Brief Answer: No proven relation of increased Acoustic trauma Detailed Answer: Hello XXXXXXX Thanks for writing to HCM, Enlarged tonsils can cause poor movement of Eustachian tube (a tube which opens at the back of the nose and connects to middle part of ear.). Because of the poor movement of this tube opening there can be fluid collection in the middle part of ear which is called as Serous Otitis media. Stones in tonsils by themselves can not cause any problem to the ears other than tonsillar enlargement. And that can cause conductive hearing loss not nerve deafness. There should not be increased chances of loud noise trauma or Acoustic trauma in ears with conductive hearing loss .(which occurs because of enlarged tonsils as explained) . By logical thinking we can say that the people with prior conductive hearing loss which you might have had, should be more protected than others from injury due to Acoustic trauma. There is published paper in Paediatrics journal about hearing defects in children who use personal stereos, i do not remember the name of journal, regarding your query ,and that says that there is no increased risk of acoustic trauma in people with Serous otitis media. For Acoustic trauma ,you should consult your ENT specialist and get hearing test done , if you have a nerve deafness in that or tinnitus then you need to take a course of oral steroid medicines . In addition there are good results of Cognitive enhancers (like Complamina retard, Pentoxyfylline) and drugs which increase microcirculation in the cochlea or the inner ear (like Betahistine). Precautions need to be taken are--- Avoid exposure to loud noise , Avoid Smoking, or smokeless tobacco. Eat fruits . I hope you understand the explaination . In doubt do reply.

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