Presentation
It is noted that although symptoms were predominantly frontal, x-ray changes were most often present in the maxillary sinuses. [ncbi.nlm.nih.gov]
Entire Body System
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Mucosal Edema
The results of plain radiography are normal, and only slight mucosal edema may be present. With grade 2, pain is present and lasts 24 hr and is always the result of the squeeze. [ajnr.org]
Figure C A blocked sinus ostium during a flight descent causes a relative negative intrasinusal pressure, resulting in mucosal edema, hemorrhage, or transudation of serosanguinous fluid to compensate for the decreased volume. [jbsr.be]
The usual finding is mucosal edema, which can range from slight thickening to total opacification of one or more sinuses. There may be air-fluid (i.e., blood) levels. [medigoo.com]
On MR images, air and bone are black, and it is easy to distinguish air or bone from mucosal edema or hemorrhage. MRI can also be used to investigate the abnormalities of sinuses. [journals.plos.org]
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Recent Upper Respiratory Infection
Half of the patients present a recent upper respiratory infection or symptoms referable to nasal disease. [nasodren.com]
Cardiovascular
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Jugular Venous Distention
There is frequently jugular venous distention with associated decreased cardiac output and hypotension. There is marked tachypnea or shortness of breath with shallow respiration. [divinghbo.com]
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Abnormal Pulse
Pulse oximetry –Your doctor will use this instrument to measure the level of oxygen in your blood. This is a simple device that clips on the finger to measure the oxygen level. [knowyourdisease.com]
Skin
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Dry Skin
Belladonna is best for ear pain with a less sudden onset but with hot and dry skin. A... Effect of high-frequency jet ventilation on oxygenation during one-lung ventilation in patients undergoing thoracic aneurysm surgery. [connection.ebscohost.com]
Eyes
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Blurred Vision
The patient reported severe sudden onset blurred vision in the right eye associated with a mild headache and epistaxis on surfacing from diving. The patient had her first medical review the day after returning from her trip. [ncbi.nlm.nih.gov]
Neurologic
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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. [ncbi.nlm.nih.gov]
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
X-Ray
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Sinus Opacification
Comparable with the findings described above, these include mucosal thickening, fluid levels, polypoid masses, and complete sinus opacification. [ajnr.org]
opacification, and an air-fluid level. [journals.plos.org]
Other Pathologies
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Pancreatic Necrosis
Malcontenti-Wilson, Caterina; Muralidharan, Vijayaragavan; Millar, Ian; Christophi, Christopher // Journal of Gastrointestinal Surgery;Aug2007, Vol. 11 Issue 8, p1008 Severe acute pancreatitis is characterized by pancreatic necrosis, resulting in local [connection.ebscohost.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]
Prognosis
The condition of consciousness may be a risk factor for cognitive sequelae, which may affects the prognosis of CO-poisoning [37]. [journals.plos.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]
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]
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]
[…] 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]
Epidemiology
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]
Otology 464 Downloads 28 Citations Abstract The pathophysiology, differential diagnosis, and currently available management of barotrauma affecting the ears and sinuses after scuba diving are reviewed, along with medical standards for resuming scuba diving [link.springer.com]
Related Articles Update on Middle Ear Barotrauma after Hyperbaric Oxygen Therapy--Insights on Pathophysiology. [connection.ebscohost.com]
Aerosinusitis: pathophysiology, prophylaxis, and management in passengers and aircrew. [verywellhealth.com]
Prevention
Prevention Obviously, it's best to be aware of the potential for barotrauma and avoid it all together, if possible. [verywellhealth.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]
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]