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Scuba diving and otology: a systematic review with recommendations on diagnosis, treatment and post-operative care.

Abstract Scuba diving is a popular recreational and professional activity with inherent risks. Complications related to barotrauma and decompression illness can pose significant morbidity to a diver's hearing and balance systems. The majority of dive-related injuries affect the head and neck, particularly the outer, middle and inner ear. Given the high incidence of otologic complications from diving, an evidence-based approach to the diagnosis and treatment of otic pathology is a necessity. We performed a systematic and comprehensive literature review including the pathophysiology, diagnosis, and treatment of otologic pathology related to diving. This included inner, middle, and outer ear anatomic subsites, as well as facial nerve complications, mal de debarquement syndrome, sea sickness and fitness to dive recommendations following otologic surgery. Sixty-two papers on diving and otologic pathology were included in the final analysis. We created a set of succinct evidence-based recommendations on each topic that should inform clinical decisions by otolaryngologists, dive medicine specialists and primary care providers when faced with diving-related patient pathology.
PMID
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Authors

Mayor MeshTerms

Barotrauma

Biophysical Phenomena

Decompression Sickness

Ear Diseases

Keywords

Barotrauma

Decompression sickness

ENT

Head and neck

Injuries

Medical conditions and problems

Review article

Journal Title diving and hyperbaric medicine
Publication Year Start




PMID- 28641322
OWN - NLM
STAT- MEDLINE
DA  - 20170622
DCOM- 20170808
LR  - 20170808
IS  - 1833-3516 (Print)
IS  - 1833-3516 (Linking)
VI  - 47
IP  - 2
DP  - 2017 Jun
TI  - Scuba diving and otology: a systematic review with recommendations on diagnosis, 
      treatment and post-operative care.
PG  - 97-109
AB  - Scuba diving is a popular recreational and professional activity with inherent
      risks. Complications related to barotrauma and decompression illness can pose
      significant morbidity to a diver's hearing and balance systems. The majority of
      dive-related injuries affect the head and neck, particularly the outer, middle
      and inner ear. Given the high incidence of otologic complications from diving, an
      evidence-based approach to the diagnosis and treatment of otic pathology is a
      necessity. We performed a systematic and comprehensive literature review
      including the pathophysiology, diagnosis, and treatment of otologic pathology
      related to diving. This included inner, middle, and outer ear anatomic subsites, 
      as well as facial nerve complications, mal de debarquement syndrome, sea sickness
      and fitness to dive recommendations following otologic surgery. Sixty-two papers 
      on diving and otologic pathology were included in the final analysis. We created 
      a set of succinct evidence-based recommendations on each topic that should inform
      clinical decisions by otolaryngologists, dive medicine specialists and primary
      care providers when faced with diving-related patient pathology.
FAU - Livingstone, Devon M
AU  - Livingstone DM
AD  - Division of Otolaryngology - Head and Neck Surgery, Department of Surgery,
      University of Calgary, 7th floor, 4448 Front Street SE, Calgary, Alberta, Canada,
      T3M 1M4, [email protected]
FAU - Smith, Kristine A
AU  - Smith KA
AD  - Division of Otolaryngology - Head and Neck Surgery, Department of Surgery,
      University of Calgary, Alberta, Canada.
FAU - Lange, Beth
AU  - Lange B
AD  - Division of Otolaryngology - Head and Neck Surgery, Department of Surgery,
      University of Calgary, Alberta, Canada.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
SB  - IM
MH  - *Barotrauma/diagnosis/etiology/therapy
MH  - *Biophysical Phenomena
MH  - *Decompression Sickness/diagnosis/etiology/therapy
MH  - Diving/adverse effects/*injuries
MH  - *Ear Diseases/diagnosis/etiology/therapy
MH  - Ear, Inner
MH  - Ear, Middle
MH  - Exostoses/diagnosis/therapy
MH  - Humans
MH  - Otitis Externa/etiology/therapy
MH  - Postural Balance
MH  - Sensation Disorders/etiology/therapy
MH  - Vertigo/etiology/therapy
OTO - NOTNLM
OT  - Barotrauma
OT  - Decompression sickness
OT  - ENT
OT  - Head and neck
OT  - Injuries
OT  - Medical conditions and problems
OT  - Review article
EDAT- 2017/06/24 06:00
MHDA- 2017/08/09 06:00
CRDT- 2017/06/23 06:00
PHST- 2017/04/14 [received]
PHST- 2017/04/20 [accepted]
PST - ppublish
SO  - Diving Hyperb Med. 2017 Jun;47(2):97-109.