Barosinusitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Barosinusitis, Diagnosis and Treatment and Related Diseases

This week I had a patient who has suddenly severe headache and sneezed out blood in the yellow mucus from his nose.
He had just returned from a business trip to Europe.
He first sneezed out the blood on the plane bringing him back from Europe.
He went to consult an ENT surgeon to examine the cause of bleeding from his nose.
An MRI of his nose showed pus discharge present in the left maxillary sinus.
There was no evidence of any malignancy.
He was reassured by the ENT surgeon and told that it was merely an infection that causes the bleeding.
He was given a course of strong antibiotic and antihistamine.
The bleeding from the nose did not stop so he decided to see me.
Since nothing was given to stop bleeding, in addition to his medicine I gave him a decongestant (pseudoephedrine) which is a blood vessel constrictor.
The bleeding and headache stopped and he has improved.

Barosinusitis (Aerosinusitis) is the painful inflammation or swelling of the sinuses (particularly the frontal sinuses), which may be associated with bleeding and preceded by an upper respiratory tract infection or acute exacerbation of allergies.
Barosinusitis (Aerosinusitis) happens when flying in an aircraft or during deep sea diving and is due to non-equilibration or pressure differences of the internal (within the sinuses) and the external atmospheric pressure.
It can also be called Sinus Barotrauma
Coexisting sinus inflammation (e.g., allergic rhinitis) raises the incidence of barosinusitis in pilots, with frequencies of up to 34% in high-performance fighter pilots and 55% in commercial pilots.
Hyperbaric oxygen treatment produces up to 3% of yearly cases of barosinusitis.
Sinus barotrauma is most frequent in divers, in whom the incidence of descent barotrauma is 2 times that of ascent.
Pain after a change of pressure is the most distinct symptom and is observed in up to 92% of cases.
Sinus barotrauma is 2nd in incidence only to middle ear barotrauma
The frontal sinus is most often affected.

These injuries happen after a rapid change in pressure, such as with flying or scuba diving.

Epistaxis is a dangerous sign.
Brain and orbital (eye) complications are infrequent but can happen.
Barosinusitis is not normally reported in children.
Frontal sinuses are most often affected, and these do not fully develop until late adolescence.
Also, children do not routinely take part in activities that lend themselves to rapid pressure changes.
Underwater, diving injuries are most often the cause of barotrauma.
Diving and aviation studies reveal that decompression linked with descent and higher gravity cause sinus barotrauma 2 times as often as cases related to ascent, compression, and reverse squeeze.
A medical examination will show upper respiratory tract pathology in many patients.
A flow of events happens in the sinuses during changes in atmospheric pressure.
Barosinusitis is often produced when sudden changes in ambient pressure are not compensated for by force equalization mechanisms within the paranasal sinuses.
Headache, nose congestion and bleeding may occur
The majority of patients have complaints of a frontal distribution of pain, with ethmoidal and maxillary sinus being much less significant.
Epistaxis is the 2nd most frequent symptom and may be the single symptom in ascent cases.
Nasal endoscopy and MRI of sinuses is diagnostic.
The treatment is directed at the relief of pain and nasal shrinkage.
Pain relief, oral/topical decongestants, nasal lavage and antibiotics are indicated for treatment.
The antibiotics are preventative.
Surgery can be done if medical therapy fails to relieve the pain

TABLE OF CONTENT
Introduction
Chapter 1 Barosinusitis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagn

• Language: English
• Publisher: Kenneth Kee
• Release date: Dec 7, 2019
• ISBN: 9780463898383

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Barosinusitis,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2019 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Barosinusitis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Barosinusitis)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Barosinusitis

This week I had a patient who has suddenly severe headache and sneezed out blood in the yellow mucus from his nose.

He had just returned from a business trip to Europe.

He first sneezed out the blood on the plane bringing him back from Europe.