Otic barotrauma: Difference between revisions

Line 39: Line 39:
==Disposition==
==Disposition==
*Generally may be discharged
*Generally may be discharged
*Resolution usually in 5-7 days, but can take up to 2 weeks


==See Also==
==See Also==

Revision as of 16:13, 19 October 2018

Background

  • Also known as "ear squeeze" - generally seen during scuba diving or air travel

Clinical Features

Middle Ear

  • Results from inability to equalize middle ear pressure
  • Pain, fullness, vertigo, conductive hearing loss, TM rupture

Inner Ear

  • Results from forceful valsalva against an occluded eustachian tube
    • Pressure difference between middle ear and inner ear can rupture oval or round window
  • Sudden onset of sensorineural hearing loss, tinnitus, severe vertigo

Differential Diagnosis

Diving Emergencies

Ear Diagnoses

External

Internal

Inner/vestibular

Barotrauma Types

Evaluation

  • Generally clinical
  • Webber and Rinne for middle ear barotrauma
    • Conductive hearing loss expected

Management

Middle Ear

Inner Ear

  • Elevate head of bed
  • Advise patient to not blow nose
  • Antivertigo medications
  • ENT consult

Disposition

  • Generally may be discharged
  • Resolution usually in 5-7 days, but can take up to 2 weeks

See Also

External Links

References