Abstract
Over the last 45 years, recreational self-contained underwater breathing apparatus (SCUBA) diving as a leisure activity has increased in popularity. According to the Professional Association of Diving Instructors (PADI), more than 23 million diver certificates have been issued across the globe. Given the popularity of scuba diving, it is incumbent on every physician to know and understand the specific medical hazards and conditions associated with scuba diving. Although diving has become more accessible and the equipment is much safer now, diving still has its inherent dangers. Each year incidents occur, ranging from seasickness and sinus problems to heart conditions and mortality. More than 80% of all diving complications occur in the head and neck region. A number of studies have found that diving can lead to the development of vestibular disorders such as: Barotrauma, Decompression sickness, Otitis externa, Bilateral exostoses, Chronic sinusitis (barosinusitis), Serous tubotympanic catarrh, Tinnitus, Dizziness, Vertigo. The aim of this paper was to share our experience in the field of treating patients with different types of ENT disorders after or before a diving session. We briefly summarized the most important information for some of the disorders. We included in our study for a period of 12 years: a total of 24 patients (four females and 20 males), who dive. They were between 25 and 55 years of age. Some presented in clinics with an ENT disorder. 19 were professional, qualified divers, five (three males and two females) dove for the first time. On all 24 patients we performed: audiometry tests, Tympanometry tests, OAE, Static and dynamic vestibular tests, vHIT – in the last five years, otoscopy examination, dental check-ups. All divers – no matter professionalists or not – should follow these recommendations: a thorough prophylactic ENT check-up should be performed before an active diving session. Chronic ENT inflammations should be addressed in a timely manner. Divers should follow all instructions from the certified Diving Associations.
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