Effects of hyperbaric oxygen therapy on middle and inner ear functions | ||||
Egyptian Journal of Neck Surgery and Otorhinolaryngology | ||||
Article 2, Volume 11, Issue 2, August 2025, Page 20-32 PDF (323.9 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejnso.2025.366295.1115 | ||||
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Authors | ||||
Nahla Ahmed Abd Elhafez ![]() | ||||
1Audio-vestibular unit ENT department, Assiut general hospital, Assiut, Egypt | ||||
2Audio-Vestibular unit, ENT Department, Faculty of Medicine, Assiut University, Assiut, Egypt | ||||
3Neurosurgery department, Faculty of Medicine, Assiut University, Assiut, Egypt | ||||
Abstract | ||||
Abstract: Objectives: The present study aimed to detection of the prevalence of middle ear barotrauma (MEB) and eustachian tube dysfunction (ETD) complicating HBOT, identify values of eustachian tube function tests (ETFT) as predictor factor for MEB and estimate the hearing sensitivity of the patients before and after exposure to HBOT. Methods: A total of 54 patients were recruited from HBOT center regardless their medical condition that required HBOT. ETF tests were performed to all patients before and just after the first session of HBOT and also after the 10th session. Results: Middle ear barotrauma representing the most common side effects of HBOT by percentage of 38.9% followed by sinus and inner ear barotraumas. There was decreasing in the category of good ears in contrast to increasing in categories of median and bad ears by the effect of exposure to HBOT There was statistical significant association between old age and female sex and occurrence of MEB. Conclusion: In this study MEB constituted the major percentage of E.N.T (Ear, Nose, Throeat) complications after HBOT. There were worsening in the grades of the tympanic membrane (TM) apperance (according to modified Edmond`s criteria) for MEB with successive sessions of HBOT. Eustachian tube function tests were valuable tool in prediction of MEB | ||||
Keywords | ||||
Hyperbaric oxygen therapy; Middle ear barotrauma; Eustachian tube function tests | ||||
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