Objective: to summarize neurological and audiovestibular consequences of blast injury, emphasizing sensorineural hearing loss and interdisciplinary clinical management. Materials and methods. A structured narrative review covered international publications dated 2021, through April 2026. Accessible PubMed/MEDLINE, PubMed Central, Europe PMC and Cochrane Library records, alongside official publisher materials, were examined. Blast-specific and acoustic-trauma studies were distinguished from indirect evidence on idiopathic sudden sensorineural hearing loss and preclinical research. Results. Blast exposure may affect sound-conducting structures, the cochlea, vestibular organs and central auditory networks simultaneously. Normal conventional audiometry or structural neuroimaging does not exclude functional impairment. Early differentiation of hearing-loss type, speech understanding assessment and neurological and vestibular examination are essential. Evidence supporting systemic corticosteroids after acute acoustic trauma remains inconsistent. Recovery proportions from observational cohorts do not establish treatment efficacy. Intratympanic corticosteroid and hyperbaric oxygen findings in idiopathic sudden hearing loss cannot be directly generalized to blast injury. Rehabilitation should address communication, balance, tinnitus-related distress and associated post-traumatic symptoms. Conclusions. Early interdisciplinary assessment and repeated functional evaluation are warranted. Treatment decisions require individualized benefit-risk assessment and explicit separation of direct clinical evidence, extrapolation and experimental interventions.