Inner ear barotrauma and inner ear decompression sickness: a systematic review on differential diagnostics
Oskari H Lindfors, Anne K Räisänen-Sokolowski, Timo P Hirvonen, Saku T Sinkkonen
SDC 1. Details of the preliminary literature search (search date 10/12/2020)
1) PUBMED PRELIMINARY LITERATURE SEARCH: (n = 228)
“Diving” AND “Inner Ear”
-> scanning of:
- titles
- abstracts
- index terms
- keywords
- titles of “similar articles”
- titles of “cited articles”
-> index terms identified:
- Hearing Loss, Sudden
- Tinnitus
- Vertigo
- Dizziness
-> keywords identified:
- subaquatic
- underwater
- inner-ear
- perilymph fistula
- perilymphatic fistula
- intralabyrinthine membrane tear
- inner ear hemorrhage
- cochlear
- vestibular
- cochleovestibular
- vestibulocochlear
SDC 2. Details of the systematic literature search (search date 10/12/2020 & 26/04/2020)
1) PUBMED SYSTEMATIC LITERATURE SEARCH: (n = 182)
"Diving/adverse effects"[Mesh] OR "Diving/complications"[Mesh] OR "Diving/epidemiology"[Mesh] OR "Diving/etiology"[Mesh] OR "Diving/injuries"[Mesh] OR "Diving/physiology"[Mesh] OR "Diving/physiopathology"[Mesh] OR "Diving/trends"[Mesh] OR subaquatic[tiab] OR underwater[tiab]
AND
"Ear, Inner/abnormalities"[Mesh:NoExp] OR "Ear, Inner/anatomy and histology"[Mesh:NoExp] OR "Ear, Inner/diagnosis"[Mesh:NoExp] OR "Ear, Inner/diagnostic imaging"[Mesh:NoExp] OR "Ear, Inner/etiology"[Mesh:NoExp] OR "Ear, Inner/injuries"[Mesh:NoExp] OR "Ear, Inner/pathology"[Mesh:NoExp] OR "Ear, Inner/physiology"[Mesh:NoExp] OR "Ear, Inner/physiopathology"[Mesh:NoExp] OR "Ear, Inner/surgery"[Mesh:NoExp] OR "Ear, Inner/therapy"[Mesh:NoExp] OR
"Hearing Loss, Sudden/anatomy and histology"[Mesh:NoExp] OR "Hearing Loss, Sudden/diagnosis"[Mesh:NoExp] OR "Hearing Loss, Sudden/diagnostic imaging"[Mesh:NoExp] OR "Hearing Loss, Sudden/epidemiology"[Mesh:NoExp] OR "Hearing Loss, Sudden/etiology"[Mesh:NoExp] OR "Hearing Loss, Sudden/pathology"[Mesh:NoExp] OR "Hearing Loss, Sudden/physiology"[Mesh:NoExp] OR "Hearing Loss, Sudden/physiopathology"[Mesh:NoExp] OR "Hearing Loss, Sudden/surgery"[Mesh:NoExp] OR "Hearing Loss, Sudden/therapy"[Mesh:NoExp] OR
"Tinnitus/anatomy and histology"[Mesh:NoExp] OR "Tinnitus/diagnosis"[Mesh:NoExp] OR "Tinnitus/diagnostic imaging"[Mesh:NoExp] OR "Tinnitus/epidemiology"[Mesh:NoExp] OR "Tinnitus/etiology"[Mesh:NoExp] OR "Tinnitus/pathology"[Mesh:NoExp] OR "Tinnitus/physiology"[Mesh:NoExp] OR "Tinnitus/physiopathology"[Mesh:NoExp] OR "Tinnitus/surgery"[Mesh:NoExp] OR "Tinnitus/therapy"[Mesh:NoExp] OR
