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Aerosinusitis

Teil 1: Grundlagen, Pathophysiologie und Prophylaxe

Aerosinusitis

Part 1: Fundamentals, pathophysiology and prophylaxis

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An Erratum to this article was published on 13 April 2014

Zusammenfassung

Die Aerosinusitis stellt aufgrund der hohen Fluggastzahlen und der Beeinträchtigung der Arbeitsfähigkeit des Flugpersonals eine relevante Erkrankung dar. Sie betrifft häufiger die Stirn- als die Kieferhöhle und tritt meist beim Sinkflug auf. Sinunasale Erkrankungen und anatomische Varianten, die zur Obstruktion der Nasennebenhöhlenventilation führen, begünstigen das Auftreten einer Aerosinusitis. Der Fortbildungsartikel basiert auf einer selektiven Literaturrecherche in der Datenbank PubMed (Suchworte „Aerosinusitis“, „Barosinusitis“, „Barotrauma“ AND „Sinus“, „Barotrauma“ AND „Sinusitis“, „Sinusitis“ AND „Flying“ OR „Aviator“). Zusätzlich wurden aktuell verfügbare Monographien und weitere Arbeiten eingeschlossen, die aufgrund der Durchsicht der Volltexte identifiziert werden konnten. Im 1. Teil werden Pathophysiologie, Symptome, Risikofaktoren, Epidemiologie und Maßnahmen zur Prophylaxe dargestellt. Im 2. Teil folgen Diagnosestellung, konservative und chirurgische Therapie.

Abstract

The relevance of aerosinusitis stems from the high number of flight passengers and the impaired fitness for work of the flight personnel. The frontal sinus is more frequently affected than the maxillary sinus and the condition generally occurs during descent. Sinonasal diseases and anatomic variations leading to obstruction of paranasal sinus ventilation favor the development of aerosinusitis. This Continuing Medical Education (CME) article is based on selective literature searches of the PubMed database (search terms: “aerosinusitis”, “barosinusitis”, “barotrauma” AND “sinus”, “barotrauma” AND “sinusitis”, “sinusitis” AND “flying” OR “aviator”). Additionally, currently available monographs and further articles that could be identified based on the publication reviews were also included. Part 1 presents the pathophysiology, symptoms, risk factors, epidemiology and prophylaxis of aerosinusitis. In part 2, diagnosis, conservative and surgical treatment will be discussed.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. Die Autoren weisen auf folgende Beziehungen hin:

R. Weber: ALK, Fentex, Karl Storz, Medtronic, Neuwirth Medical Products, PARI, Polyganics, Siemens, Sutter.

T. Kühnel: Karl Storz, Medtronic, Neuwirth Medical Products, Sutter.

J. Graf: Deutsche Lufthansa AG.

W. Hosemann: Karl Storz, Medtronic, Polyganics.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Nasenzentrum Marburg, Klinik für HNO-Heilkunde, Kopf- und Halschirurgie, Philipps-Universität, UKGM, Baldinger Straße, 35033, Marburg, Deutschland

    R. Weber

  2. Klinik für HNO-Heilkunde, Kopf- und Halschirurgie, Universität Regensburg, Regensburg, Deutschland

    T. Kühnel

  3. Medizinischer Dienst, Deutsche Lufthansa AG, Frankfurt, Deutschland

    J. Graf

  4. Klinik für HNO-Heilkunde, Kopf- und Halschirurgie, Ernst-Moritz-Arndt-Universität, Greifswald, Deutschland

    W. Hosemann

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  1. R. Weber
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Correspondence to R. Weber.

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Weber, R., Kühnel, T., Graf, J. et al. Aerosinusitis. HNO 62, 57–66 (2014). https://doi.org/10.1007/s00106-013-2791-3

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