Dynamic radiologic changes in repeated barotraumatic frontal sinusitis: A CARE case report

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-11-01 DOI:10.1016/j.anorl.2024.06.001

K. Shenouda , S. Krystal , E. Racy , M. Veyrat

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Abstract

Introduction

Flight staff are at particular risk of iterative sinus barotrauma. We here report a case of barotraumatic atelectasic frontal sinusitis with dynamic radiologic change in frontal sinus volume.

Case report

A 46-year-old air pilot was referred for right frontal pain occurring at each landing. Two sinus CT scans were taken: one after a period of intense flying and the other after a month without flying. In the right frontal sinus, a type-3 Kuhn cell changed in volume from 6 × 11 × 12 mm to 13 × 18 × 19 mm. The alteration involved a modification in the medial wall, which was demineralized and changed position within the frontal sinus. Removal during endoscopic frontal sinusotomy allowed complete resolution of pain.

Discussion

This article reports radiologic change in a frontal sinus wall in a setting of repeated barotraumatic frontal sinusitis with a dynamic atelectasic component. In iterative barotrauma, we advocate imaging at different time points. When the ostial obstruction is identified, functional aeration surgery can be applied.

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反复气压创伤性额窦炎的动态影像学变化：CARE 病例报告。

简介飞行人员尤其容易发生迭加性额窦气压创伤。我们在此报告了一例气压创伤性无回声额窦炎病例，其额窦容积在放射学上发生了动态变化：病例报告：一名 46 岁的飞行员因每次着陆时右额部疼痛而转诊。他接受了两次鼻窦 CT 扫描：一次是在高强度飞行后，另一次是在停飞一个月后。在右额窦中，一个 3 型库恩细胞的体积从 6×11×12mm 变为 13×18×19mm。这种变化涉及内侧壁的改变，内侧壁脱矿并改变了在额窦内的位置。在内窥镜额窦切开术中切除后，疼痛完全消失：本文报告了在反复气压创伤性额窦炎的情况下额窦壁的放射学变化，其中包含动态无气成分。在反复气压创伤中，我们主张在不同的时间点进行成像。当确定骨腔阻塞时，可进行功能性通气手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Annals of Otorhinolaryngology-Head and Neck Diseases OTORHINOLARYNGOLOGY-

CiteScore

3.70

自引率

28.00%

发文量

审稿时长

12 days

期刊介绍： European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.