"Vertigo/anatomy and histology"[Mesh:NoExp] OR "Vertigo/diagnosis"[Mesh:NoExp] OR "Vertigo/diagnostic imaging"[Mesh:NoExp] OR "Vertigo/epidemiology"[Mesh:NoExp] OR "Vertigo/etiology"[Mesh:NoExp] OR "Vertigo/pathology"[Mesh:NoExp] OR "Vertigo/physiology"[Mesh:NoExp] OR "Vertigo/physiopathology"[Mesh:NoExp] OR "Vertigo/surgery"[Mesh:NoExp] OR "Vertigo/therapy"[Mesh:NoExp] OR
"Dizziness/anatomy and histology"[Mesh:NoExp] OR "Dizziness/diagnosis"[Mesh:NoExp] OR "Dizziness/diagnostic imaging"[Mesh:NoExp] OR "Dizziness/epidemiology"[Mesh:NoExp] OR "Dizziness/etiology"[Mesh:NoExp] OR "Dizziness/pathology"[Mesh:NoExp] OR "Dizziness/physiology"[Mesh:NoExp] OR "Dizziness/physiopathology"[Mesh:NoExp] OR "Dizziness/surgery"[Mesh:NoExp] OR "Dizziness/therapy"[Mesh:NoExp] OR
inner-ear[tiab] OR “perilymph fistula”[tiab] OR “perilymphatic fistula”[tiab] OR “intralabyrinthine membrane tear”[tiab] OR “inner ear hemorrhage”[tiab] OR cochlear[tiab] OR vestibular[tiab] OR cochleovestibular[tiab] OR vestibulocochlear[tiab]
Filters: English
2) MEDLINE SYSTEMATIC LITERATURE SEARCH: (n = 188)
exp Diving/ae, co, in, ph, pp, td [Adverse Effects, Complications, Injuries, Physiology, Physiopathology, Trends] OR subaquatic.mp. OR underwater.mp.
AND
Ear, Inner/ab, ah, di, dg, in, pa, ph, pp, su [Abnormalities, Anatomy & Histology, Diagnosis, Diagnostic Imaging, Injuries, Pathology, Physiology, Physiopathology, Surgery] OR
Hearing Loss, Sudden/di, dg, ep, et, pa, pp, su, th [Diagnosis, Diagnostic Imaging, Epidemiology, Etiology, Pathology, Physiopathology, Surgery, Therapy] OR
Tinnitus/di, dg, ep, et, pa, ph, pp, su, th [Diagnosis, Diagnostic Imaging, Epidemiology, Etiology, Pathology, Physiology, Physiopathology, Surgery, Therapy] OR
Vertigo/di, dg, ep, et, pa, ph, pp, su, th [Diagnosis, Diagnostic Imaging, Epidemiology, Etiology, Pathology, Physiology, Physiopathology, Surgery, Therapy] OR
Dizziness/di, dg, ep, et, pa, pp, su, th [Diagnosis, Diagnostic Imaging, Epidemiology, Etiology, Pathology, Physiopathology, Surgery, Therapy] OR
OR inner-ear.mp. OR perilymph fistula.mp. OR perilymphatic fistula.mp. OR intralabyrinthine membrane tear.mp. OR inner ear hemorrhage.mp. OR cochlear.mp. OR vestibular.mp. OR cochleovestibular.mp. OR vestibulocochlear.mp.
Additional limits: English
3) SCOPUS SYSTEMATIC LITERATURE SEARCH: (n = 455)
TITLE-ABS-KEY ( ( diving OR subaquatic OR underwater )
AND
( "inner ear" OR "inner-ear" OR "hearing loss" OR "tinnitus" OR "vertigo" OR "dizziness" OR "perilymph fistula" OR "perilymphatic fistula" OR "intralabyrinthine membrane tear" OR "inner ear hemorrhage" OR "cochlear" OR "vestibular" OR "cochleovestibular" OR "vestibulocochlear" ) )
AND ( LIMIT-TO ( SUBJAREA , "MEDI" ) )
AND ( LIMIT-TO ( LANGUAGE , "English" ) )
SDC 3. Publications included in the final systematic review.
