{"id":4421,"date":"2019-04-03T13:34:56","date_gmt":"2019-04-03T13:34:56","guid":{"rendered":"http:\/\/www.ent.gr\/?p=4421"},"modified":"2019-07-05T21:36:09","modified_gmt":"2019-07-05T18:36:09","slug":"diving-injuries","status":"publish","type":"post","link":"https:\/\/ent.gr\/en\/diving-injuries\/","title":{"rendered":"Diving related Ear Injuries"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_81 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ent.gr\/en\/diving-injuries\/#Common_Diving-Related_Injuries\" >Common Diving-Related Injuries<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ent.gr\/en\/diving-injuries\/#The_most_common_injuries_or_morbidity_caused_by_diving_are\" >The most common injuries or morbidity caused by diving are:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ent.gr\/en\/diving-injuries\/#Predisposing_factors_for_barotrauma\" >Predisposing factors for barotrauma:\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ent.gr\/en\/diving-injuries\/#Prevention\" >Prevention<\/a><\/li><\/ul><\/nav><\/div>\n<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<\/p>\n<div>\n<div id=\"attachment_11177\" style=\"width: 310px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11177\" class=\"wp-image-11177 size-medium\" title=\"EYiasis.Diving related Injuries.ent\" src=\"https:\/\/ent.gr\/wp-content\/uploads\/2019\/10\/%CE%9D%CF%8C%CF%83%CE%BF-%CF%84%CE%BF%CF%85-%CE%B4%CF%8D%CF%84%CE%B7.%CE%B5%CF%85%CE%AF%CE%B1%CF%83%CE%B9%CF%82-300x200.jpg\" alt=\"Diving related Injuries.ent\" width=\"300\" height=\"200\" \/><p id=\"caption-attachment-11177\" class=\"wp-caption-text\">Diving related Injuries<\/p><\/div>\n<p><span style=\"font-family: helvetica; font-size: 14pt;\">Scuba diving is an activity that requires a good physical condition and a completely functional anatomy of the ear, nose and paranasal sinuses. However, most divers only start to appreciate this fact after they incur an injury to this region. Consequently, more than 50% of a diver&#8217;s emerging injuries are related to an\u00a0Otolaryngologist&#8217;s\u00a0area of expertise and\u00a0more than 90% of these problems are related to ear morbidity.<\/span><\/p>\n<p><span style=\"font-family: helvetica; font-size: 14pt;\">Normally the air pressure in the ear is equilibrated to atmospheric pressure, by the Eustachian tube. In fact the Eustachian tube is normally closed and opens during swallowing, yawning or actively by using the <a href=\"https:\/\/juniperpublishers.com\/gjo\/pdf\/GJO.MS.ID.555896.pdf\">Valsalva Maneuver<\/a>.<\/span><\/p>\n<\/div>\n<div><span style=\"font-family: helvetica; font-size: 14pt;\">During scuba diving\u00a0the air pressure in the ear may sometimes not be equalized, therefore, leading to\u00a0overpressure of the middle ear. Consequently, this will result in barotitis media (barotrauma) which is the most frequently reported injury among divers.<\/span><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Common_Diving-Related_Injuries\"><\/span><span style=\"font-size: 18pt; font-family: verdana, geneva;\">Common Diving-Related Injuries<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h3><span class=\"ez-toc-section\" id=\"The_most_common_injuries_or_morbidity_caused_by_diving_are\"><\/span><span style=\"font-size: 18pt; font-family: verdana, geneva;\">The most common injuries or morbidity caused by diving are:<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">external, middle and inner ear barotrauma, <\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">vertigo due to pressure or temperature, <\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">facial nerve palsy, <\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">divers&#8217; inner ear disease and <\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">otitis externa.