Khan Faizaan I, Vazquez Sebastian Guadarrama-Sistos, Vannier Augustin G L, Dongre Roshan, Ahmed Omar G, Imbery Terence E, Vrabec Jeffrey T
Texas A&M School of Engineering Medicine Houston Texas USA.
Department of Otolaryngology-Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
OTO Open. 2025 Jul 22;9(3):e70146. doi: 10.1002/oto2.70146. eCollection 2025 Jul-Sep.
Analyze the relationship between surgical and non-surgical interventions for otitic barotrauma (OB), and identify underlying medical diagnosis, recurrence rates, and treatment outcomes.
Retrospective cohort analysis.
TriNetX US collaborative network.
The network was queried for patients diagnosed with OB within the past 20 years and a surgical intervention within 1 month. Patients receiving surgical intervention were assigned to the surgical cohort while those that did not receive operative care were assigned to the non-surgical cohort. Cohorts were 1:1 propensity score matched for age and gender.
Patients that undergo operative treatment have significantly increased association with previous diagnoses of middle ear pathology, as well as most forms of sinonasal disease ( < .05). Surgical treatment was significantly associated with recurrence of OB, tympanic membrane (TM) perforation, otitis media, as well as mixed hearing loss ( < .05).
Our study indicates an association between previous sinonasal and otologic pathology and higher likelihood of undergoing operative treatment for OB. Our findings also indicate that operative treatment is significantly associated with recurrence of the condition. Increasing air travel and participation in recreational activities tied to OB underscore the need to better understand treatment options.
分析耳气压伤（OB）手术与非手术干预之间的关系，并确定潜在的医学诊断、复发率和治疗结果。
回顾性队列分析。
TriNetX美国协作网络。
查询该网络中过去20年内被诊断为OB且在1个月内接受手术干预的患者。接受手术干预的患者被分配到手术队列，未接受手术治疗的患者被分配到非手术队列。根据年龄和性别对队列进行1:1倾向评分匹配。
接受手术治疗的患者与既往中耳病变诊断以及大多数形式的鼻鼻窦疾病的关联显著增加（P<0.05）。手术治疗与OB复发、鼓膜（TM）穿孔、中耳炎以及混合性听力损失显著相关（P<0.05）。
我们的研究表明，既往鼻鼻窦和耳科病理与接受OB手术治疗的较高可能性之间存在关联。我们的研究结果还表明，手术治疗与该病的复发显著相关。航空旅行的增加以及与OB相关的娱乐活动的参与凸显了更好地了解治疗选择的必要性。
