The predictive value of assessing mastoid pneumatization in pre-dive examinations

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dc.authorscopusid55962507400
dc.authorscopusid7005413886
dc.authorscopusid6602357375
dc.authorscopusid6603322806
dc.authorscopusid6602427409
dc.authorscopusid15052532500
dc.authorscopusid6602899799
dc.contributor.authorUzun C.
dc.contributor.authorTaş A.
dc.contributor.authorYa?iz R.
dc.contributor.authorAdali M.K.
dc.contributor.authorKoten M.
dc.contributor.authorSan H.
dc.contributor.authorKarasaliho?lu A.R.
dc.date.accessioned2024-06-12T10:28:45Z
dc.date.available2024-06-12T10:28:45Z
dc.date.issued2005
dc.description.abstractOBJECTIVES: We investigated the value of assessing the degree of mastoid pneumatization in predicting middle ear barotrauma -the most common problem in sport SCUBA divers- in comparison with that of the conventional pre-dive examination method, the Valsalva maneuver. MATERIALS AND METHODS: Thirty-four volunteer sport SCUBA divers having normal pre-dive examination findings were included. The Valsalva test was performed in all the divers. Mastoid pneumatization for each ear was calculated on a Schuller's view radiography. Pneumatization of = or <30 cm2 was accepted as poor (prone to barotrauma) and >30 cm2 was accepted as good (not prone to barotrauma). During the observation period, the divers were monitored with regard to barotrauma symptoms and signs. RESULTS: The degree of mastoid pneumatization was = or <30 cm2 in 26 ears (38%) of 16 divers (47%). The Valsalva test was negative in eight ears (12%) of six divers (18%). During a total of 1001 dives, symptomatic middle ear barotrauma occurred in 28 dives (2.8%), i.e. in 21 ears (31%) of 16 divers (47%). Of these, the degree of mastoid pneumatization predicted barotrauma in 11 (69%) divers, whereas the Valsalva test was negative in only three (19%) (p<0.05), with sensitivity, specificity, positive and negative predictive values, and efficiency being 69% and 19%, 72% and 83%, 69% and 50%, 72% and 54%, and 71% and 53%, respectively. CONCLUSION: The value of assessing mastoid pneumatization in predicting middle ear barotrauma in sport SCUBA divers is higher than that of the Valsalva test.en_US
dc.identifier.endpage61en_US
dc.identifier.issn1300-7475
dc.identifier.issue3.Nisen_US
dc.identifier.pmid16340294en_US
dc.identifier.scopus2-s2.0-46449138195en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage56en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17404
dc.identifier.volume15en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.relation.ispartofKulak burun bo?az ihtisas dergisi : KBB = Journal of ear, nose, and throaten_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdolescent; Adult; Article; Barotrauma; Diving; Evaluation; Female; Human; Injury; Male; Mastoid; Middle Ear; Pathophysiology; Physiology; Prediction And Forecasting; Radiography; Valsalva Maneuver; Adolescent; Adult; Barotrauma; Diving; Ear, Middle; Female; Humans; Male; Mastoid; Predictive Value Of Tests; Valsalva Maneuveren_US
dc.titleThe predictive value of assessing mastoid pneumatization in pre-dive examinationsen_US
dc.title.alternativeDalici muayenesinde mastoid pnömatizasyon derecesinin barotravmayi öngörmedeki de?eri.en_US
dc.typeArticleen_US

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