Sinusitis in Pilots of Different Aircraft Types: Is Allergic Rhinitis a Predisposing Factor?

Ulanovski, David; Barenboim, Erez; Raveh, Eyal; Grossman, Alon; Azaria, Bella; Shpitzer, Thomas

doi:10.2500/ajr.2008.22.3158

Cited by 17 publications

(10 citation statements)

References 13 publications

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“…Estimates of prevalence range from 34% in divers, 13 to 19.5–25% in pilots. 14 , 15 Concurrent sinonasal inflammation ( e.g. , allergic rhinitis) further increases the prevalence of barosinusitis in pilots, with rates reported as high as 55% in commercial pilots and 34% in high-performance fighter pilots.…”

Section: Prevalence and Incidence Of Sinus Barotraumamentioning

confidence: 99%

“…Estimates of prevalence range from 34% in divers, 13 to 19.5-25% in pilots. 14,15 Concurrent sinonasal inflammation (e.g., allergic rhinitis) further increases the prevalence of barosinusitis in pilots, with rates reported as high as 55% in commercial pilots and 34% in high-performance fighter pilots. 15 Although the incidence of barosinusitis in divers has been reported up to 26%, 16 this value is unknown in pilots due to a dearth of reliable studies in this patient cohort.…”

Section: Prevalence and Incidence Of Sinus Barotraumamentioning

confidence: 99%

“…14,15 Concurrent sinonasal inflammation (e.g., allergic rhinitis) further increases the prevalence of barosinusitis in pilots, with rates reported as high as 55% in commercial pilots and 34% in high-performance fighter pilots. 15 Although the incidence of barosinusitis in divers has been reported up to 26%, 16 this value is unknown in pilots due to a dearth of reliable studies in this patient cohort. The incidence and prevalence from rare causes are equally difficult to assess; however, prevalence of sinus barotrauma in patients who undergo hyperbaric oxygen exposure is reported to be around 3%.…”

Section: Prevalence and Incidence Of Sinus Barotraumamentioning

confidence: 99%

See 2 more Smart Citations

Barosinusitis: Comprehensive Review and Proposed New Classification System

Vaezeafshar

Psaltis

Rao

et al. 2017

Allergy�Rhinol (Providence)

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Background:Barosinusitis, or sinus barotrauma, may arise from changes in ambient pressure that are not compensated by force equalization mechanisms within the paranasal sinuses. Barosinusitis is most commonly seen with barometric changes during flight or diving. Understanding and better classifying the pathophysiology, clinical presentation, and management of barosinusitis are essential to improve patient care.Objectives:To perform a comprehensive review of the available literature regarding sinus barotrauma.Methods:A comprehensive literature search that used the terms “barosinusitis,” “sinus barotrauma,” and “aerosinusitis” was conducted, and all identified titles were reviewed for relevance to the upper airway and paranasal sinuses. All case reports, series, and review articles that were identified from this search were included. Selected cases of sinus barotrauma from our institution were included to illustrate classic signs and symptoms.Results:Fifty-one articles were identified as specifically relevant to, or referencing, barosinusitis and were incorporated into this review. The majority of articles focused on barosinusitis in the context of a single specific etiology rather than independent of etiology. From analysis of all the publications combined with clinical experience, we proposed that barosinusitis seemed to fall within three distinct subtypes: (1) acute, isolated barosinusitis; (2) recurrent acute barosinusitis; and (3) chronic barosinusitis. We introduced this terminology and suggested independent treatment recommendations for each subtype.Conclusion:Barosinusitis is a common but potentially overlooked condition that is primed by shifts in the ambient pressure within the paranasal sinuses. The pathophysiology of barosinusitis has disparate causes, which likely contribute to its misdiagnosis and underdiagnosis. Available literature compelled our proposed modifications to existing classification schemes, which may allow for improved awareness and management strategies for barosinusitis.

