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

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-11-01 Epub Date: 2024-06-18 DOI:10.1016/j.anorl.2024.06.001

K Shenouda, S Krystal, E Racy, M Veyrat

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引用次数: 0

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 6×11×12mm to 13×18×19mm. 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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.