The surgical management of recurrent acute and chronic barosinusitis in sports self-contained underwater breathing apparatus (scuba) divers

dc.authorid0000-0003-4904-279X
dc.contributor.authorÖztürk, Özmen
dc.contributor.authorBozkurt, Ziya
dc.date.accessioned2020-10-27T07:35:14Z
dc.date.available2020-10-27T07:35:14Z
dc.date.issued2020
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun Boğaz Hastalıkları Ana Bilim Dalı
dc.description.abstractPurpose The aim of this retrospective study is to evaluate the feasibility of functional endoscopic sinus surgery (FESS) with supplementary surgical procedures in scuba divers with recurrent acute barosinusitis (RABS) and chronic barosinusitis (CBS). Methods In this retrospective study, 25 divers were classified into RABS (n:11) and CBS (n:14) groups. The presentation of divers have been reviewed. The PNS CT images were scored according to Lund-Mackay (L-M) system. A score has been assigned to the extent of endoscopic procedures performed. The outcome of surgery and life quality were determined by SNOT-22 and dive-related questions (DRQ) tests. Results The average L-M score was 3.8 +/- 2 for RABS and 12.2 +/- 3.4 for CBS groups. L-M score of CBS group was found to be statistically higher than RBS group (p < 0.05). The FESS score of CBS group (8.7 +/- 2.4) was higher than RABS group (5.6 +/- 2) which showed that the endoscopic sinus procedures were performed more extensively in CBS group (p < 0.05). The difference between the preoperative and postoperative SNOT-22 scores indicates that the degree of sinus symptoms improved better in RABS group than CBS group (p < 0.05). When DRQ test was evaluated, RABS group showed a better improvement in diving performance symptoms than the CBS group (p < 0.05). Conclusion Our study demonstrated that divers with RABS and CBS can be managed successfully with FESS and supplementary surgical procedures. The improvement in the RABS group was superior to the CBS group, a difference attributed to the severity of chronic inflammation in CBS.
dc.identifier.citationÖztürk, Ö. ve Bozkurt, Z. (2020). The surgical management of recurrent acute and chronic barosinusitis in sports self-contained underwater breathing apparatus (scuba) divers. European Archives of Oto-Rhino-Laryngology, 277(9), 2475-2484. https://dx.doi.org/10.1007/s00405-020-06034-3
dc.identifier.doi10.1007/s00405-020-06034-3
dc.identifier.endpage2484
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue9
dc.identifier.scopusqualityQ1
dc.identifier.startpage2475
dc.identifier.urihttps://dx.doi.org/10.1007/s00405-020-06034-3
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5979
dc.identifier.volume277
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectDiving
dc.subjectBarotrauma
dc.subjectParanasal Sinuses
dc.subjectSurgery
dc.subjectSino-Nasal Outcome Test
dc.titleThe surgical management of recurrent acute and chronic barosinusitis in sports self-contained underwater breathing apparatus (scuba) divers
dc.typeArticle

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