<\/span><\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Predisposing_factors_for_barotrauma\"><\/span><span style=\"font-family: helvetica;\"><span style=\"font-size: 18pt; font-family: verdana, geneva;\"><b>Predisposing factors for barotrauma:\u00a0<\/b><\/span><b><\/b><\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<div>\n<ul type=\"disc\">\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Common cold (runny nose)<\/span><\/li>\n<li><span style=\"font-size: 14pt; font-family: helvetica;\"><span style=\"font-size: 14pt; font-family: helvetica;\"><a href=\"https:\/\/ent.gr\/en\/allergy\/\">Allergic rhinitis<\/a><\/span><\/span>\n<div id=\"attachment_3245\" style=\"width: 349px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3245\" class=\"wp-image-3245\" title=\"Anatomy of Facial Bones\" src=\"http:\/\/www.ent.gr\/wp-content\/uploads\/2019\/04\/33.jpg\" alt=\"Anatomy of Facial Bones\" width=\"339\" height=\"309\" \/><p id=\"caption-attachment-3245\" class=\"wp-caption-text\">Anatomy of Facial Bones<\/p><\/div><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Nasal polyps<\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Septal deviation<\/span><\/li>\n<\/ul>\n<\/div>\n<div>\n<h3><span class=\"ez-toc-section\" id=\"Prevention\"><\/span><span style=\"font-size: 18pt; font-family: verdana, geneva;\">Prevention<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-size: 14pt; font-family: helvetica;\">Most diving-related otological injuries can be avoided if, the prospective diver, is well prepared and undergoes a thorough clinical ENT examination. The\u00a0 ENT -Neuro-otologist, of EYiasis, will assess the anatomical integrity and functionality of the paranasal sinuses and the nose. Moreover and most importantly the ENT specialist will assess the ears with special emphasis on the Eustachian tube.<\/span><\/p>\n<p><span style=\"font-size: 18pt; font-family: helvetica;\">At EYiasis, the ENT specialist will carry out a detailed examination, including:<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 14pt; font-family: helvetica;\">Otoscopy, <\/span><\/li>\n<li><span style=\"font-size: 14pt; font-family: helvetica;\">Tone audiogram, <\/span><\/li>\n<li><span style=\"font-size: 14pt; font-family: helvetica;\">Assessment of the Toynbee and Valsalva test, <\/span><\/li>\n<li><span style=\"font-size: 14pt; font-family: helvetica;\">Endoscopy of the nose and nasopharynx, <\/span><\/li>\n<li><span style=\"font-size: 14pt; font-family: helvetica;\">x-ray of the paranasal sinuses and <\/span><\/li>\n<li><span style=\"font-size: 14pt; font-family: helvetica;\">Examination of the posterior labyrinth if there is a history of vertigo attacks.<\/span><\/li>\n<\/ul>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row pix_padding_top=&#8221;pix-top-no-padding&#8221; pix_padding_bottom=&#8221;pix-bottom-no-padding&#8221; gradient_colors=&#8221;%5B%7B%7D%5D&#8221;][vc_column width=&#8221;1\/3&#8243;][vc_btn title=&#8221;Contact us&#8221; color=&#8221;turquoise&#8221; align=&#8221;center&#8221; i_icon_fontawesome=&#8221;fa fa-phone&#8221; add_icon=&#8221;true&#8221; link=&#8221;url:%2Fen%2Fcontacts||target:%20_blank|&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_btn title=&#8221;Book an appointment&#8221; color=&#8221;turquoise&#8221; align=&#8221;center&#8221; i_icon_fontawesome=&#8221;fa fa-calendar&#8221; add_icon=&#8221;true&#8221; link=&#8221;url:%2Fen%2Fappointment||target:%20_blank|&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_btn title=&#8221;Get directions&#8221; color=&#8221;turquoise&#8221; align=&#8221;center&#8221; i_icon_fontawesome=&#8221;fa fa-map-marker&#8221; add_icon=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.google.com%2Fmaps%2Fdir%2F%2FEyiasis%2BENT%2BAcupuncture%2C%2BGeor.%2BDrosini%2B16%2C%2BKifisia%2B145%2B62%2F%4038.0718225%2C23.8122364%2C15z%2Fdata%3D!4m8!4m7!1m0!1m5!1m1!1s0x14a19edf40479729%3A0xa4593bd0e0aed04b!2m2!1d23.8122364!2d38.0718225||target:%20_blank|&#8221;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Scuba diving is an activity that requires good physical condition and completely functional anatomy of the ear, nose and paranasal sinuses&#8230;<\/p>\n","protected":false},"author":1,"featured_media":13720,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[150,154],"tags":[],"class_list":["post-4421","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ent-the-ear","category-neuro-otology-diving-pathology"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/posts\/4421","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/comments?post=4421"}],"version-history":[{"count":0,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/posts\/4421\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/media\/13720"}],"wp:attachment":[{"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/media?parent=4421"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/categories?post=4421"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/tags?post=4421"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}