Garges L M
Aviat Space Environ Med. 1985 Aug;56(8):796-802.
A case is presented in which a mucous retention cyst that obliterated the right maxillary sinus caused symptoms due to pressure on two separate branches of the second branch of the fifth cranial nerve during a chamber dive to 112 feet. The symptoms of pain and numbness occurred at different times during and after the dive. Referred pain to the maxillary teeth was due to pressure on the posterior superior alveolar branch and paresthesia with numbness and tingling of the lip and cheek was caused from pressure on the infraorbital nerve prior to its emergence through the infraorbital foramen. The symptoms resolved promptly on recompression treatment. The underlying mechanisms for the production of sinus barotrauma and the causes of tooth and sinus pain are differentiated, and a differential diagnosis of maxillary sinus opacities is schematized.
本文介绍了一例病例，一名潜水员在潜入112英尺深的水下时，一个阻塞右上颌窦的黏液潴留囊肿因压迫第五颅神经第二支的两个不同分支而引发症状。疼痛和麻木症状在潜水期间及之后的不同时间出现。上颌牙齿的牵涉痛是由于后上牙槽支受压所致，而在眶下神经穿出眶下孔之前，其受压会导致唇部和脸颊麻木及刺痛的感觉异常。经加压治疗后症状迅速缓解。文中区分了鼻窦气压伤产生的潜在机制以及牙齿和鼻窦疼痛的原因，并对右上颌窦混浊的鉴别诊断进行了概述。
