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I read with interest the article by Billings and Kena,¹ which nicely reviews the different etiologies and medical approaches of early diagnosis of sensorineural hearing loss (SNHL) in children. The authors are absolutely correct to remind us that the most useful tools for establishing a potential cause are history taking and documentation.

I would like to mention that the exposure of mothers and children to loud noise, such as that heard during war, during the prenatal phase is a relatively common cause of SNHL in the pediatric population. Many children of the mothers who were frequently exposed to the sudden and unexpected loud noise of bomb blasts will exhibit more congenital anomalies than those in countries not involved in a war. Most of the time, these anomalies remain unexplained.

During the war between Iran and Iraq, the number of cases of SNHL due to unknown causes increased rapidly. Results of . . . [Full Text of this Article]