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Sinus barotrauma in divers.

P Fagan, B McKenzie, C Edmonds

    The Annals of Otology, Rhinology, and Laryngology
    |January 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Divers frequently experience sinus barotrauma, with pain being the most common symptom. Radiological evidence often shows maxillary sinus abnormalities, despite frontal pain being the predominant complaint.

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    Area of Science:

    • Diving Medicine
    • Occupational Health
    • Otolaryngology

    Background:

    • Sinus barotrauma is a prevalent occupational hazard for divers.
    • Descent barotrauma occurs approximately twice as often as ascent barotrauma.

    Purpose of the Study:

    • To analyze the clinical presentation and radiological findings of sinus barotrauma in divers.
    • To correlate symptoms with objective radiological evidence.

    Main Methods:

    • Review of clinical cases presenting with sinus barotrauma.
    • Analysis of symptom prevalence (pain, epistaxis).
    • Radiological examination (X-ray) to assess sinus abnormalities.

    Main Results:

    • Pain associated with pressure changes is the dominant symptom (92%), often frontal.

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  • Epistaxis is the second most common symptom.
  • Radiological abnormalities were found in over 75% of cases, most frequently in the maxillary sinuses (mucosal thickening or fluid levels).
  • Discrepancy noted between predominantly frontal symptoms and frequent maxillary sinus changes on X-ray.

    • Conclusions:

    • Sinus barotrauma significantly impacts divers, with pain being a key indicator.
    • Maxillary sinuses are most commonly affected radiologically, despite frontal pain being the primary symptom.
    • Understanding this discrepancy is crucial for accurate diagnosis and management of diving-related sinus injuries.