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Sinus Barotraumas in Commercial Aircrew.

Oskari H Lindfors, Kimmo S Ketola, Tuomas K Klockars

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    |November 25, 2021
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    Sinus barotraumas affect 61% of commercial aircrew, leading to increased medical needs and sick leave. Female sex and frequent upper respiratory tract infections are identified risk factors for this aviation medicine concern.

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    Area of Science:

    • Aviation Medicine
    • Otolaryngology
    • Occupational Health

    Background:

    • Sinus barotraumas pose a significant risk to flight safety and aircrew careers.
    • The increasing volume of commercial aviation necessitates a comprehensive understanding of sinus barotraumas.

    Purpose of the Study:

    • To determine the prevalence of sinus barotraumas in commercial aircrew.
    • To investigate the clinical characteristics, health, and occupational effects of sinus barotraumas.
    • To identify risk factors associated with sinus barotrauma occurrence.

    Main Methods:

    • A survey study utilizing an anonymous electronic questionnaire distributed to commercial aircrew in Finland.
    • The survey covered a substantial portion of the target population, achieving a 47% response rate.
    • Data analysis included calculating prevalence and odds ratios for risk factors.

    Main Results:

    • 61% of surveyed aircrew reported experiencing sinus barotraumas during flight.
    • Affected individuals frequently required medication (59%), surgical procedures (18%), and sick leave (53%).
    • Female sex and a high frequency of upper respiratory tract infections were significantly associated with increased risk.

    Conclusions:

    • Sinus barotraumas are highly prevalent among commercial aircrew, impacting their health and ability to fly.
    • The condition necessitates medical interventions and leads to significant sickness absence.
    • Identifying female sex and frequent URTI as risk factors aids in targeted prevention strategies.