Hiperbarik iç yardımcılarında orta kulak barotravması

Yıl 2024, Cilt: 14 Sayı: 6, 300 - 304, 30.11.2024

Levent Demir , Mustafa Öztürk

https://doi.org/10.16899/jcm.1555673

Öz

Arka Plan/Amaçlar: Hiperbarik oksijen tedavisi (HBOT) olanakları ve çeşitli tıbbi alanlardaki kullanımı artmaktadır. Hiperbarik iç yardımcıları (HCIA'lar) çeşitli mesleki tehlikelere maruz kalmaktadır ve bunların arasında en yaygın olanı orta kulak barotravmasıdır (MEB). Bu çalışma, hiperbarik iç yardımcılarında MEB insidansını ve şiddetini prospektif olarak araştırmayı amaçlamaktadır.
Yöntemler: HCIA'lar, HBOT seansından önce ve sonra bir kulak burun boğaz uzmanı tarafından otoskopik muayeneye tabi tutuldu ve demografik özellikleri, tıbbi geçmişleri ve otolojik semptomları kaydedildi. MEB geliştirenlerde timpanik membranın görünümü Teed sınıflandırma sistemine göre derecelendirildi. Çalışmada toplanan veriler istatistiksel yazılım kullanılarak analiz edildi.
Sonuçlar: Araştırmaya HBOT seanslarından önce ve sonra otoskopik muayeneye tabi tutulan 56 HCIA dahil edildi. Çalışma, katılımcıların %21,5'inin MEB yaşadığını ve MEB ile demografik değişkenler arasında anlamlı bir korelasyon olmadığını ortaya koydu. Verilere göre, MEB yaşayan HCIA'ların %25'i ağrı hissetmediğini bildirmiştir.
Sonuç: Literatürde MEB'in HCIA'larda kalıcı hasara yol açtığına dair bir kanıt bulunmamaktadır. Ancak, HCIA'larda MEB daha önce düşünülenden daha yaygın olabilir. Bu çalışma, HCIA'lar kapsamlı bir şekilde taranıp değerlendirilmediğinde birçok MEB vakasının gözden kaçabileceğini göstermektedir. MEB'in klinik bir etkisi olmasa da, HCIA'ların maruz kalabileceği mesleki MEB riskinin anlaşılması önemlidir.

Anahtar Kelimeler

hiperbarik oksijen tedavisi, orta kulak barotravması, hiperbarik iç yardımcıları

Middle Ear Barotrauma in Hyperbaric Chamber Inside Attendants

Öz

Background/Aims: Hyperbaric oxygen therapy (HBOT) facilities and their use in various medical fields are increasing. Hyperbaric chamber inside attendants (HCIAs) are exposed to several occupational hazards, of which middle ear barotrauma (MEB) is the most common. This study aimed to prospectively investigate MEB incidence and severity in hyperbaric chamber inside attendants.
Methods: The HCIAs underwent an otoscopic examination by an otolaryngologist before and after the HBOT session, and their demographic characteristics, medical history, and otological symptoms were recorded. The appearance of the tympanic membrane in those who develop MEB is graded according to the Teed classification system. The data collected in the study were analyzed using statistical software.
Results: The research involved 56 HCIAs who underwent otoscopic examinations before and after HBOT sessions. The study revealed that 21.5% of the participants experienced MEB, with no significant correlations between MEB and demographic variables. According to the data, 25% of HCIAs who experienced MEB reported no pain.
Conclusions: No evidence in the literature suggests that MEB causes permanent damage to HCIAs. However, MEB in HCIAs may be more prevalent than previously thought. This study indicates that many MEB cases may be missed if HCIAs are not thoroughly screened and assessed. While MEB may not have a clinical impact, it is important to understand the risk of occupational MEB that HCIAs may be exposed to.

Anahtar Kelimeler

Hyperbaric chamber inside attendants, hyperbaric oxygen therapy, middle ear barotrauma

Etik Beyan

Ethic Board: In this study, national and international ethical rules are observed. The study was conducted according to the guidelines of the Declaration of Helsinki, and ap-proved by the Noninvasive Clinical Research Ethics Committee of Pamukkale University (Denizli/Turkey) on 30.11.2021 with registration number 21. Conflict of Interest: No conflict of interest was declared by the authors.

Teşekkür

We thank Dr. Şengül YILMAZ for her contributions to our study.

Kaynakça

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