What is the diagnosis and treatment for barotrauma (barotraumatic injury) of the ear?

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From the Research

Diagnosis of Barotrauma

  • Barotrauma is defined as an injury due to pressure differences between atmospheric and intratympanic pressures 1
  • The condition occurs when the eustachian tube fails to equilibrate middle ear and atmospheric pressures, leading to traumatic inflammation of the middle ear 2
  • Symptoms of barotrauma include ear fullness, otalgia, and deafness, with severe cases resulting in tympanic membrane perforation and round window membrane rupture 2

Treatment of Barotrauma

  • Oral pseudoephedrine decongestants have been shown to reduce otalgia in adults with recurrent ear pain during air travel, but their effectiveness in children is unclear 2
  • Oxymetazoline decongestant nasal spray has not been found to produce a statistically significant reduction in symptoms of barotrauma in adults with recurrent ear pain during air travel 2
  • Decongestant nasal sprays and nasal steroids are used to prevent middle ear barotrauma during hyperbaric oxygen therapy, but their efficacy is questionable 3
  • A tympanometry-based anti-barotrauma device has been designed to provide objective feedback on eardrum condition during hyperbaric oxygen therapy, and may be useful in preventing middle ear barotrauma 3

Prevention of Barotrauma

  • Understanding the pathophysiology of middle ear barotrauma is crucial for accurate diagnosis and proper decision making about treatment and prevention 4
  • The eustachian tube, tympanic cavity, and mastoid work together in a neural controlled feedback system to regulate middle ear pressure 4
  • Active equalization of the middle ear space is required to prevent barotrauma during hyperbaric oxygen therapy 3

References

Research

The otologic manifestations of barotrauma.

The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society, 2000

Research

Otic barotrauma from air travel.

The Journal of laryngology and otology, 2005

Research

An anti-barotrauma system for preventing barotrauma during hyperbaric oxygen therapy.

Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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