[abstract] A Descriptive Analysis of Middle Ear barotrauma in Patients Undergoing Hyperbaric Oxygen Therapy

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[abstract] A Descriptive Analysis of Middle Ear barotrauma in Patients Undergoing Hyperbaric Oxygen Therapy

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dc.contributor.author Hunter, SE en_US
dc.contributor.author Freiberger, JJ en_US
dc.contributor.author Dear, GdeL en_US
dc.contributor.author Stolp, BW en_US
dc.contributor.author Moon, RE en_US
dc.date.accessioned 2006-08-01T21:12:24Z
dc.date.available 2006-08-01T21:12:24Z
dc.date.issued 2001 en_US
dc.identifier.other Undersea Hyp Med 2001 en_US
dc.identifier.uri http://archive.rubicon-foundation.org/1009
dc.description Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) en_US
dc.description.abstract BACKGROUND: Otic barotrauma (OB) is common in patients undergoing hyperbaric oxygen therapy (HBO). While there is anecdotal evidence that head and neck disease, advanced age and prior radiation are risk factors for OB, there are no reports in which risk factors have been systematically analyzed. METHODS: Data on a consecutive series of patients treated with HBO in 1999 N=166 were reviewed for risk factors for OB. Factors analyzed were: age, gender, neurological impairment, indication for HBO, prior radiation, head and neck disease, history of ear disease, and current tobacco and/or alcohol use. Patients receiving pre-treatment tubes or myringotomy (N=23) were excluded from the analysis. RESULTS: Twelve of 128 cases had OB. No OB was reported in patients treated for decompression illness, crush injury or acute ischemia. The diagnoses and risk factors for OB are illustrated in the table below. DIAGNOSIS N percentOB VARIABLE ODDS RATIO 95percent CI, Osteoradionecrosis 4 33.3percent Age greater than 55 5.70 1.22, 26.73, Soft tissue radionecrosis 4 33.3percent Male gender 0.13 0.03, 0.58, Necrotizing infection 2 16.7percent, Head/Neck disease 4.22 0.96, 18.53, Skin graft prep 1 8.35percent Current EtOH use 2.15 0.91, 5.08, Osteomyelitis 1 8.35percent NS. DISCUSSION: Based upon analysis of 1999 data, we conclude that age greater than 55 and female gender are predictors of OB in patients treated with HBO. Alcohol use, neurologic impairment, history of ear disease, current tobacco use, prior radiation and the presence of head and neck disease were not significant in this analysis. en_US
dc.language.iso en_US
dc.rights Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) en_US
dc.subject HBO en_US
dc.subject ear en_US
dc.subject decompression en_US
dc.subject radionecrosis en_US
dc.subject radiation en_US
dc.subject ear en_US
dc.subject Analysis en_US
dc.subject barotrauma en_US
dc.subject HBO en_US
dc.subject hyperbaric en_US
dc.subject infection en_US
dc.subject neurological en_US
dc.title [abstract] A Descriptive Analysis of Middle Ear barotrauma in Patients Undergoing Hyperbaric Oxygen Therapy en_US

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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