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Barosinusitis: Comprehensive review and proposed new classification system

BACKGROUND: Barosinusitis, or sinus barotrauma, may arise from changes in ambient pressure that are not compensated by force equalization mechanisms within the paranasal sinuses. Barosinusitis is most commonly seen with barometric changes during flight or diving. Understanding and better classifying...

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Autores principales: Vaezeafshar, Reza, Psaltis, Alkis J., Rao, Vidya K., Zarabanda, David, Patel, Zara M., Nayak, Jayakar V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: OceanSide Publications, Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5662535/
https://www.ncbi.nlm.nih.gov/pubmed/29070267
http://dx.doi.org/10.2500/ar.2017.8.0221
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author Vaezeafshar, Reza
Psaltis, Alkis J.
Rao, Vidya K.
Zarabanda, David
Patel, Zara M.
Nayak, Jayakar V.
author_facet Vaezeafshar, Reza
Psaltis, Alkis J.
Rao, Vidya K.
Zarabanda, David
Patel, Zara M.
Nayak, Jayakar V.
author_sort Vaezeafshar, Reza
collection PubMed
description BACKGROUND: Barosinusitis, or sinus barotrauma, may arise from changes in ambient pressure that are not compensated by force equalization mechanisms within the paranasal sinuses. Barosinusitis is most commonly seen with barometric changes during flight or diving. Understanding and better classifying the pathophysiology, clinical presentation, and management of barosinusitis are essential to improve patient care. OBJECTIVES: To perform a comprehensive review of the available literature regarding sinus barotrauma. METHODS: A comprehensive literature search that used the terms “barosinusitis,” “sinus barotrauma,” and “aerosinusitis” was conducted, and all identified titles were reviewed for relevance to the upper airway and paranasal sinuses. All case reports, series, and review articles that were identified from this search were included. Selected cases of sinus barotrauma from our institution were included to illustrate classic signs and symptoms. RESULTS: Fifty-one articles were identified as specifically relevant to, or referencing, barosinusitis and were incorporated into this review. The majority of articles focused on barosinusitis in the context of a single specific etiology rather than independent of etiology. From analysis of all the publications combined with clinical experience, we proposed that barosinusitis seemed to fall within three distinct subtypes: (1) acute, isolated barosinusitis; (2) recurrent acute barosinusitis; and (3) chronic barosinusitis. We introduced this terminology and suggested independent treatment recommendations for each subtype. CONCLUSION: Barosinusitis is a common but potentially overlooked condition that is primed by shifts in the ambient pressure within the paranasal sinuses. The pathophysiology of barosinusitis has disparate causes, which likely contribute to its misdiagnosis and underdiagnosis. Available literature compelled our proposed modifications to existing classification schemes, which may allow for improved awareness and management strategies for barosinusitis.
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spelling pubmed-56625352017-11-01 Barosinusitis: Comprehensive review and proposed new classification system Vaezeafshar, Reza Psaltis, Alkis J. Rao, Vidya K. Zarabanda, David Patel, Zara M. Nayak, Jayakar V. Allergy Rhinol (Providence) Articles BACKGROUND: Barosinusitis, or sinus barotrauma, may arise from changes in ambient pressure that are not compensated by force equalization mechanisms within the paranasal sinuses. Barosinusitis is most commonly seen with barometric changes during flight or diving. Understanding and better classifying the pathophysiology, clinical presentation, and management of barosinusitis are essential to improve patient care. OBJECTIVES: To perform a comprehensive review of the available literature regarding sinus barotrauma. METHODS: A comprehensive literature search that used the terms “barosinusitis,” “sinus barotrauma,” and “aerosinusitis” was conducted, and all identified titles were reviewed for relevance to the upper airway and paranasal sinuses. All case reports, series, and review articles that were identified from this search were included. Selected cases of sinus barotrauma from our institution were included to illustrate classic signs and symptoms. RESULTS: Fifty-one articles were identified as specifically relevant to, or referencing, barosinusitis and were incorporated into this review. The majority of articles focused on barosinusitis in the context of a single specific etiology rather than independent of etiology. From analysis of all the publications combined with clinical experience, we proposed that barosinusitis seemed to fall within three distinct subtypes: (1) acute, isolated barosinusitis; (2) recurrent acute barosinusitis; and (3) chronic barosinusitis. We introduced this terminology and suggested independent treatment recommendations for each subtype. CONCLUSION: Barosinusitis is a common but potentially overlooked condition that is primed by shifts in the ambient pressure within the paranasal sinuses. The pathophysiology of barosinusitis has disparate causes, which likely contribute to its misdiagnosis and underdiagnosis. Available literature compelled our proposed modifications to existing classification schemes, which may allow for improved awareness and management strategies for barosinusitis. OceanSide Publications, Inc. 2017-10 /pmc/articles/PMC5662535/ /pubmed/29070267 http://dx.doi.org/10.2500/ar.2017.8.0221 Text en Copyright © 2017, OceanSide Publications, Inc., U.S.A. http://creativecommons.org/licenses/by-nc/4.0/ This work is published and licensed by OceanSide Publications, Inc. The full terms of this license are available at https://www.allergyandrhinology.com, and incorporate the Creative Commons License Deed: Attribution – Non-Commercial 4.0 Unported (CC BY-NC 4.0). By accessing the work you hereby accept the terms. Non-commercial uses of the work are permitted without any further permission from OceanSide Publications, Inc., provided the work is properly attributed. Any use of the work other then as authorized under this license or copyright law is prohibited.
spellingShingle Articles
Vaezeafshar, Reza
Psaltis, Alkis J.
Rao, Vidya K.
Zarabanda, David
Patel, Zara M.
Nayak, Jayakar V.
Barosinusitis: Comprehensive review and proposed new classification system
title Barosinusitis: Comprehensive review and proposed new classification system
title_full Barosinusitis: Comprehensive review and proposed new classification system
title_fullStr Barosinusitis: Comprehensive review and proposed new classification system
title_full_unstemmed Barosinusitis: Comprehensive review and proposed new classification system
title_short Barosinusitis: Comprehensive review and proposed new classification system
title_sort barosinusitis: comprehensive review and proposed new classification system
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5662535/
https://www.ncbi.nlm.nih.gov/pubmed/29070267
http://dx.doi.org/10.2500/ar.2017.8.0221
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