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Correspondence
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Volume 357:830-831 August 23, 2007 Number 8
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Tympanic-Membrane Perforation as a Marker of Concussive Brain Injury in Iraq

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To the Editor: Military blast exposure, principally in the form of roadside improvised explosive devices (IEDs), continues to be the signature mechanism of injury for coalition forces in Iraq.1,2 In 2005, the U.S. military reported 10,953 IED attacks, at an average of 30 per day.3 Combat body armor provides soldiers with considerable protection against penetrating ballistic injury, yet it is unlikely to afford significant protection from the effects of blast overpressure. The ear is the organ that is most vulnerable to damage by blast overpressure.2,4 Rupture of the tympanic membrane is a sentinel finding of blast exposure and occurs at . . . [Full Text of this Article]


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