a) publications with inner ear barotrauma patients
|
Study details |
n of patients |
|
Eichel BS, Landes BS. Sensorineural hearing loss caused by skin diving. Arch Otolaryngol. 1970;92(2):128-31. PMID:5428306. |
2 |
|
Soss SL. Sensorineural hearing Loss with diving. Arch Otolaryngol. 1971;93(5):501-4. PMID:5554886. |
3 |
|
Freeman P, Edmonds C. Inner Ear Barotrauma. Arch Otolaryngol. 1972;95(6):556-63. PMID:4666425. |
5 |
|
Freeman P, Tonkin J, Edmons C. Rupture of the round window membrane in inner ear barotrauma. Arch Otolaryngol. 1974;99(6):437-42. PMID: 4829762. |
2 |
|
Tonkin JP, Fagan P. Rupture of the round window membrane. J Laryngol Otol. 1975;89(7):733-756. PMID:1176821. |
2 |
|
Caruso VG, Winkelmann PE, Correia MJ, Miltenberger GE, Love JT. Otologic and otoneurologic injuries in divers: clinical studies on nine commercial and two sport divers. Laryngoscope. 1977;87(4 Pt 1):508-21. PMID:300136. |
1 |
|
Molvaer OI, Natrud E, Eidsvik S. Diving injuries to the inner ear. Arch Otorhinolaryngol. 1978;221(4):285-8. PMID:727987 |
9 |
|
McNicoll WD. Traumatic perforation of the tympanic membrane with associated rupture of the round window membrane. J Laryngol Otol. 1978;92(10):897-903. PMID:712222. |
1 |
|
Pullen FW, Rosenberg GJ, Cabeza CH. Sudden hearing loss in divers and fliers. Laryngoscope. 1979;89(9 Pt 1):1373-7. PMID: 481042. |
5 |
|
Gray RF, Barton RP. Round window rupture. J Laryngol Otol. 1981;95(2):165-77. PMID:7462785. |
2 |
|
Parell GJ, Becker GD. Conservative management of inner ear barotrauma resulting from scuba diving. Otolaryngol Head Neck Surg. 1985;93(3):393-7. PMID:3927237. |
14 |
|
Shupak A, Doweck I, Greenberg E et. al. Diving-related inner ear injuries. Laryngoscope. 1991;101(2):173-9. PMID:1992269. |
5 |
|
Pullen FW. Perilymphatic fistula induced by barotrauma. Am J Otol. 1992;13(3):270-2. PMID:1609857. |
2 |
|
Parell GJ, Becker GD. Inner ear barotrauma in scuba divers: a long-term follow-up after continued diving. Arch Otolaryngol Head Neck Surg. 1993;119(4):455-7. PMID:8457309. |
20 |
|
Nakashima T, Yanagita N, Yamakawa K, Naganawa S. Inner ear barotrauma: computed tomographic evaluation. Clin Otolaryngol Allied Sci. 1995;20(6):544-6. PMID:8665716. |
4 |
|
Whinney DJ, Parikh AA, Brookes GB. Barotraumatic fracture of the stapes footplate. Am J Otol. 1996;17(5):697-9. PMID:8892563. |
1 |
|
Sheridan MF, Hetherington HH, Hull JJ. Inner ear barotrauma from scuba diving. Ear Nose Throat J. 1999;78(3):181,184,186-7 passim. PMID: 10188355. |
3 |
|
Shupak A, Gil, A, Nachum C et. al. Inner ear decompression sickness and inner ear barotrauma in recreational divers: a long-term follow-up. Laryngoscope. 2003;113(12):2141-7. PMID:14660917. |
9 |
|
Edmonds C. Inner ear barotrauma: a retrospective clinical series of 50 cases. SPUMS Journal. 2004;34:11-4. |
50 |
|
Shupak A. Recurrent diving-related inner ear barotrauma. Otol Neurotol. 2006;27(8):1193-6. PMID: 16983314. |
3 |
|
Duplessis C, Hoffer M. Tinnitus in an active duty navy diver: a review of inner ear barotrauma, tinnitus, and its treatment. Undersea Hyperb Med. 2006;33(4):223-30. PMID:17004408. |
1 |
|
Klingmann C, Praetorius M, Baumann I, Plinkert P. Barotrauma and decompression illness of the inner ear: 46 cases during treatment and follow-up. Otol Neurotol. 2007;28(4):447-54. PMID:17417111. |
26 |
|
Foster PK. Autologous intratympanic blood patch for presumed perilymphatic fistulas. J Laryngol Otol. 2016;130(12):1158-1161. PMID:27894373 |
1 |
|
McIntire S, Boujie L. Inner Ear Barotrauma After Underwater Pool Competency Training Without the Use of Compressed Air Case and Review. J Spec Oper Med. 2016;16(2):52-6. PMID:27450603. |
1 |
|
Morvan JB, Gempp E, Riviere D, Louge P, Vallee N, Verdalle P. Perilymphatic fistula after underwater diving: a series of 11 cases. Diving Hyperb Med. 2016;46(2):72-5. PMID:27334993. |
11 |
SDC 3. Publications included in the final systematic review.
