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In their article "Audiometric Configurations Following Exposure to Explosions," Perez and coauthors¹ indicated that hearing loss as a result of excessive stimulation of the inner ear was first reported in 1872. Studies of the classical otology books of the beginning of the 19th century show that this problem is mentioned in most of them in a progressive way of understanding. Itard² in his Traité des Maladies de l'Oreille et de l'Audition published in 1821 wrote in the chapter concerning hearing loss that exposition to "loud detonations" is a predisposing factor to hearing loss. Kramer^3-4 in his Die Erkenntniss und Heilung der Ohrenkrankheiten published in 1836 and translated into English in 1837 wrote, "I have even seen instances in which complete deafness succeeded to loud explosions of fire-works, artillery, . . . " Williams⁵ wrote in his Treatise on the Ear; Including Its Anatomy, Physiology, and Pathology published in 1840, "Artillerymen, . . . [Full Text of this Article]