Aerosinusitis Part 2: Diagnosis, therapy and recommencement of flight duties

Weber, R. and Kuehnel, T. and Graf, J. and Hosemann, W. (2014) Aerosinusitis Part 2: Diagnosis, therapy and recommencement of flight duties. HNO, 62 (4). pp. 297-306. ISSN 0017-6192, 1433-0458

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Abstract

Aerosinusitis more frequently affects the frontal sinus than the maxillary sinus and mostly occurs during descent. Sinonasal diseases and anatomic variations leading to obstruction of paranasal sinus ventilation favor the development of aerosinusitis. This Continuing Medical Education (CME) article is based on selective literature searches of the PubMed database (search terms: "aerosinusitis", "barosinusitis", "barotrauma" AND "sinus", "barotrauma" AND "sinusitis", "sinusitis" AND "flying" OR " aviator"). Additionally, currently available monographs and further articles that could be identified based on the publication reviews were also included. In part 2, diagnostic measures, drug therapy, balloon dilatation and endoscopic sinus surgery are presented, along with a discussion regarding when flight attendants and pilots are able to resume their work. Endoscopic surgery to expand the natural drainage pathways of the affected sinuses with minimal surgical trauma to the healthy mucous membranes is largely successful.

Item Type: Article
Uncontrolled Keywords: ENDOSCOPIC SINUS SURGERY; BAROTRAUMA; MANAGEMENT; AVIATORS; PILOTS; Sinusitis; Paranasal sinuses; Drug therapy; Flight attendant; Balloon dilatation
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Nov 2019 14:53
Last Modified: 14 Nov 2019 14:53
URI: https://pred.uni-regensburg.de/id/eprint/10352

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