Pennell David J L, Asimakopoulos Panagiotis, Ram Bhaskar, Veitch Derek Y
Department of ENT Surgery, Aberdeen Royal Infirmary, Scotland, UK.
Aviat Space Environ Med. 2014 Aug;85(8):863-6. doi: 10.3357/ASEM.3990.2014.
Scuba diving has increased in popularity since its invention in 1943, with over 21 million PADI registered members worldwide. Injuries to the paranasal sinuses caused by barotrauma are the second most common after injury to the middle ear.
In this paper we present a case of unilateral periorbital surgical emphysema in a 23-yr-old male commercial scuba diver with minimal symptoms following an uneventful 13-ft (4-m) dive. The only symptoms experienced were pain and pressure over the right maxillary sinus and retrorbitally. Imaging with computed tomography showed no fracture of his paranasal sinuses.
The authors recommend that a high index of suspicion for paranasal sinus barotrauma should be maintained in all patients reporting minor symptoms after diving (even to shallow depths) to facilitate rapid clinical diagnosis and prompt medical management.
自1943年发明水肺潜水以来，这项运动越来越受欢迎，全球有超过2100万潜水员获得专业潜水教练协会（PADI）认证。鼻窦气压伤导致的损伤是仅次于中耳损伤的第二常见的潜水相关损伤。
本文介绍了一名23岁男性职业水肺潜水员的病例，他在进行了一次平静的13英尺（4米）潜水后，出现了单侧眶周手术性气肿，但症状轻微。他仅感到右上颌窦和眶后疼痛及压痛。计算机断层扫描成像显示其鼻窦无骨折。
作者建议，对于所有在潜水后（即使是浅深度潜水）报告有轻微症状的患者，都应高度怀疑鼻窦气压伤，以便快速进行临床诊断和及时的医疗处理。
