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Barosinusitis: Comprehensive review and proposed new classification system.
Reza Vaezeafshar1, Alkis J Psaltis2, Vidya K Rao3
1From the Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California.
Allergy & Rhinology (Providence, R.I.)
|October 27, 2017
Summary
Barosinusitis, or sinus barotrauma, is a condition caused by pressure changes in the paranasal sinuses. This review proposes a new classification of barosinusitis into three subtypes to improve diagnosis and management.
Area of Science:
- Otolaryngology
- Aerospace Medicine
- Diving Medicine
Background:
- Barosinusitis, or sinus barotrauma, results from uncompensated ambient pressure changes in paranasal sinuses.
- It commonly occurs during aviation or diving activities.
- Understanding its pathophysiology and classification is crucial for effective patient care.
Purpose of the Study:
- To conduct a comprehensive literature review on sinus barotrauma.
- To analyze existing literature and clinical experience to propose a refined classification system for barosinusitis.
Main Methods:
- A systematic literature search was performed using terms like "barosinusitis," "sinus barotrauma," and "aerosinusitis."
- Relevant case reports, series, and review articles were included.
- Institutional cases were incorporated to illustrate clinical presentations.
Main Results:
- Fifty-one articles were identified and reviewed.
- A new classification of barosinusitis into three subtypes was proposed: acute isolated, recurrent acute, and chronic.
- Independent treatment recommendations were suggested for each subtype.
Conclusions:
- Barosinusitis is an underdiagnosed condition triggered by pressure shifts in the sinuses.
- Disparate causes contribute to its misdiagnosis.
- The proposed classification may enhance awareness and management strategies for barosinusitis.
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