[abstract] MASTOID AIR CELL BAROTRAUMA ASSOCIATED WITH SCUBA DIVING

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[abstract] MASTOID AIR CELL BAROTRAUMA ASSOCIATED WITH SCUBA DIVING

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Title: [abstract] MASTOID AIR CELL BAROTRAUMA ASSOCIATED WITH SCUBA DIVING
Author: Lepawsky, M
Abstract: INTRODUCTION: Barotrauma in scuba diving is typically seen in the middle ears, sinuses, lungs and some times in the teeth. To our knowledge no previous report of mastoid cell barotrauma has been reported as recorded in peer reviewed literature. This is a preliminary case report of such an event. MATERIALS AND METHODS: A 29 year old male did two basic training dives to no more than 30 feet of sea water (fsw) well within no decompression limits. The first dive was unremarkable. On the second dive, during ascent, there was left ear blockage at about 15 fsw. This persisted and at surface the left ear "exploded". Accompanied by his instructor, the student returned to 30 fsw. Pain persisted, they surfaced and the student swam to shore. While removing his gear he had tinnitus, nausea, vomiting and unsteady stance. There was no hemoptysis or impaired consciousness. Taken to an emergency room, he presented primarily with left headache, no obvious findings in the ear examination and no neurological or other signs. Later there was a small area of slight subjective left facial numbness. RESULTS: CT head scan (views will be shown) found aerated epidural fluid with air into the subdural space and adjacent intraparenchymal hemorrhage likely secondary to middle ear or mastoid air space petrous temporal disruption a result of barotrauma. Management was conservative. Symptoms resolved steadily. The diver continued his recovery at home. He tried sky diving with some return of symptoms. He has been advised not to scuba or sky dive. He has occasional left ear blockage, headache and occasional left facial numbness. CONCLUSION: We present a preliminary case report of apparent mastoid air space barotrauma. We find no previous presentation of this condition in the medical literature. mastoid air cell, barotrauma,
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1188
Date: 2002

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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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