Difference between revisions of "Sinus barotrauma"

(Clinical Features)
Line 21: Line 21:
*Decongestants (pseudoephedrine, oxymetazoline)
*Consider antibiotics
*Consider antibiotics

Latest revision as of 04:05, 19 July 2020


  • Also known as "sinus squeeze"
  • Occurs during scuba diving or air flight due to changes in pressure within a non-draining sinus.
The four facial sinuses

Clinical Features

  • Pain over affected sinus, possible bleeding from nares
  • Ascent can cause expulsion of blood and mucous into nares and mask.
  • Front sinus most commonly affected, followed by maxillary sinus
    • Infraorbital branch of fifth cranial nerve runs along base of maxillary sinus, and can have neuropraxia involving lip and cheek.
    • Teeth pain can occur.
    • Ethmoid sinus can dissect air through lamina papyracea and cause periorbital emphysema.

Differential Diagnosis

Diving Emergencies

Barotrauma Types


  • Usually clinical


  • Decongestants (pseudoephedrine, oxymetazoline)
  • Consider antibiotics


  • Generally discharge

See Also

External Links