- M A Buchanan, ear, nose, and throat specialist registrar1,
- J M Wilkinson, audiological scientist2,
- J E Fitzgerald, chief audiological scientist2,
- P R Prinsley, ear, nose, and throat consultant1
- 1Department of Otorhinolaryngology, Norfolk and Norwich University Hospital, Norwich NR4 7UY
- 2Department of Audiology, Norfolk and Norwich University Hospital
- Correspondence to: M A Buchanan malcolm_buchanan123{at}hotmail.com
A 55 year old right handed man presented to the ear, nose, and throat outpatient clinic with tinnitus and reduced hearing in his right ear. Clinical examination was unremarkable. His pure tone audiogram showed an asymmetrical sensorineural hearing loss, worse on the right, with a decrease on that side at 4-6 kHz (fig 1⇓) typical of a noise induced hearing loss.1 He had been playing golf with a King Cobra LD titanium club three times a week for 18 months and commented that the noise of the club hitting the ball was “like a gun going off.” It had become so unpleasant that he had been forced to discard the club.
Fig 1 Pure tone audiogram showing sensorineural hearing loss on the right, with a noise induced drop at 4-6 kHz
Magnetic resonance imaging of his internal acoustic meati showed no abnormality, and we deduced that his asymmetrical sensorineural hearing loss was attributable to the noise of the golf club. Other than regular …
Sign in
Personal subscribers, sign in here:
Article access
Article access for 1 day
Purchase this article for £20 $30 €32*
The PDF version can be downloaded as your personal record
CiteULike
Connotea
Del.icio.us
Digg
Facebook
Reddit
Technorati
Twitter
Stumbleupon
Rapid responses
Latest Responses
'twas ever thus
Published 10 February 2012
The value of historic human remains
Published 10 February 2012
In Praise of British Literature
Published 10 February 2012
Is real shared decision making possible?
Published 10 February 2012
Re: Should UK membership exams be held overseas? Yes
Published 9 February 2012
Most responses
Does anyone understand the government’s plan for the NHS? (17 responses)
Published 17 Jan 2012
Bad medicine: medical nutrition (15 responses)
Published 18 Jan 2012
Why legislation is necessary for my health reforms (7 responses)
Published 1 Feb 2012
Shared decision making: really putting patients at the centre of healthcare (6 responses)
Published 27 Jan 2012
Search for evidence goes on (5 responses)
Published 17 Jan 2012