Tryggvason G, Briem B, Guomundsson O, Einarsdottir H (2006) Sphenoid sinus barotrauma with intracranial air in sella turcica after diving. Goldmann RW (1986) Pneumocephalus as a consequence of barotrauma. Parell GJ, Becker GD (2000) Neurological consequences of scuba diving with chronic sinusitis. Garges LM (1985) Maxillary sinus barotrauma–case report and review. Uzun C (2009) Paranasal sinus barotrauma in sports self-contained underwater breathing apparatus divers. Ann Otol Rhinol Laryngol 85(1 Pt 1):61–64īecker GD, Parell GJ (2001) Barotrauma of the ears and sinuses after scuba diving. Butterworth-Heinemann, Oxfordįagan P, McKenzie B, Edmonds C (1976) Sinus barotrauma in divers. doi: 10.1016/j.amjoto.2009.10.005Įdmonds C, Lowry C, Pennefather J (eds) (1998) Diving and subaquatic medicine. doi: 10.1007/s0010-9īourolias C, Gkotsis A (2009) Sphenoid sinus barotrauma after free diving. Otolaryngol Head Neck Surg 126(1):41–47 S0194599802759597īaumann I, Plinkert PK, De Maddalena H (2008) Development of a grading scale for the Sino-Nasal Outcome Test-20 German Adapted Version (SNOT-20 GAV). ![]() Piccirillo JF, Merritt MG Jr, Richards ML (2002) Psychometric and clinimetric validity of the 20-Item Sino-Nasal Outcome Test (SNOT-20). Concept, indications and results of the Messerklinger technique. Stammberger H, Posawetz W (1990) Functional endoscopic sinus surgery. ![]() doi: 10.1007/s0010-4įokkens W, Lund V, Mullol J (2007) European position paper on rhinosinusitis and nasal polyps 2007. Gonnermann A, Dreyhaupt J, Praetorius M, Baumann I, Plinkert PK, Klingmann C (2008) Otorhinolaryngologic disorders in association with scuba diving. Strutz J (1993) Otorhinolaryngologic aspects of diving sports. doi: 10.1007/s0010-0Īllensbacher Markt- und Werbeträgeranalyse, Allensbach demoscopic institute, AWA 2008, vol 1. Divers with sinus problems can successfully be managed medically and if conservative treatment fails, FESS shows a statistically significant improvement of symptoms and no serious long-term hazards for diving.Ĭollins JG (1997) Prevalence of selected chronic conditions: United States, 1990–1992. Overall, 35 divers could resume diving after therapy even though PSB still occurred but without complications. Post treatment there were no significant differences between the medical and surgical group. Before treatment, divers who required surgery reported significantly more symptoms than divers who were treated conservatively. There was a statistically significant improvement of the Total score (TS) and of every subscore, except the General Quality of Life score, in the SNOT-20 GAV as well as of the TS in the DRQ. Mean follow-up was 42 months (range 13–95 months). Forty of 82 divers completed the questionnaires. Questionnaires were completed retrospectively by recalling the symptoms before and after therapy. ![]() Questionnaires included the Sinonasal Outcome Test-20 German Adapted Version (SNOT-20 GAV), dive-related questions (DRQ) and general questions. If symptoms persisted, functional endoscopic sinus surgery (FESS) was performed. 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. ![]() In this retrospective, cross-sectional, descriptive study 40 adult divers with CRS were included. 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).
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