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Though it may often be overlooked due to the now expansive field of research dedicated to understanding the consequences of mTBI on the brain, recent work has revealed that substantial changes in the vestibulo-auditory system can also occur due to mTBI. These changes, termed \u201clabyrinthine\u201d or \u201ccochlear concussion,\u201d include hearing loss, vertigo, and tinnitus that develop after mTBI in the setting of an intact bony labyrinthine capsule (as detected on imaging). In the review that follows, we focus our discussion on the effects of mTBI on the peripheral structures and pathways of the auditory and vestibular systems. Although the effects of indirect trauma (e.g., noise and blast trauma) have been well-investigated, there exists a profound need to improve our understanding of the effects of direct head injury (such as mTBI) on the auditory and vestibular systems. Our aim is to summarize the current evidentiary foundation upon which labyrinthine and\/or cochlear concussion are based to shed light on the ways in which clinicians can refine the existing modalities used to diagnose and treat patients experiencing mTBI as it relates to hearing and balance.<\/jats:p>","DOI":"10.1089\/neu.2023.0059","type":"journal-article","created":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T04:10:41Z","timestamp":1695528641000},"page":"1524-1532","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Mild Traumatic Brain Injury and the Auditory System: An Overview of the Mechanisms, Clinical Presentations, and Current Diagnostic Modalities"],"prefix":"10.1177","volume":"41","author":[{"given":"Mark","family":"Harris","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Irvine, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Nguyen","sequence":"additional","affiliation":[{"name":"University of Florida College of Medicine, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nolan J.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Irvine, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryce","family":"Picton","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Irvine, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Gendreau","sequence":"additional","affiliation":[{"name":"Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Bui","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Sahyouni","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Diego, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harrison W.","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Neurotology and Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Irvine, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,17]]},"reference":[{"key":"e_1_3_4_2_2","volume-title":"Traumatic Brain Injury: A Roadmap for Accelerating Progress","author":"National Academies of Sciences, Engineering, and Medicine","year":"2022","unstructured":"National Academies of Sciences, Engineering, and Medicine. 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