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Middle ear pressure and symptoms after skydiving
Scott Gutovitz1, Kurt Weber, Stacey Kaciuban
1Department of Emergency Medicine Orlando Regional Healthcare, Orlando, FL 32806, USA. scott.gutovitz@orhs.org
Aviation, Space, and Environmental Medicine
|May 27, 2008
Summary
Skydiving descent causes negative middle ear pressure. While successful equalization impacts pressure changes, the extent of pressure change did not correlate with reported ear symptoms in skydivers.
Area of Science:
- Aerospace Medicine
- Otolaryngology
- Sports Medicine
Background:
- Altitude-related otic barotrauma is documented in aviation and diving.
- Its occurrence and severity in skydiving remain under-investigated.
- Potential links to skydiving accidents are unknown.
Purpose of the Study:
- To assess the impact of altitude changes on middle ear pressure in skydivers.
- To compare pressure changes in skydivers with and without otic symptoms.
- To evaluate the effect of equalization attempts on middle ear pressure.
Main Methods:
- Prospective observational cohort study.
- Middle ear pressures measured using a tympanometer in 69 skydivers.
- Measurements taken before and after skydiving descents.
Main Results:
- Significant negative middle ear pressure shift observed post-skydive (from -23.5 daPa to -70.5 daPa).
- No significant difference in pressure change between skydivers with and without symptoms.
- Successful equalization after jumping significantly influenced post-jump ear pressure.
Conclusions:
- Rapid skydiving descents induce negative middle ear pressure.
- Equalization technique significantly affects post-jump ear pressure.
- Middle ear pressure changes in skydiving are not directly associated with symptom development.
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