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Systematic Review Diving and hyperbaric medicine 2026

Outcomes in the treatment of inner ear decompression sickness with hyperbaric oxygen therapy, a systematic review.

Stokes RJ, Marsden J, Watts D, Smerdon G, Hall SD, Bunn L — Diving and hyperbaric medicine, 2026

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers conducted a systematic review to evaluate the effectiveness of hyperbaric oxygen therapy (HBOT) for inner ear decompression sickness (IEDCS) by synthesizing data from 24 studies representing 539 cases.

What They Found

Out of 3,683 records, 24 studies involving 539 cases of inner ear decompression sickness (IEDCS) were included, revealing a mean diver age of 44 and an average dive depth of 29 metres. Despite 68% showing dysfunction on laboratory testing, only 37% had residual symptoms on discharge, though vestibular rehabilitation was underutilized and only 46% underwent patent foramen ovale screening.

What This Means for Canadian Patients

Canadian divers experiencing inner ear decompression sickness (IEDCS) may benefit from hyperbaric oxygen therapy (HBOT), with many showing symptom resolution upon discharge. However, it is crucial for patients to receive comprehensive follow-up, including vestibular rehabilitation and screening for patent foramen ovale, to ensure optimal long-term recovery.

Canadian Relevance

This study has no direct Canadian connection.

Study Limitations

The review was limited by variable follow-up durations and assessment methods across the included descriptive observational studies.

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Study Details

Study Type Systematic Review
Category Decompression Sickness
Source Pubmed
PubMed ID 41875444
Year Published 2026
Journal Diving and hyperbaric medicine
MeSH Terms Humans; Hyperbaric Oxygenation; Decompression Sickness; Diving; Treatment Outcome; Ear, Inner; Labyrinth Diseases; Adult

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.