Reverse Squeeze Maxillary Sinus Barotrauma

Misirovs, Rasads; Mohamad, Shwan

doi:10.1177/0145561319825556

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Patients most commonly present with severe sudden onset pain that is typically unilateral and over the affected sinus. 1,14,16,17 Our review supports this finding. The most common presentation amongst our patients was frontal pain, seen in 37% of patients.…”

Section: Presentationsupporting

confidence: 83%

“…Squeeze occurs during descent, which causes an increase in atmospheric pressure. Typically, the sinus ostia should be open to the nasal 30 1 13 1 1 Misirovs and Mohamad 14 1 27 1 1 Sung et al 18 1 30 1 1 Boston et al 25 9 34 8 1 9 Lachkar et al (2016) 31 1 26 1 Nagatani (2013) 32 1 26 1 1 Sanborn et al (2013) 33 1 81 1 1 Jeong et al 23 1 39 1 20 1 1 Mahabir et al 20 1 68 1 1 Segev et al 24 1 43 1 1 Parell and Becker (2000) 40 2 37.5 2 O'Reilly et al (1996) 42 39 n/a n/a n/a 39 Singletary and Reilly 16 1 25 1 1 Rodenberg 13 1 Skevas et al (2012) 28 Andrews et al (2010) 34 1…”

Section: Discussionmentioning

confidence: 99%

“…Bourolias and Gkotsis (2011) 36 Özturk and Bozkurt (2020) 27 Patel et al (2021) 30 Misirovs and Mohamad 14 Sung et al 18 Boston et al 25 Lachkar et al (2016) 31 1 1 Nagatani (2013) 32 1…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis and Management of Barosinusitis: A Systematic Review

Chen

Pathak²,

Hong

et al. 2022

Ann Otol Rhinol Laryngol

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Objective: To perform a systematic review to investigate the common presenting symptoms of barosinusitis, the incidence of those findings, the methods for diagnosis, as well as the medical and surgical treatment options. Methods: A review of PubMed/MEDLINE, EMBASE, and Cochrane Library for articles published between 1967 and 2020 was conducted with the following search term: aerosinusitis OR “sinus squeeze” OR barosinusitis OR (barotrauma AND sinusitis) OR (barotrauma AND rhinosinusitis). Twenty-seven articles encompassing 232 patients met inclusion criteria and were queried for demographics, etiology, presentation, and medical and surgical treatments. Results: Mean age of patients was 33.3 years, where 21.7% were females and 78.3% were males. Causes of barotrauma include diving (57.3%), airplane descent (26.7%), and general anesthesia (0.4%). The most common presentations were frontal pain (44.0%), epistaxis (25.4%), and maxillary pain (10.3%). Most patients received topical steroids (44.0%), oral steroids (28.4%), decongestants (20.7%), and antibiotics (15.5%). For surgical treatment, most patients received functional endoscopic sinus surgery (FESS) (49.6%). Adjunctive surgeries include middle meatal or maxillary antrostomy (20.7%), septoplasty (15.5%), and turbinate surgery (9.1%). The most efficacious medical treatments are as follows: 63.6% success rate with oral steroids (66 treated), 50.0% success rate with topical steroids (102 treated), and 50.0% success rate analgesics (10 treated). For surgical treatments received by greater than 10% of the sample, the most efficacious was FESS (91.5% success rate, 108 treated). Conclusion: Oral and topical steroids should be first line therapies. If refractory, then functional endoscopic sinus surgery is an effective treatment.

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Section: Presentationsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

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Diagnosis and Management of Barosinusitis: A Systematic Review

Chen

Pathak²,

Hong

et al. 2022

Ann Otol Rhinol Laryngol

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Sinus Barotraumas in Commercial Aircrew

Lindfors¹,

Ketola²,

Klockars³

et al. 2021

aerosp med hum perform

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BACKGROUND: Sinus barotraumas are a common condition in aviation medicine, sometimes compromising flight safety and even permanently grounding aircrew. Considering this and the ever-increasing amount of commercial aviation, a thorough examination is required.METHODS: In this survey study, an anonymous, electronic questionnaire was distributed to commercial aircrew of the three major commercial airlines operating in Finland (N = 3799), covering 93% of the target population (i.e., all commercial aircrew operating in Finland, N = 4083). Primary outcomes were self-reported prevalence, clinical characteristics, and health and occupational effects of sinus barotraumas in flight. Secondary outcomes were adjusted odds ratios (OR) for frequency of sinus barotraumas with respect to possible risk factors.RESULTS: Response rate was 47% (N = 1789/3799), with 61% (N = 1088) of the respondents having experienced sinus barotraumas in flight. Of those affected, 59% had used medications, 18% had undergone surgical procedures, and 53% had been on sick leave due to sinus barotraumas (38% during the last year) in flight. Factors associated with sinus barotraumas were female sex [OR, 2.47; 95% confidence interval (CI) 1.35–4.50] and a high number of upper respiratory tract infections (≥3 vs. <3 URTIs/yr: OR, 3.61; 95% CI 2.65–4.93).CONCLUSION: Sinus barotraumas were reported by 61% of commercial aircrew. They caused an increased need for medications, otorhinolaryngology-related surgical procedures, and sickness absence from flight duty. The possible risk factors were female sex and a high number of URTIs/yr.Lindfors OH, Ketola KS, Klockars TK, Leino TK, Sinkkonen ST. Sinus barotraumas in commercial aircrew. Aerosp Med Hum Perform. 2021; 92(11):857–863.

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Reverse Squeeze Maxillary Sinus Barotrauma

Cited by 2 publications

References 4 publications

Diagnosis and Management of Barosinusitis: A Systematic Review

Diagnosis and Management of Barosinusitis: A Systematic Review

Sinus Barotraumas in Commercial Aircrew

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