Deaf After Snorkeling

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I'll take a speculative stab as to how this happened. There are two extremes of equalizing your air spaces.
Equalizing cleanly and equalizing aggressively.
I have a feeling you equalize aggressively which put undue stress on your middle ear, which led to your acute deafness.

Take a plywood door as an analogy. If you open and close that door very gently and smoothly, it will look clean, undamaged, and as sturdy as the day you built it.
Now if instead you always turned the handle and kicked the door open, well eventually you'll see cracks and heavy damage start to show.

With diving, some methods of equalization are very aggressive and rough. The Valsalva maneuver is one of them. While you can clear cleanly with the Valsalva maneuver, you can also overpressurize your middle ear with excessive force. You can also force air past a block with this method, and most likely what happens is you break past the block and overpressurize; very violently I might add.

On the other hand with the Frenzel Maneuver, your range of overpressurization of your middle ear is much much smaller than the range that you can do with the Valsalva. You can break your eardrums with the Valsalva, you cannot do that with Frenzel. Frenzel is a lot less forceful than the Valsalva and takes more care to timing your equalization before you feel pressure from depth.

The BTV/VTO method is at the far end of this spectrum in that you cannot possibly ever overpressurize your air spaces, as it is a passive equalization method. There is absolutely no stress put on your middle air from the act of equalizing when you use this method. I believe personally every diver should work up to this method.
[Beance Tubaire Volotaire/Voluntary Tubal Opening]
 
It's entirely possible that the hearing loss while diving was coincidental. About a year ago I went completely deaf in one ear and partially deaf in another overnight (and hadn't been diving for a couple of days). I got very aggressive treatment, saw a specialist immediately who prescribed something I don't remember and got 10 hyperbaric chamber rides. From what I was able to read, causes for this sudden hearing loss are not well understood and treatment varies a lot from doing nothing to the aggressive route I went. As others have said, sometimes the hearing doesn't return; mine came back after about 2 weeks.
 
All the off topic arm chair quarterbacking aside. Hearing is substantially better, steroids were stopped per the Dr and it continues to improve daily. Currently there is very little ringing and the only annoying thing is the broken speaker sound in my head when I am talking.

G1138 I'm not sure if you read the original post or not, but I have never had to aggressively equalize, as a matter of fact I've never had to do anything but wiggle my jaw or swallow. I just read an entire medical study done on the subject and most often injuries were caused by a diving board, quick dive to get an item on the bottom of a swimming pool, or even from a start block. Also, sudden sensorineural hearing loss is a lot more common than you think and since doing my research here I've found sometimes it happens overnight. You can just wake up deaf and hearing never return.

I'm chalking this up to a freak accident, getting DAN for the family and moving on with my life a little more aware ;-)
 
All the off topic arm chair quarterbacking aside. Hearing is substantially better, steroids were stopped per the Dr and it continues to improve daily. Currently there is very little ringing and the only annoying thing is the broken speaker sound in my head when I am talking.

G1138 I'm not sure if you read the original post or not, but I have never had to aggressively equalize, as a matter of fact I've never had to do anything but wiggle my jaw or swallow. I just read an entire medical study done on the subject and most often injuries were caused by a diving board, quick dive to get an item on the bottom of a swimming pool, or even from a start block. Also, sudden sensorineural hearing loss is a lot more common than you think and since doing my research here I've found sometimes it happens overnight. You can just wake up deaf and hearing never return.

I'm chalking this up to a freak accident, getting DAN for the family and moving on with my life a little more aware ;-)

I did and saw that, but wasn't sure if that was your sole way of equalizing. You're one of the lucky few who can do that.
From your doc's report it sounded like your case was due to physical trauma, not neurological or genetic. So some factor of your dive caused your acute condition; is my take on the story.

You descend fast and equalize fine, but there is still an air bubble in your outer ear that will either compress or wash out when water enters. Descend very fast and this washout can be violent if you think about it.
Swallowing and wiggling the jaw may not be a constant equalizing method, you may just be pushing air in spurts, but in your case enough that you're keeping up. There still may be enough fluctuation that this causes some aggravation in your middle ear if you're doing an aggressive descent.
My non-medical-educated opinion is comparing it to a car engine. You can coast to 60mpg or rev in within 4 seconds. One way is going to put more wear and tear. I don't know if there's any validity to that though.

All those examples you gave as to physical trauma causes involve high pressure changes in quick moments. And I'm pretty confident you can reach those same thresholds with fins if you dove down real fast, rather than a slow descent. So I see some correlation, rather than a freak accident.

I'm honestly just rambling, trying to make sense as to the cause, but really I don't think it's something we're going to get an answer to. Glad your hearing is coming back.
 
Last Update:

Well I"m assuming this is as good as it's going to get so I figured I'd post one last update. My hearing has improved slightly over the past couple weeks but it is far from normal. The tinnitus in my right ear seems to be the same but I can hear things much better, unless I"m in a crowd or there is loud noise, in which case I can't make anything out. There is still a broken speaker sound in my right ear, but I can plug my left and carry on a conversation with just my bad ear..

I have also been diving twice since the accident, being extremely careful equalizing constantly and have had no issues. All dives were 25ft or so with only 1 down & up. I'm very fortunate that my hearing returned at all from what I've read, It was a wake up call for sure..

Happy diving..

Cory
 
Thinline, I'm glad to hear your issues have improved, but I don't get how you can afford to dive, but can't afford to be seen by an ENT.

I can't imagine being deaf and thinking "at least I saved a couple hundred dollars in doctor bills." It doesn't sound like a great savings to me.
 
The OP lives in Marathon so diving doesn't necessarily have to be expensive - as opposed to paying insurance premiums that can be exorbitantly expensive. Purchasing DAN for the whole family was a great decision.

My husband has tinnitus in both ears - one worse than the other - from his military service a zillion years ago. We sleep with a fan on (and have downloaded a Sound Machine app for when we travel) because the ringing keeps him from sleeping at night. It's a drag, but it could be worse. I hope your hearing continues to improve - especially as it is so important for a musician.
 
industrious95

Well let me explain a couple things.. I live on a sailboat in Marathon, FL. Not only is diving cheap, but it's darn near free for me to do, especially with a sailboat ;-). Mainly I dive off my 14ft inflatable with a 20hp Yamaha and a run to the reef is 15 minutes, burning less than a gallon of fuel.

From everything I was able to find, going to an ENT would have resulted in the same treatment and without a bunch of tests he wouldn't have been able to tell me anymore than my primary Dr would. He didn't even think it was worth doing, I'm not one to just throw money at a problem. The only thing an ENT could have done was cut me and do some exploratory procedures to see if I might have had a perilymphatic fistula. The recommended treatment (even according to DAN) was dosed steroids, exactly what I was given. My Dr see's a fair amount of divers, he also happens to be a good Dr.
 
industrious95

Well let me explain a couple things.. I live on a sailboat in Marathon, FL. Not only is diving cheap, but it's darn near free for me to do, especially with a sailboat ;-). Mainly I dive off my 14ft inflatable with a 20hp Yamaha and a run to the reef is 15 minutes, burning less than a gallon of fuel.

Wow. You're living my dream. Hope your hearing continues to improve.
 
https://www.shearwater.com/products/perdix-ai/

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