Medical and surgical treatment in divers with chronic rhinosinusitis and paranasal sinus barotrauma.
Identifieur interne : 000717 ( Main/Exploration ); précédent : 000716; suivant : 000718Medical and surgical treatment in divers with chronic rhinosinusitis and paranasal sinus barotrauma.
Auteurs : Theodoros Skevas [Allemagne] ; Ingo Baumann ; Thomas Bruckner ; Nick Clifton ; Peter K. Plinkert ; Christoph KlingmannSource :
- European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [ 1434-4726 ] ; 2012.
English descriptors
- KwdEn :
- Adult, Barotrauma (complications), Barotrauma (epidemiology), Barotrauma (therapy), Chronic Disease, Cross-Sectional Studies, Diving (injuries), Endoscopy, Female, Follow-Up Studies, Glucocorticoids (administration & dosage), Humans, Incidence, Male, Middle Aged, Otorhinolaryngologic Surgical Procedures (methods), Paranasal Sinuses (injuries), Paranasal Sinuses (surgery), Retrospective Studies, Rhinitis (complications), Rhinitis (epidemiology), Rhinitis (therapy), Sinusitis (complications), Sinusitis (epidemiology), Sinusitis (therapy), Surveys and Questionnaires, Therapeutic Irrigation (methods), Treatment Outcome, Young Adult.
- MESH :
- chemical , administration & dosage : Glucocorticoids.
- complications : Barotrauma, Rhinitis, Sinusitis.
- epidemiology : Barotrauma, Rhinitis, Sinusitis.
- injuries : Diving, Paranasal Sinuses.
- methods : Otorhinolaryngologic Surgical Procedures, Therapeutic Irrigation.
- surgery : Paranasal Sinuses.
- therapy : Barotrauma, Rhinitis, Sinusitis.
- Adult, Chronic Disease, Cross-Sectional Studies, Endoscopy, Female, Follow-Up Studies, Humans, Incidence, Male, Middle Aged, Retrospective Studies, Surveys and Questionnaires, Treatment Outcome, Young Adult.
Abstract
Aim of the study is to evaluate the effects of medical and surgical treatment in divers with paranasal sinus barotrauma (PSB) secondary to chronic rhinosinusitis (CRS). In this retrospective, cross-sectional, descriptive study 40 adult divers with CRS were included. Treatment of divers implied a 5-day course of a systemic steroid and a 6-week course of saline nasal irrigations and topical nasal steroid with mometasone in maximal dosage. If symptoms persisted, functional endoscopic sinus surgery (FESS) was performed. Questionnaires included the Sinonasal Outcome Test-20 German Adapted Version (SNOT-20 GAV), dive-related questions (DRQ) and general questions. Questionnaires were completed retrospectively by recalling the symptoms before and after therapy. Forty of 82 divers completed the questionnaires. Mean follow-up was 42 months (range 13-95 months). There was a statistically significant improvement of the Total score (TS) and of every subscore, except the General Quality of Life score, in the SNOT-20 GAV as well as of the TS in the DRQ. Before treatment, divers who required surgery reported significantly more symptoms than divers who were treated conservatively. Post treatment there were no significant differences between the medical and surgical group. Overall, 35 divers could resume diving after therapy even though PSB still occurred but without complications. Divers with sinus problems can successfully be managed medically and if conservative treatment fails, FESS shows a statistically significant improvement of symptoms and no serious long-term hazards for diving.
DOI: 10.1007/s00405-011-1742-4
PubMed: 21901337
Affiliations:
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Le document en format XML
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Plinkert</name></author><author><name sortKey="Klingmann, Christoph" sort="Klingmann, Christoph" uniqKey="Klingmann C" first="Christoph" last="Klingmann">Christoph Klingmann</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:21901337</idno><idno type="pmid">21901337</idno><idno type="doi">10.1007/s00405-011-1742-4</idno><idno type="wicri:Area/PubMed/Corpus">000474</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000474</idno><idno type="wicri:Area/PubMed/Curation">000474</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000474</idno><idno type="wicri:Area/PubMed/Checkpoint">000474</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000474</idno><idno type="wicri:Area/Ncbi/Merge">000480</idno><idno type="wicri:Area/Ncbi/Curation">000480</idno><idno type="wicri:Area/Ncbi/Checkpoint">000480</idno><idno type="wicri:Area/Main/Merge">000732</idno><idno type="wicri:Area/Main/Curation">000717</idno><idno type="wicri:Area/Main/Exploration">000717</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Medical and surgical treatment in divers with chronic rhinosinusitis and paranasal sinus barotrauma.</title><author><name sortKey="Skevas, Theodoros" sort="Skevas, Theodoros" uniqKey="Skevas T" first="Theodoros" last="Skevas">Theodoros Skevas</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Mutterhaus der Borromäerinnen, Academic Teaching Hospital of University of Mainz, Trier, Germany. theodoros.skevas@mutterhaus.