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The assessment and management of inner ear barotrauma in divers and recommendations for returning to diving.
Diving Hyperb Med
December 2014
Faculty of Heath Sciences, University of Tasmania, and Medical Co-directors, Department of Diving and Hyperbaric Medicine, Royal Hobart Hospital, Hobart, Tasmania.
Inner ear barotrauma (IEBt) constitutes a spectrum of pressure-related pathology in the inner ear, with antecedent middle ear barotrauma (MEBt) common. IEBt includes perilymph fistula, intralabyrinthine membrane tear, inner ear haemorrhage and other rarer pathologies. Following a literature search, the pathophysiology, diagnosis, and treatment of IEBt in divers and best-practice recommendations for returning to diving were reviewed.
View Article and Find Full Text PDFInner ear decompression sickness and inner ear barotrauma in recreational divers: a long-term follow-up.
Laryngoscope
December 2003
Israel Naval Medical Institute, Israel Defense Forces Medical Corps, PO Box 8040, Haifa 31080, Israel.
Objectives/hypothesis: The objectives were to report the authors' experience with the long-term follow-up of patients with diving-related inner ear decompression sickness and inner ear barotrauma and to discuss residual cochlear and vestibular damage in relation to the question of fitness to dive.
Study Design: Retrospective consecutive case series.
Methods: Eleven recreational divers with inner ear decompression sickness and nine with inner ear barotrauma (IEB) were followed.
A case of dizziness, headache, aural fullness, and concentration difficulty following scuba diving.
Ear Nose Throat J
May 2003
Neurotologic Associates, P.C., New York City, USA.
Balance testing and Doppler monitoring during hyperbaric exposure.
Aviat Space Environ Med
April 2003
Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, Bergen, Norway.
Background: The effects on the postural system of saturation diving to shallow and medium depths have not previously been adequately tested. The purpose of this study was to investigate whether postural function is affected by a moderate hyperbaric exposure, and whether any deterioration is correlated with the presence of intravascular bubbles.
Hypothesis: Postural control and the vestibulo-ocular reflex are not affected during heliox saturation diving to 5 meters of seawater (msw).
Inner ear decompression sickness following altitude chamber operation.
Aviat Space Environ Med
November 1999
Motion Sickness and Human Performance Laboratory, Israel Naval Medical Institute, Haifa.
Decompression sickness (DCS) is a known hazard of altitude chamber operation. The musculoskeletal, dermal, neurological and pulmonary manifestations of DCS are well recognized, but inner ear injury has not been reported. We present the unusual case of a medical corpsman suffering from vestibular DCS after an altitude chamber exposure to 25,000 ft.
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