Sinus barotrauma
Revision as of 23:16, 10 February 2015 by Rossdonaldson1 (talk | contribs) (Created page with "==Background== *Also known as "sinus squeeze" *Occurs during scuba diving or air flight ==Clinical Features== *Pain over affected sinus, possible bleeding from nare ==Differ...")
Background
- Also known as "sinus squeeze"
- Occurs during scuba diving or air flight
Clinical Features
- Pain over affected sinus, possible bleeding from nare
Differential Diagnosis
Diving Emergencies
- Barotrauma of descent
- Otic barotrauma
- Pulmonary barotrauma
- Sinus barotrauma
- Mask squeeze
- Barodentalgia (trapped dental air causing squeeze)
- Barotrauma of ascent
- Pulmonary barotrauma (pulmonary overpressurization syndrome)
- Decompression sickness (DCS)
- Arterial gas embolism
- Alternobaric vertigo
- Facial baroparesis (Bells Palsy)
- At depth injuries
- Oxygen toxicity
- Nitrogen narcosis
- Hypothermia
- Contaminated gas mixture (e.g. CO toxicity)
- Caustic cocktail from rebreathing circuit
Workup
Management
- Decongestants
- Consider antibiotics