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Mutterhaus der Borromäerinnen, Academic Teaching Hospital of University of Mainz, Trier</wicri:regionArea><wicri:noRegion>Trier</wicri:noRegion><wicri:noRegion>Trier</wicri:noRegion><wicri:noRegion>Trier</wicri:noRegion></affiliation></author><author><name sortKey="Baumann, Ingo" sort="Baumann, Ingo" uniqKey="Baumann I" first="Ingo" last="Baumann">Ingo Baumann</name></author><author><name sortKey="Bruckner, Thomas" sort="Bruckner, Thomas" uniqKey="Bruckner T" first="Thomas" last="Bruckner">Thomas Bruckner</name></author><author><name sortKey="Clifton, Nick" sort="Clifton, Nick" uniqKey="Clifton N" first="Nick" last="Clifton">Nick Clifton</name></author><author><name sortKey="Plinkert, Peter K" sort="Plinkert, Peter K" uniqKey="Plinkert P" first="Peter K" last="Plinkert">Peter K. Plinkert</name></author><author><name sortKey="Klingmann, Christoph" sort="Klingmann, Christoph" uniqKey="Klingmann C" first="Christoph" last="Klingmann">Christoph Klingmann</name></author></analytic><series><title level="j">European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</title><idno type="eISSN">1434-4726</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Barotrauma (complications)</term><term>Barotrauma (epidemiology)</term><term>Barotrauma (therapy)</term><term>Chronic Disease</term><term>Cross-Sectional Studies</term><term>Diving (injuries)</term><term>Endoscopy</term><term>Female</term><term>Follow-Up Studies</term><term>Glucocorticoids (administration & dosage)</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Otorhinolaryngologic Surgical Procedures (methods)</term><term>Paranasal Sinuses (injuries)</term><term>Paranasal Sinuses (surgery)</term><term>Retrospective Studies</term><term>Rhinitis (complications)</term><term>Rhinitis (epidemiology)</term><term>Rhinitis (therapy)</term><term>Sinusitis (complications)</term><term>Sinusitis (epidemiology)</term><term>Sinusitis (therapy)</term><term>Surveys and Questionnaires</term><term>Therapeutic Irrigation (methods)</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Glucocorticoids</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Barotrauma</term><term>Rhinitis</term><term>Sinusitis</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Barotrauma</term><term>Rhinitis</term><term>Sinusitis</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Diving</term><term>Paranasal Sinuses</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Otorhinolaryngologic Surgical Procedures</term><term>Therapeutic Irrigation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Paranasal Sinuses</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Barotrauma</term><term>Rhinitis</term><term>Sinusitis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Chronic Disease</term><term>Cross-Sectional Studies</term><term>Endoscopy</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aim of the study is to evaluate the effects of medical and surgical treatment in divers with paranasal sinus barotrauma (PSB) secondary to chronic rhinosinusitis (CRS). In this retrospective, cross-sectional, descriptive study 40 adult divers with CRS were included. Treatment of divers implied a 5-day course of a systemic steroid and a 6-week course of saline nasal irrigations and topical nasal steroid with mometasone in maximal dosage. If symptoms persisted, functional endoscopic sinus surgery (FESS) was performed. Questionnaires included the Sinonasal Outcome Test-20 German Adapted Version (SNOT-20 GAV), dive-related questions (DRQ) and general questions. Questionnaires were completed retrospectively by recalling the symptoms before and after therapy. Forty of 82 divers completed the questionnaires. Mean follow-up was 42 months (range 13-95 months). There was a statistically significant improvement of the Total score (TS) and of every subscore, except the General Quality of Life score, in the SNOT-20 GAV as well as of the TS in the DRQ. Before treatment, divers who required surgery reported significantly more symptoms than divers who were treated conservatively. Post treatment there were no significant differences between the medical and surgical group. Overall, 35 divers could resume diving after therapy even though PSB still occurred but without complications. Divers with sinus problems can successfully be managed medically and if conservative treatment fails, FESS shows a statistically significant improvement of symptoms and no serious long-term hazards for diving.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country></list><tree><noCountry><name sortKey="Baumann, Ingo" sort="Baumann, Ingo" uniqKey="Baumann I" first="Ingo" last="Baumann">Ingo Baumann</name><name sortKey="Bruckner, Thomas" sort="Bruckner, Thomas" uniqKey="Bruckner T" first="Thomas" last="Bruckner">Thomas Bruckner</name><name sortKey="Clifton, Nick" sort="Clifton, Nick" uniqKey="Clifton N" first="Nick" last="Clifton">Nick Clifton</name><name sortKey="Klingmann, Christoph" sort="Klingmann, Christoph" uniqKey="Klingmann C" first="Christoph" last="Klingmann">Christoph Klingmann</name><name sortKey="Plinkert, Peter K" sort="Plinkert, Peter K" uniqKey="Plinkert P" first="Peter K" last="Plinkert">Peter K. Plinkert</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Skevas, Theodoros" sort="Skevas, Theodoros" uniqKey="Skevas T" first="Theodoros" last="Skevas">Theodoros Skevas</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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