Sphenoid sinus barotrauma after scuba diving

Jeong, Jin Hyeok; Kim, Kuk; Cho, Seok Hyun; Kim, Kyung Rae

doi:10.1016/j.amjoto.2011.10.017

Cited by 8 publications

(11 citation statements)

References 6 publications

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“… 24 – 26 From the literature, acute barosinusitis involves a single sinus, with the frontal sinus most commonly affected (68–100% in different series), 6 , 24 followed by maxillary 9 , 27 and sphenoid sinuses. 28 – 30 This is most likely explained by the narrow dimensions of the frontal ostium and recess, and also the thin-walled frontoethmoid type III/IV air cells that commonly partially obstruct the frontal sinus outflow tract ( Fig. 2 ).…”

Section: Clinical Presentations and A Proposed Classification System mentioning

confidence: 99%

“…In isolated acute sphenoid barosinusitis, discomfort has been reported to be periorbital or temporo-occipital. 28 , 29 Although pain is typically reported as sharp in nature, a dull headache-type pain has also been described. It is possible that this common presentation may indeed represent an “airplane headache,” a phenomenon recently described in the neurologic literature, in which patients experience a frontal and/or medial supraorbital headache that lasts <30 minutes during flight, without clinical or radiologic abnormality.…”

Section: Clinical Presentations and A Proposed Classification System mentioning

confidence: 99%

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Barosinusitis: Comprehensive Review and Proposed New Classification System

Vaezeafshar

Psaltis

Rao

et al. 2017

Allergy�Rhinol (Providence)

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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 underdiagnosis. 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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Section: Clinical Presentations and A Proposed Classification System mentioning

confidence: 99%

Section: Clinical Presentations and A Proposed Classification System mentioning

confidence: 99%

Barosinusitis: Comprehensive Review and Proposed New Classification System

Vaezeafshar

Psaltis

Rao

et al. 2017

Allergy�Rhinol (Providence)

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“…All of the participants had experienced a history of paralysis (Table 3, quote 15). The effects of diving using a compressor were joint pain, hearing loss, and paralysis (Table 3, quote [16][17]. The participants experienced disability and trauma after losing their ability to walk ( Table 3, quote 18).…”

Section: Impact Of Occupational Health and Safety Behaviourmentioning

confidence: 99%

“…This was related to the characteristics of the participants in the form of spending a long time becoming a traditional diver. The time from becoming diver can determine the length of a person's exposure to the risk factors [3,17]. The longer a person works as a diver, the more they are exposed to a hyperbaric environment which can cause health problems such as paralysis [18].…”

Section: Impact Of Occupational Health and Safety Behaviourmentioning

confidence: 99%

Safety behaviour and healthy diving: a qualitative study in the traditional diverse fishermen

Kusnanto

Wabula

Purwanto

et al. 2020

International Maritime Health

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Background: Traditional divers from the Maluku Province of Indonesia have not received formal education and training related to standard diving tools. They only become accomplished at diving generation by generation. The use of non-standard diving tools increases the risk of injury and illness. This study aimed to get an overview of the health and safety behaviours of traditional divers. Materials and methods: The study was qualitative, involving 15 traditional divers who used compressors for at least 1 year and who'd had decompression sickness and barotrauma as a result of diving. The data was obtained through in-depth interviews, analysed through the Colaizzi method. Results: The participants' diving health and safety behaviour is triggered by the perception of the risk of diving. This is supported by the reinforcing social and environmental factors leading to the form of health and safety behaviour when diving. These behaviours include diving without planning, using a compressor, and making "sesajen" (kind of food, leaves, and water that are believed to be a form of surrender to the creator) which is an offering or present to the gods or ancestors. This behaviour causes complaints such as trauma and an increased economic burden. Some participants consider complaints as a threat and plan to stop diving. The participants made a plan before dive and declared that they would change their behaviour to ensure safety. Conclusions: Health and safety behaviour related to diving must be socialised and facilitated. The establishment of a divers' community that cares about health and safety behaviour needs to become important as a support system.

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“…On the other hand it has been claimed recently, that sphenoid sinus barotrauma may be underreported and misdiagnosed [32], and limitation of local ventilation may be overlooked. After sphenoid sinus barotrauma sinusitis and abscess formation [33], intrasellar air collection [34] and even subarachnoid pneumatocephalus with severe persistent neurological deficit [35] have been reported. The latter two cases showed spontaneous bony defects of the sphenoidal wall, which may be equivalent to the postoperative state after TSS in many cases.…”

Section: Divingmentioning

confidence: 99%