Pneumolabyrinth is a rare condition in which air is present in the inner ear due to abnormal pathways between the middle and inner ear. Case reports of Traumatic pneumolabyrinth is increasing due to the advancement of computed tomography(CT). But the Prognosis of Traumatic Pneumolabyrinth is not clarified yet and needs further investigation. We reviewed 149 cases of head trauma Patients who underwent temporal bone CT in our emergency department from 2010 to 2014.10 . A total of 5 patients had pneumolabyrinth. 2 cases were excluded because of insufficient data. 3 patients showed traumatic pneumolabyrinth with symptoms of dizziness and hearing loss. Review of charts was done according to Multiple factors: Temporal bone fracture, otic capsule involvement, location of air bubble, symptom improvement. Dizziness which is related to the air bubble in the vestibule showed improvement in all 3 cases. While hearing loss followed by air bubble in the cochlea did not show improvement. No correlation was found between Symptom improvement and otic capsule involvement. Location of the air bubble appears to be the key factor for predicting the prognosis of traumatic pneumolabyrinth.