Comprehensive surgical management of the aerosinusitis patient.
OBJECTIVE
Provide a comprehensive overview of the pathophysiology and surgical management strategies of sinus barotrauma with attention to recent advancements in endoscopic surgical technique.


RESULTS
New endoscopic frontal sinus surgery techniques have been shown to be highly effective with rhinosinusitis management, but these techniques have not been evaluated with sinus barotrauma management.


CONCLUSIONS
We discuss the surgical goals and expectations with sinus barotrauma and contrast these to those with chronic rhinosinusitis (CRS). Sinus barotrauma surgery requires anatomic patency of involved sinuses whereas CRS patients are satisfied with a lack of symptoms from any residual mucosal disease.
Weitzel
Erik K
EK
San Antonio Uniformed Services Health EducationConsortium, Wilford Hall Medical Center, San Antonio, Texas, USA.
McMains
K Christopher
KC
Wormald
Peter-John
PJ
D000208:Acute Disease; D001469:Barotrauma / Q000150:complications*; D003131:Combined Modality Therapy; D004724:Endoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009297:Nasal Mucosa / Q000473:pathology / Q000601:surgery; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D012852:Sinusitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome