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Wednesday, June 25, 2008

the kiss of deaf

Taking a break from politics, since a true afronerd has a myriad of interests anyway, here's a story about an interesting and rare medical occurrence.

Child's kiss deafens Hicksville, NY mom


This is a story about a kiss - an expression of love so potent from a little girl - that it caused her mother not only to lose her hearing after a buss on the ear, but to be thrust into the pages of medical history.

Yet it wasn't the sound of the smackaroo that damaged the hearing of Hicksville homemaker Gail Schwartzman, but a suction force that displaced the woman's eardrum, paralyzed a tiny trio of bones and left residual sounds in her head. Schwartzman's case will be the subject of a medical journal report within the coming weeks, outlining for the first time what the author calls "the kiss of deaf."

Schwartzman describes the kiss as physically painful but says it has left a deeper emotional scar on her daughter. Even as she recounted details of the buss planted two years ago, the child, now 6, broke into tears, apologizing to her mom. Schwartzman requested that her daughter's name not be published.

"What actually happened, I was out of the house that day," Schwartzman said. "And when I returned, I went to say a big hello to my daughter. She was 4 years old at the time. She was sitting on the floor watching TV, and she had really missed me. So I sat on the floor next to her.

"She grabbed me and gave me a hug and a really big kiss on the left ear. And while she was doing it, it felt like she was sucking the air out of my head. I couldn't push her away because I had this terrible sensation in my head," Schwartzman said.

"When she was finished, I had no hearing in that ear. The hearing slowly came back but with screeching noises in my ear," she said, referring to sounds known medically as tinnitus. Although some of her hearing has returned, allowing her to hear in muffled tones, the tinnitus has remained.

Loud noises cause tinnitus

Lisa Freeman of the American Tinnitus Foundation said loud noises can induce tinnitus.

"Typically this is the perception of sound in the ears or head. The sounds can range from ringing, clicking, swishing or buzzing and can cycle to moments of highs and lows," Freeman said.

She said tinnitus can be induced by sustained exposure to sounds usually greater than 85 decibels. The average rock concert hits the ears at 110 decibels and has left countless musicians with tinnitus.

"That was some kiss," Freeman said.

Dr. Anil Lalwani, chairman of physiology and neuroscience at NYU Medical Center in Manhattan, who was not involved in Schwartzman's case, said he has never heard of a kiss causing hearing loss.

Many of the cases he has treated, involving extreme sound exposure followed by hearing loss and tinnitus, increasingly have included soldiers who've served in Iraq. Thundering explosives have stolen hearing and left tinnitus as a permanent reminder.

Tinnitus, Lalwani said, is caused by damage to hair cells in the inner ear's cochlea, a shell-shaped structure that transmits sound signals to the brain.

Schwartzman shuns attention drawn by the kiss, arguing strongly against having her picture taken.

"It's not like I won something," she said, referring to a lottery or a prize for a a major discovery.

Numerous doctors whom Schwartzman consulted immediately after the kiss were unable to solve the mystery of what precisely went awry. Scans and a battery of sophisticated tests were conducted. One physician prescribed a potent hormone. No luck.

Then, last year she read a story in Newsday about a hearing expert at Hofstra University who spices his lectures by delivering them in rhythm and rhyme, and thought she would give him a try.

Sherlock Holmes of hearing

Levi Reiter, Hofstra's chairman of audiology, who also has a private practice in Brooklyn, likens his role in Schwartzman's case to that of Sherlock Holmes. He posits the kiss created a suction as would a vacuum cleaner or plunger over a drain.

"It's possible that things will get better as time goes by. Her tinnitus has gotten better; the other ear is just fine," Reiter said. "It could have been a lot worse."

In addition to helping Schwartzman cope with her hearing loss, he has been studying the case over the past year, honing his hypothesis. Reiter believes the suction of the kiss dramatically disturbed the tiny trio of interconnected bones - the hammer, anvil and stirrup. He contends the kiss caused a slight detachment of the stirrup from the muscle and an inflammatory response. Reiter's report will appear in The Hearing Journal later this summer.

When checking with experts nationwide to determine whether others had encountered patients deafened by a kiss, he found only one, a retired professor from the University of Connecticut who knew of a case in the 1950s. A scientific report was never written.

Reiter said Schwartzman lost her ability to perceive sound in what he calls the mid-frequencies. Normal conversation, he said, hits the ears at about 50 to 55 decibels. But her loss covers a large range. She cannot use a telephone on her left ear.

Reiter sees the case as a platform to discuss the etiquette of kissing. "The moral here is very simple," Reiter said, "try not to hurt the one you love."

Mr. Starks

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