Dynamic radiologic changes in repeated barotraumatic frontal sinusitis: A CARE case report - 19/06/24
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.
Le texte complet de cet article est disponible en PDF.Keywords : Barotraumatic frontal sinusitis, Atelectasic sinusitis, Iterative barotrauma, Frontal sinusotomy
Plan
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