What Researchers Did
Researchers reviewed the literature from the last decade and their own experiences to discuss the origin, symptoms, and therapy for inner ear barotrauma and inner ear decompression illness in divers.
What They Found
The review found that inner ear decompression illness is more common than previously believed. Hyperbaric oxygen therapy is the treatment of choice for inner ear decompression sickness, but it is contraindicated for inner ear barotrauma. The authors suggest treating all patients with suspected inner ear decompression illness with hyperbaric oxygen therapy after bilateral paracentesis, unless it can be definitively ruled out.
What This Means for Canadian Patients
Divers experiencing cochleovestibular symptoms after a dive should seek immediate medical attention to differentiate between inner ear barotrauma and decompression illness. Early diagnosis and appropriate treatment, such as hyperbaric oxygen therapy for decompression illness, can prevent permanent inner ear damage.
Canadian Relevance
This study has no direct Canadian connection as it was not conducted in Canada, nor does it specifically mention Canadian populations or healthcare systems.
Study Limitations
As a literature review, this study's findings are dependent on the quality and potential biases of the previously published research it synthesized.