Asian Journal of Applied Sciences (ISSN: 2321 – 0893) Volume 07 – Issue 02, April 2019 Asian Online Journals (www.ajouronline.com) 244 Acoustic Trauma in Soldiers Associated with Demolition Accident: A Case Report Sigit Sasongko ENT Department Dustira Army Hospital Medical Faculty of General Achmad Yani University, Indonesia Email: sieragolftht [AT] yahoo.com 1. INTRODUCTION Acoustic trauma is a hearing impairment due to exposure of impulsive loud noise that can caused permanent hearing loss 1,2,3 . The impairment that occurs the ears not only mechanical impairment (eg. Tympanic membrane rupture, endolymphatic hydrops, etc), but also metabolic impairment in the cochlea (oxidative stress), so that tend to impairment and necrosis stereocilia of the cochlea. Demolition using explosion weapons is one of skill for the soldiers who are demolition training (commando, raider, etc). 2. CASE REPORT About one year ago, an accident of demolition training occurs in 18 soldiers of Raider course in Pusdiklatpassus Batujajar, West Java, Indonesia. Two soldiers immidiately reffered to Jakarta Centre Army Hospital, because had an eyeball rupture, while 16 soldiers suffered a hearing loss reffered to ENT Department of Dustira Army Hospital. Five soldiers (PAD 1), six soldiers (PAD 4), and five soldiers (PAD 10). 3. CASE DATA Table 1. Examination Result of The Demolition Victims No Name Age (years) Symptoms Physical Examination Otoscopy Audiometry 1. RR (PAD 2) Prada 3116004577069 5 19 − Hearing loss − Tinnitus Face excoriation Bilateral tympanic membrane perforation Mixed type hearing loss moderate-severe 2. IS (PAD 2) Praka 3109064323088 9 28 − Hearing loss − Tinnitus Face excoriation Sinistra tympanic membrane perforation Acoustic trauma 3. FR (PAD 2) Prada 3117002075079 8 19 − Hearing loss − Tinnitus Face excoriation Tympanic membrane intact, hyperaemia +/+ Acoustic trauma 4. RH (PAD 2) Pratu 3112004316089 0 27 − Hearing loss − Tinnitus Face excoriation Sinistra tympanic membrane perforation Acoustic trauma 5. RP (PAD 2) Praka 3109063804058 8 29 − Hearing loss − Tinnitus Face excoriation Sinistra tympanic membrane perforation Acoustic trauma 6. Lgt (PAD 4) Prada 3115003141099 5 22 − Hearing loss − Tinnitus Face excoriation Tympanic membrane intact, hyperaemia +/+ Acoustic trauma 7. Rmj (PAD 4) 25 − Hearing loss − Tinnitus Face excoriation Dextra tympanic membrane perforation Acoustic trauma