Matsnev E I, Gol'dman I I, Mel'nikova L N, Zakharova L N
Vestn Otorinolaringol. 1991 Mar-Apr(2):18-20.
Factors responsible for barotraumas of the middle and internal ear of divers are discussed. A rapid, uncontrollable change in the intratympanic pressure upon diving may cause tympanum perforation, injury and displacement of auditory ossicles which, in turn, may lead to excitation of vestibular receptors. Barotraumas of the middle ear may also be produced by exostoses of the auditory meatus. The present work describes follow-up data of two divers who were grounded due to external and middle ear problems. One of them was operated on to remove bone exostoses that obturated the auditory meatus. The other diver underwent surgery to close the tympanic "barometric" perforation. After reconstructive surgery both divers resumed their professional activities. Both cases were followed-up for over three years.
本文讨论了潜水员中耳和内耳气压伤的相关因素。潜水时鼓室内压力迅速、不可控的变化可能导致鼓膜穿孔、听小骨损伤和移位，进而可能引发前庭感受器兴奋。外耳道骨瘤也可能导致中耳气压伤。本文介绍了两名因外耳和中耳问题而停职的潜水员的随访数据。其中一名潜水员接受了手术，以切除阻塞外耳道的骨瘤。另一名潜水员接受了鼓膜“气压性”穿孔修补手术。重建手术后，两名潜水员都恢复了职业活动。两例均进行了三年多的随访。
