Uzun C
Department of Otorhinolaryngology, Faculty of Medicine, Trakya University, Edirne, Turkey.
J Laryngol Otol. 2009 Jan;123(1):80-4. doi: 10.1017/S0022215108002739. Epub 2008 May 23.
TO evaluate potential pre-dive parameters in relation to paranasal sinus barotrauma in sports self-contained underwater breathing apparatus divers.
The pre-dive and follow-up records of 46 healthy sports self-contained underwater breathing apparatus divers were analysed.
In the routine pre-dive examination of diving candidates with no symptoms of rhino-sinus disease, rhinoscopy, sinus radiography and nasal endoscopy indicated no signs of rhinitis and/or sinusitis. Any signs of paranasal sinus barotrauma were noted, and several parameters were evaluated in relation to occurrence of barotrauma.
Of the studied parameters, a history of sinusitis and of middle-ear barotrauma was significantly more frequent in divers in the barotrauma group (p < 0.05).
In divers undergoing a routine pre-dive examination, paranasal sinus barotrauma was not related to sex, alcohol consumption, smoking, decongestant use, mild nasal septal deviation, or inability to perform the Valsalva or Toynbee manoeuvres. However, divers with a history of sinusitis or middle-ear barotrauma may be more prone to paranasal sinus barotrauma. A more detailed pre-dive examination may be useful for such individuals.
评估与使用自携式水下呼吸器进行运动潜水时鼻窦气压伤相关的潜在潜水前参数。
分析了46名健康的使用自携式水下呼吸器进行运动潜水者的潜水前和随访记录。
在对无鼻-鼻窦疾病症状的潜水候选人进行的常规潜水前检查中，鼻镜检查、鼻窦放射成像和鼻内镜检查均未发现鼻炎和/或鼻窦炎的迹象。记录鼻窦气压伤的任何迹象，并评估与气压伤发生相关的几个参数。
在所研究的参数中，气压伤组潜水者中鼻窦炎和中耳气压伤的病史明显更常见（p < 0.05）。
在接受常规潜水前检查的潜水者中，鼻窦气压伤与性别、饮酒、吸烟、使用减充血剂、轻度鼻中隔偏曲或无法进行瓦尔萨尔瓦动作或托因比动作无关。然而，有鼻窦炎或中耳气压伤病史的潜水者可能更容易发生鼻窦气压伤。对此类个体进行更详细的潜水前检查可能会有所帮助。
