Sinus barotrauma: Difference between revisions
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*Also known as "sinus squeeze" | *Also known as "sinus squeeze" | ||
*Occurs during scuba diving or air flight due to changes in pressure within a non-draining sinus. | *Occurs during scuba diving or air flight due to changes in pressure within a non-draining sinus. | ||
[[File:Sinuses. | [[File:Sinuses.JPG|thumb|The four facial sinuses]] | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 03:51, 19 July 2020
Background
- Also known as "sinus squeeze"
- Occurs during scuba diving or air flight due to changes in pressure within a non-draining sinus.
Clinical Features
- Pain over affected sinus, possible bleeding from nares
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
Barotrauma Types
- Otic barotrauma
- Pulmonary barotrauma
- Sinus barotrauma
- Mask squeeze
- Barodentalgia (trapped dental air causing squeeze)
Evaluation
- Usually clinical
Management
- Decongestants
- Consider antibiotics
Disposition
- Generally discharge