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Acute frontal sinus barotrauma.

E M Singletary1, J F Reilly

  • 1Department of Emergency Medicine, Brooke Army Medical Center, Ft Sam Houston, TX.

The American Journal of Emergency Medicine
|July 11, 1990
PubMed
Summary
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A pilot experienced sudden frontal sinus pain during airplane descent, developing a submucosal hematoma. Prompt treatment with decongestants and anti-inflammatories led to rapid symptom resolution.

Area of Science:

  • Otolaryngology
  • Aerospace Medicine
  • Radiology

Background:

  • Barotrauma can affect sinus cavities, particularly during rapid atmospheric pressure changes.
  • Frontal sinus barotrauma is a recognized, though uncommon, complication of air travel.
  • Understanding the pathophysiology of sinus barotrauma is crucial for diagnosis and management.

Observation:

  • A 25-year-old male pilot presented with acute frontal sinus pain during commercial flight descent.
  • No preceding history of upper respiratory infection, sinusitis, or allergic rhinitis was reported.
  • Radiographic imaging revealed a submucosal hematoma in the left frontal sinus.

Findings:

  • The patient's symptoms, including severe frontal sinus pain, resolved within 24 hours.

Related Experiment Videos

  • Treatment involved systemic and topical decongestants/vasoconstrictors and a nonsteroidal anti-inflammatory drug.
  • The patient remained asymptomatic one week post-event, indicating successful management.

    • Implications:

    • This case highlights the potential for acute frontal sinus barotrauma in air travel.
    • Prompt medical intervention with decongestants and anti-inflammatories can effectively manage sinus barotrauma.
    • Further research may elucidate preventative strategies for pilots and frequent flyers experiencing sinus barotrauma.