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Identifying eustachian tube dysfunction prior to hyperbaric oxygen therapy: Who is at risk for intolerance?
Journal article   Peer reviewed

Identifying eustachian tube dysfunction prior to hyperbaric oxygen therapy: Who is at risk for intolerance?

Jason E. Cohn, Michael Pfeiffer, Niki Patel, Robert T. Sataloff and Brian J. McKinnon
American journal of otolaryngology, v 39(1)
Jan 2018
DOI: https://doi.org/10.1016/j.amjoto.2017.10.005
PMID: 29054767
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Decongestant therapy Eustachian tube dysfunction Hyperbaric oxygen complications Hyperbaric oxygen intolerance Hyperbaric oxygen therapy Middle ear barotrauma Myringotomy Tympanotomy tube placement
Determine whether specific risk factors, symptoms and clinical examination findings are associated with hyperbaric oxygen therapy (HBOT) intolerance and subsequent tympanotomy tube placement. A retrospective case series with chart review was conducted from 2007 to 2016 of patients undergoing HBOT clearance at a tertiary care university hospital in an urban city. Eighty-one (n=81) patient charts were reviewed for risk factors, symptoms and clinical examination findings related to HBOT eustachian tube dysfunction and middle ear barotrauma. Relative risk was calculated for each variable to determine risk for HBOT intolerance and need for tympanotomy tube placement. Risk factor, symptom, physical examination and HBOT complication-susceptibility scores were calculated for each patient. Mean risk factor, clinical and HBOT complication-susceptibility scores were significantly higher in patients who did not tolerate HBOT compared to patients who tolerated HBOT. Patients reporting a history of otitis media, tinnitus, and prior ear surgery were at a higher risk for HBOT intolerance. Patients reporting a history of pressure intolerance and prior ear surgery were more likely to undergo tympanotomy tube placement. Patients noted to have otologic findings prior to HBOT were at a higher risk for both HBOT intolerance and tympanotomy tube placement. A thorough otolaryngological evaluation can potentially predict and identify patients at risk for HBOT intolerance and tympanotomy tube placement.

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12 Record Views
6 citations in Web of Science
5 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Otorhinolaryngology
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