis in the same right ear, without any reason. Not dive-related, no trauma, it just happened. Same process, same procedures (I'm getting to be an MRI pro), no allegies, nothing organic, no infections, nothing. Seven year later, it's still with me, ringing loud and clear, to the point that I am functionally deaf in my right ear (but at sound ranges not masked by the tinitis, the hearing in my right ear is fine). In my case, from what I understand, a hearing aid won't help, so what I find myself doing is positioning my body so that my left ear is always focused toward conversation, and sources of information, and that includes sitting on the correct side of a dive boat, so that I don't miss the pre-dive briefings.

I have no problem equalizing, and have never had a problem with virtigo or loss of balance. My recommendation is that if you can live with it, you can dive with it.

Cheers and good luck!
 

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