Livingstone Devon M, Smith Kristine A, Lange Beth
Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of Calgary, 7th floor, 4448 Front Street SE, Calgary, Alberta, Canada, T3M 1M4,
Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of Calgary, Alberta, Canada.
Diving Hyperb Med. 2017 Jun;47(2):97-109. doi: 10.28920/dhm47.2.97-109.
Scuba diving is a popular recreational and professional activity with inherent risks. Complications related to barotrauma and decompression illness can pose significant morbidity to a diver's hearing and balance systems. The majority of dive-related injuries affect the head and neck, particularly the outer, middle and inner ear. Given the high incidence of otologic complications from diving, an evidence-based approach to the diagnosis and treatment of otic pathology is a necessity. We performed a systematic and comprehensive literature review including the pathophysiology, diagnosis, and treatment of otologic pathology related to diving. This included inner, middle, and outer ear anatomic subsites, as well as facial nerve complications, mal de debarquement syndrome, sea sickness and fitness to dive recommendations following otologic surgery. Sixty-two papers on diving and otologic pathology were included in the final analysis. We created a set of succinct evidence-based recommendations on each topic that should inform clinical decisions by otolaryngologists, dive medicine specialists and primary care providers when faced with diving-related patient pathology.
水肺潜水是一项广受欢迎的休闲和专业活动，但存在固有风险。与气压伤和减压病相关的并发症可能会给潜水者的听力和平衡系统带来严重的发病风险。大多数与潜水相关的损伤影响头部和颈部，尤其是外耳、中耳和内耳。鉴于潜水导致耳科并发症的发生率很高，采用循证方法来诊断和治疗耳部疾病是必要的。我们进行了系统而全面的文献综述，内容包括与潜水相关的耳部疾病的病理生理学、诊断和治疗。这包括内耳、中耳和外耳的解剖亚部位，以及面神经并发症、晕船综合征、晕船和耳科手术后潜水适宜性建议。最终分析纳入了62篇关于潜水和耳科疾病的论文。我们针对每个主题制定了一套简洁的循证建议，当耳鼻喉科医生、潜水医学专家和初级保健提供者面对与潜水相关的患者疾病时，这些建议应为临床决策提供参考。
