Presentation
Emergency physicians should strongly consider a diagnosis of sinus barotrauma in patients who present with symptoms of sinusitis and a history of recent flight. [ncbi.nlm.nih.gov]
With grade 1, transient discomfort is present over the affected sinus and clears promptly. The results of plain radiography are normal, and only slight mucosal edema may be present. [ajnr.org]
Neurologic
- Cranial Nerve Involvement
Existing reports of a similar nature are reviewed and the pathogenesis of cranial nerve involvement in barotrauma is discussed. Guidelines for treatment are suggested. [cambridge.org]
Maxillary sinus barotrauma with fifth cranial nerve involvement. J Laryngol Otol 1991; 105:217–219. 7. Campbell PA. Aerosinusitis: its causes, course and treatment. Ann Otol 1944; 53:291–301. 8. Flottes L. [nasodren.com]
Murrison AW, Smith DJ, Francis TJ, Counter RT (1991) Maxillary sinus barotrauma with fifth cranial nerve involvement. J Laryngol Otol 105(3):217–219 PubMed CrossRef Google Scholar 21. [link.springer.com]
Workup
With more severe sinus barotrauma, the patient notes the following possibly incapacitating signs and symptoms: Sudden onset of typically severe and sharp pain and pressure - Pain is typically in the forehead, midface, or retro-orbital area Epistaxis Workup [emedicine.medscape.com]
Treatment
Before treatment, divers who required surgery reported significantly more symptoms than divers who were treated conservatively. Post treatment there were no significant differences between the medical and surgical group. [ncbi.nlm.nih.gov]
Guidelines for treatment are suggested. Type Clinical Records Copyright Copyright © JLO (1984) Limited 1991 References Campbell, P. A. (1944) Aerosinusitis—Its cause, course and treatment. [cambridge.org]
Conservative treatment with oral decongestants and analgesics resulted in satisfactory symptom relief. [jbsr.be]
This treatment has shown good results in aviators who have recurrent sinus barotrauma. [en.wikipedia.org]
Prognosis
T1: submucosal hemorrhage, hyperintensity T1 C+ (Gd): submucosal hemorrhage, without enhancement T2: submucosal hemorrhage, hyperintensity Treatment and prognosis Most sinus barotrauma injuries are self-limiting and resolve spontaneously within a few [radiopaedia.org]
Prognosis All but the acute invasive form carry a good prognosis once the diagnosis is made and treatment completed. Fulminant fungal sinusitis is associated with a 50% mortality rate, even with aggressive surgical and medical treatment. [patient.info]
Outlook (Prognosis) Barotrauma is usually noncancerous ( benign ) and responds to self-care. Hearing loss is almost always temporary. When to Contact a Medical Professional Try home care measures first. [mountsinai.org]
The condition of consciousness may be a risk factor for cognitive sequelae, which may affects the prognosis of CO-poisoning [37]. [journals.plos.org]
Etiology
This case illustrates a potential confusion between a decompression sickness etiology and a barotraumatic etiology for the observed sensory deficit. [ncbi.nlm.nih.gov]
Acute sinusitis is usually initiated by an acute respiratory tract infection of viral etiology. 急性鼻窦炎常常是由病毒性病因的急性呼吸道感染而发生。 [hujiang.com]
Etiology hyperbaric oxygen therapy submarine decompression prolonged high-altitude exposure vigorous Valsalva maneuver nasal blowing The pathophysiological mechanism of the condition is explained by Boyle-Mariotte's law, which postulates that "if the [radiopaedia.org]
[…] easily diagnosed when presented to physicians immediately after exposure.[2][3] On the other hand, the problem may remain undiagnosed when the history fails to relate the symptoms to exposure to environmental pressure changes or if the focus is on other etiologies [en.wikipedia.org]
On the other hand, the problem may remain undiagnosed when the history fails to relate the symptoms to exposure to environmental pressure changes or if the focus is on other etiologies. [medigoo.com]
Epidemiology
Epidemiology Frequency United States Prevalence is approximately 3-4 episodes per 100,000 exposures in a generally healthy population. [emedicine.medscape.com]
Epidemiology Although this is less common than acute sinusitis, it remains a reasonably common entity in itself, accounting for about 25 cases per 10,000 person-years in an average UK GP practice [ 2 ]. [patient.info]
Pathophysiology
The pathophysiology and treatment of frontal sinus barotrauma are reviewed. Emergency physicians should strongly consider a diagnosis of sinus barotrauma in patients who present with symptoms of sinusitis and a history of recent flight. [ncbi.nlm.nih.gov]
In 1942, during World War Two, Campbell described the mechanism of the pathophysiology of barotrauma 1,2,4. [radiopaedia.org]
The pathophysiology of sinus barotraumas is related to Boyle-Mariotte’s law. It postulates the absolute pressure of an ideal gas being inversely proportional to the volume it occupies if the temperature remains unchanged within a closed system [2]. [jbsr.be]
Prevention
Prevention To prevent yourself from experiencing an uncomfortable vacation this summer try taking precautions before you travel to your favorite vacation spot. [share.upmc.com]
Prevention Obviously, it's best to be aware of the potential for barotrauma and avoid it all together, if possible. [ent.about.com]
Prevention There are a number of measures that you should be familiar with in order to prevent the condition including refraining from diving or travelling by plane when having an infection involving the upper respiratory tract or even severe congestion [firstaidcprmississauga.ca]