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[Aerosinusitis (author's transl)].

W Mann, C Beck

    Archives of Oto-Rhino-Laryngology
    |November 15, 1976
    PubMed
    Summary
    This summary is machine-generated.

    This study differentiates obstructive and nonobstructive aerosinusitis, finding that vasoconstrictors can prevent further sinus inflammation and improve pressure tolerance in patients with obstructive sinus disease.

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    Area of Science:

    • Otolaryngology
    • Pathology

    Background:

    • Aerosinusitis, inflammation of the sinuses due to barotrauma, presents in obstructive and nonobstructive forms.
    • Pathological changes and treatment strategies require further elucidation.

    Observation:

    • Two cases demonstrate successful endoscopic removal of submucous sinus hematomas.
    • Nonobstructive aerosinusitis may stem from highly viscous paranasal secretions.
    • Obstructive sinus disease in 71 patients showed aerosinusitis following negative sinus pressures of 66 mm Hg (frontal) and 35 mm Hg (maxillary).

    Findings:

    • Intranasal vasoconstrictors may prevent additional aerosinusitis in obstructive sinus disease.
    • Prophylactic intranasal application of a vasoconstrictive and antiexsudative solution increased negative pressure tolerance by 47-57 mm Hg.

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    Implications:

    • Distinguishing between obstructive and nonobstructive aerosinusitis is crucial for appropriate management.
    • Endoscopic sinus surgery can be effective for specific pathologies like submucous hematomas.
    • Pharmacological prophylaxis with vasoconstrictors offers a potential strategy to mitigate barotrauma in obstructive sinus conditions.