title: [Middle ear barotraumas due to rhinopharyngeal scar tissue: tubomanometry diagnostic and therapeutic contribution].
abstract: OBJECTIVE
  Evaluation of tubomanometry contribution to diagnosis middle ear barotraumas in relation with rhinopharyngeal scar tissue, and contribution to check postoperative effectiveness of scar tissue surgical resection.
  
  
  METHODS
  Clinical cases study of two stewardesses who have lost their flight fitness consecutively to barotraumatic otitis during landing, engendered by rhinopharyngeal scar tissue.
  
  
  RESULTS
  Pre-operative tubomanometric parameters were abnormal in both cases: decrease of intratympanic pressure in one case, variability of tube opening latency index and lengthening of intratympanic pressure rising time in the other case. Surgical section during endonasal endoscopy results in initially abnormal tubomanometric parameters normalization, allowing resumption of flight fitness without any barotrauma.
  
  
  CONCLUSIONS
  Some abnormal tubomanometric parameters help to establish causality link between middle ear barotrauma and rhinopharyngeal scar tissue for which surgical section is thus indicated. Post-operative tubomanometric parameters normalization prove surgical effectiveness. Then, flight fitness could then be restored.
authors.affiliation: CHU Nord, Université de la Méditerranée et Assistance Publique Hôpitaux de Marseille, Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, Chemin de Bourrely, 13915 Marseille cedex 20, France. michael.collin.fr@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Collin
authors.forename: M
authors.initials: M
authors.lastname: Coulange
authors.forename: A
authors.initials: A
authors.lastname: Devèze
authors.forename: M
authors.initials: M
authors.lastname: Montava
authors.forename: D
authors.initials: D
authors.lastname: Estève
authors.forename: J P
authors.initials: JP
authors.lastname: Lavieille
mesh_terms: D000328:Adult; D000337:Aerospace Medicine; D001469:Barotrauma / Q000209:etiology* / Q000601:surgery; D004432:Ear, Middle / Q000293:injuries* / Q000601:surgery; D005064:Eustachian Tube / Q000473:pathology; D005260:Female; D006801:Humans; D008365:Manometry; D009784:Occupational Diseases / Q000209:etiology* / Q000601:surgery; D000267:Tissue Adhesions / Q000175:diagnosis / Q000601:surgery