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[–] blackguard19 0 points 2 points (+2|-0) ago 

Lol I’ve never heard of it being fatal but getting your ears boxed is definitely extremely annoying and debilitating.

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[–] Splooge [S] ago 

It generates air pressure that has nowhere to go and can rupture your eardrums. Obviously it's exceedingly rare for any opponent to just stand there and let it happen, but it's nevertheless possible.

As far as open hand strikes go, Bas Rutten (the king of liver strikes) has spoken extensively of his preference for them over closed fists. As you can see, applied correctly such strikes can be extremely effective.