Sinus barotrauma

Author(s):  
Carl Edmonds
Keyword(s):  
2006 ◽  
Vol 47 (8) ◽  
pp. 872-874 ◽  
Author(s):  
G. Tryggvason ◽  
B. Briem ◽  
Ó. Guðmundsson ◽  
H. Einarsdóttir

2011 ◽  
Vol 32 (2) ◽  
pp. 159-161 ◽  
Author(s):  
Constantinos Bourolias ◽  
Antonios Gkotsis

1959 ◽  
Vol 68 (1) ◽  
pp. 80-89 ◽  
Author(s):  
Ralph N. Kraus
Keyword(s):  

1976 ◽  
Vol 85 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Paul Fagan ◽  
Bart McKenzie ◽  
Carl Edmonds

Sinus barotrauma is a common occupational disease of divers, with the incidence of descent barotrauma approximately double that of ascent. Pain chronologically associated with the change of pressure is the most dominant symptom and is seen in 92% of the cases presented for treatment. The majority complain of a frontal distribution of pain, with ethmoidal and maxillary being much less significant. Epistaxis is the second commonest symptom, and may be the sole symptom in some ascent cases. A history of recent or past sinus barotrauma or upper respiratory tract pathology is very common. Clinical examination supports the evidence of upper respiratory tract pathology in many cases. The radiological signs of abnormality were present in over three quarters of the cases examined. Of these the maxillary sinus was affected in most cases, the frontal in approximately one quarter and the ethmoidal in less than a fifth. The pathology was more commonly that of mucosal thickening, but in 12% of cases there was a fluid level. It is noted that although symptoms were predominantly frontal, x-ray changes were most often present in the maxillary sinuses.


2011 ◽  
Vol 269 (3) ◽  
pp. 853-860 ◽  
Author(s):  
Theodoros Skevas ◽  
Ingo Baumann ◽  
Thomas Bruckner ◽  
Nick Clifton ◽  
Peter K. Plinkert ◽  
...  

2010 ◽  
Vol 81 (5) ◽  
pp. 514-516 ◽  
Author(s):  
Jamie N. Andrews ◽  
Erik K. Weitzel ◽  
Robert Eller ◽  
Christopher K. McMains

2010 ◽  
Vol 143 (2_suppl) ◽  
pp. P291-P291
Author(s):  
Erik Weitzel

2017 ◽  
Vol 8 (3) ◽  
pp. ar.2017.8.0221 ◽  
Author(s):  
Reza Vaezeafshar ◽  
Alkis J. Psaltis ◽  
Vidya K. Rao ◽  
David Zarabanda ◽  
Zara M. Patel ◽  
...  

Background Barosinusitis, or sinus barotrauma, may arise from changes in ambient pressure that are not compensated by force equalization mechanisms within the paranasal sinuses. Barosinusitis is most commonly seen with barometric changes during flight or diving. Understanding and better classifying the pathophysiology, clinical presentation, and management of barosinusitis are essential to improve patient care. Objectives To perform a comprehensive review of the available literature regarding sinus barotrauma. Methods A comprehensive literature search that used the terms “barosinusitis,” “sinus barotrauma,” and “aerosinusitis” was conducted, and all identified titles were reviewed for relevance to the upper airway and paranasal sinuses. All case reports, series, and review articles that were identified from this search were included. Selected cases of sinus barotrauma from our institution were included to illustrate classic signs and symptoms. Results Fifty-one articles were identified as specifically relevant to, or referencing, barosinusitis and were incorporated into this review. The majority of articles focused on barosinusitis in the context of a single specific etiology rather than independent of etiology. From analysis of all the publications combined with clinical experience, we proposed that barosinusitis seemed to fall within three distinct subtypes: (1) acute, isolated barosinusitis; (2) recurrent acute barosinusitis; and (3) chronic barosinusitis. We introduced this terminology and suggested independent treatment recommendations for each subtype. Conclusion Barosinusitis is a common but potentially overlooked condition that is primed by shifts in the ambient pressure within the paranasal sinuses. The pathophysiology of barosinusitis has disparate causes, which likely contribute to its misdiagnosis and under diagnosis. Available literature compelled our proposed modifications to existing classification schemes, which may allow for improved awareness and management strategies for barosinusitis.


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