Title:
Aspecial case of ear barotrauma caused by hyperbaric oxygen therapy
Authors:
J. Drubbel , R. Kuhweide
Institutions:
Department of Otorhinolaryngology and Head & Neck Surgery, University Hospital Leuven, Leuven, Belgium; Department of Otorhinolaryngology and Head & Neck Surgery,AZ St Jan Bruges hospital, Bruges, Belgium.
Keywords:
Tinnitus; hyperbaric oxygenation; barotrauma; otologic surgical procedures; dizziness
Pages:
65 - 69
Abstract:
Aspecial case of ear barotrauma caused by hyperbaric oxygen therapy The problem: A 52-year-old male with prior ear surgery on the right side presented at our department for the first time with a crushing pain behind his right ear, unsteady gait, blurry vision, and confusion. These symptoms occurred in our hospital, during the last 10 min of a hyperbaric oxygen therapy session for chronic posttraumatic tinnitus. Methodology: Audiometry and a CT scan of the brain were performed. Results: The CT scan showed a pneumocephalus, with a dehiscent tegmen as the port of air entry. Conclusions: We recommend careful consideration of the risks of hyperbaric oxygen therapy before treating patients with a history of ear surgery. This is particularly important in cases of chronic tinnitus, because there is currently no definitive evidence of treatment efficacy.
Issue:
Vol. 15, 2019, 1st trimester


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Aspecial case of ear barotrauma caused by hyperbaric oxygen therapy