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Section: Prevalence and Incidence Of Sinus Barotraumamentioning

confidence: 99%

Section: Prevalence and Incidence Of Sinus Barotraumamentioning

confidence: 99%

Section: Prevalence and Incidence Of Sinus Barotraumamentioning

confidence: 99%

See 1 more Smart Citation

Barosinusitis: Comprehensive Review and Proposed New Classification System

Vaezeafshar

Psaltis

Rao

et al. 2017

Allergy�Rhinol (Providence)

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“…A study on morbidity among pilots from New Zealand reported that pilots have a lower prevalence of asthma (4.2%) as compared to the general population (9.6%) in New Zealand [ 10 ]. Allergic rhinitis is a common disease among pilots, which can increase the risk for acute sinusitis [ 11 ]. Air recirculation has been suggested as a risk factor for airway infections in aircraft, but one study found the same prevalence of airway infections among pilots on flight with cabin air re-circulation (10.6%) and without cabin air re-circulation (10.1%) [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Respiratory Illness and Allergy Related to Work and Home Environment among Commercial Pilots

Lindgren

Wieslander

et al. 2016

PLoS ONE

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The aim was to study associations between work and home environment and prevalence and incidence of respiratory health and a history of atopy in a 3-y cohort of commercial pilots. A questionnaire was mailed in 1997 to all pilots in a Scandinavian airline company (N = 622); 577 (93%) participated. The same questionnaire was sent to the participants 3 years later, 436 participated (76%). There were questions on asthma, respiratory symptoms and infections, allergies, the cabin environment, psychosocial environment and the home environment. Associations were analyzed by multiple logistic regression, calculating odds ratios (OR) with 95% confidence intervals (95%CI). The incidence of doctors’ diagnosed asthma and atopy were 2.4 and 16.6 per 1000 person years, respectively. Pilots changing type of flight during follow-up got more airway infections (OR = 11.27; 95% CI 2.39–53.14). Those reporting decreased work control (OR = 1.85; 95% CI 1.03–3.31 for 1 unit change) and those with environmental tobacco smoke (ETS) at home (OR = 3.73; 95% CI 1.09–12.83) had a higher incidence of atopy during follow up. Dampness or mould at home was associated with a higher prevalence of asthma symptoms (OR = 3.55; 95% CI 1.43–8.82) and airway infections (OR = 3.12 95% CI 1.27–7.68). Window pane condensation in winter at home, reported at baseline, was associated with increased incidence of asthma symptoms (OR = 4.14; 95% CI 1.32–12.97) and pilots living in newer buildings at baseline had a higher incidence of airway infections (OR = 5.23; 95% CI 1.43–19.10). In conclusion, lack of work control and ETS at home can be a risk factors for development of allergic symptoms in pilots. Window pane condensation at home can be a risk factor for incidence of asthma symptoms. Dampness and mould at home can be a risk factor for prevalence of asthma symptoms and airway infections and living in newer buildings can be a risk factor for incidence of airway infections.

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“…Estudos anteriores de 2008 já observaram uma predisposição de sinusopatia em pilotos com rinite alérgica quando comparado ao grupo-controle 144 , observando-se que, em pilotos de transporte, a incidência de sinusopatia aguda foi discretamente maior quando comparado aos pilotos de caça e aos pilotos de helicóptero, sendo que algumas das possíveis causas atribuídas seriam alteração da pressão de cabine e altitude de voo 144 . Estudo prévio realizado com pilotos de caça e helicóptero na China demonstrou que a incidência de sinusite crônica sem sintomas e cistos de seio nasal é alta em pilotos, sendo que a sinusite crônica é mais prevalente em pilotos de helicóptero quando comparados a pilotos de caça, observando-se que as mudanças da pressão atmosférica podem estar relacionadas a esses achados 145 .…”

Section: Alterações Inflamatórias Dos Seios Paranasaisunclassified

Alterações tomográficas dos seios paranasais em pilotos de caça por meio de imagens tomográficas

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Sinusitis in Pilots of Different Aircraft Types: Is Allergic Rhinitis a Predisposing Factor?

Cited by 17 publications

References 13 publications

Barosinusitis: Comprehensive Review and Proposed New Classification System

Barosinusitis: Comprehensive Review and Proposed New Classification System

Respiratory Illness and Allergy Related to Work and Home Environment among Commercial Pilots

Alterações tomográficas dos seios paranasais em pilotos de caça por meio de imagens tomográficas

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