2011
DOI: 10.1007/s00405-011-1742-4
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Medical and surgical treatment in divers with chronic rhinosinusitis and paranasal sinus barotrauma

Abstract: Aim of the study is to evaluate the effects of medical and surgical treatment in divers with paranasal sinus barotrauma (PSB) secondary to chronic rhinosinusitis (CRS). In this retrospective, cross-sectional, descriptive study 40 adult divers with CRS were included. Treatment of divers implied a 5-day course of a systemic steroid and a 6-week course of saline nasal irrigations and topical nasal steroid with mometasone in maximal dosage. If symptoms persisted, functional endoscopic sinus surgery (FESS) was perf… Show more

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Cited by 15 publications
(9 citation statements)
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“…In the literature on diving, one proposed regimen described a 6-week course of saline solution rinses and fluticasone topical steroid spray plus a 5-day course of 100 mg prednisone. 40 , 43 A 1-month course of antibiotics has also been suggested for active-duty pilots. 19 For pilots, complete resolution of symptoms after medical therapy may warrant an altitude chamber and/or pressure test.…”
Section: Management Options For Barosinusitismentioning
confidence: 99%
See 1 more Smart Citation
“…In the literature on diving, one proposed regimen described a 6-week course of saline solution rinses and fluticasone topical steroid spray plus a 5-day course of 100 mg prednisone. 40 , 43 A 1-month course of antibiotics has also been suggested for active-duty pilots. 19 For pilots, complete resolution of symptoms after medical therapy may warrant an altitude chamber and/or pressure test.…”
Section: Management Options For Barosinusitismentioning
confidence: 99%
“…Recurrent symptoms should prompt CT or MRI imaging, and sinus surgery may be required. Although a recent study indicated that 49% of divers with chronic rhinosinusitis responded well to medical therapy and could return to diving duties, 43 there is no consensus among researchers regarding success rates for medical therapy of chronic barosinusitis.…”
Section: Management Options For Barosinusitismentioning
confidence: 99%
“…Squeeze occurs during descent, which causes an increase in atmospheric pressure. Typically, the sinus ostia should be open to the nasal 30 1 13 1 1 Misirovs and Mohamad 14 1 27 1 1 Sung et al 18 1 30 1 1 Boston et al 25 9 34 8 1 9 Lachkar et al (2016) 31 1 26 1 Nagatani (2013) 32 1 26 1 1 Sanborn et al (2013) 33 1 81 1 1 Jeong et al 23 1 39 1 20 1 1 Mahabir et al 20 1 68 1 1 Segev et al 24 1 43 1 1 Parell and Becker (2000) 40 2 37.5 2 O'Reilly et al (1996) 42 39 n/a n/a n/a 39 Singletary and Reilly 16 1 25 1 1 Rodenberg 13 1 Skevas et al (2012) 28 Andrews et al (2010) 34 1…”
Section: Discussionmentioning
confidence: 99%
“…8. Sinus barotrauma (Skevas et al, 2012) 9. Visionary changes, causing nearsightedness, or myopia -Hyperoxic Myopia (Nichols and Lambertsen, 1969;McMonnies, 2015) 10.…”
Section: Implications Of Hbot For the Treatment Of Covid-19 Patientsmentioning
confidence: 99%
“…Elevation of systolic and diastolic blood pressure in both hypertensive and nonhypertensive patients (Al-Waili et al, 2006) 12. Dental barotrauma (Skevas et al, 2012;Stoetzer et al, 2012) 13 are the most commonly used modes of oxygen delivery in such patients. However, these methods at times fail to restore the depleting oxygen levels back to normal.…”
Section: Implications Of Hbot For the Treatment Of Covid-19 Patientsmentioning
confidence: 99%