b) publications with inner ear decompression sickness patients
|
Study details |
n of patients |
|
Farmer JC, Thomas WG, Youngblood DG, Bennett PB. Inner ear decompression sickness. Laryngoscope. 1976 Sep;86(9):1315-27. PMID: 957843 |
23 |
|
Caruso VG, Winkelmann PE, Correia MJ, Miltenberger GE, Love JT. Otologic and otoneurologic injuries in divers: clinical studies on nine commercial and two sport divers. Laryngoscope. 1977 Apr;87(4 Pt 1):508-21. PMID:300136 |
8 |
|
Reissman P, Shupak A, Nachum Z, Melamed Y. Inner ear decompression sickness following a shallow scuba dive. Aviat Space Environ Med. 1990 Jun;61(6):563-6. PMID:2369397 |
1 |
|
Shupak A, Doweck I, Greenberg E et. al. Diving-related inner ear injuries. Laryngoscope. 1991 Feb;101(2):173-9. PMID:1992269 |
4 |
|
Nachum Z, Shupak A; Spitzer O, Sharoni Z, Doweck I, Gordon CR. Inner ear decompression sickness in sport compressed-air diving. Laryngoscope. 2001 May;111(5):851-6. PMID:11359165 |
29 |
|
Klingmann C, Knauth M, Ries S; Kern R, Tasman AJ. Recurrent inner ear decompression sickness associated with a patent foramen ovale. Arch Otolaryngol Head Neck Surg. 2002 May;128(5):586-8. PMID:12003593 |
1 |
|
Wong R, Walker M. Diagnostic dilemmas in inner ear decompression sickness. SPUMS J. 2004; 34(1): 5-10. |
8 |
|
Smerz RW. A descriptive epidemiological analysis of isolated inner ear decompression illness in recreational divers in Hawaii. Diving Hyperb Med. 2007;37(1):2-9. |
28 |
|
McGeoch G. Two divers with acute vertigo and loss of balance. SPUMS J. 2007; 37(1): 40-41. |
1 |
|
Brookler KH. Dizziness in a SCUBA diver. Ear Nose Throat J. 2009 May;88(5):916-20. PMID:19444787 |
1 |
|
Dan-Goor E, Eden J, Wilson SJ, Dangoor J, Wilson BR. Benign paroxysmal positional vertigo after decompression sickness: a first case report and review of the literature. Am J Otolaryngol. Nov-Dec 2010;31(6):476-8. PMID:20015792 |
1 |
|
Klingmann C. Inner ear decompression sickness in compressed-air diving. Undersea Hyperb Med. Jan-Feb 2012;39(1):589-94. PMID:22400449 |
34 |
|
Verrecchia L, Gennser M, Tribukait A, Brantberh K. Superior vestibular dysfunction in severe decompression sickness suggests an embolic mechanism. Aviat Space Environ Med. 2012 Nov;83(11):1097-100. PMID:23156099 |
1 |
|
Ignatescu M, Bryson P, Klingmann C. Susceptibility of the inner ear structure to shunt-related decompression sickness. Aviat Space Environ Med. 2012 Dec;83(12):1145-51. PMID:23316542 |
33 |
|
Gempp E, Louge P. Inner ear decompression sickness in scuba divers: a review of 115 cases. Eur Arch Otorhinolaryngol. 2013 May;270(6):1831-7. PMID:23100085 |
115 |
|
Wilson CM, Sayer MD. Cerebral arterial gas embolism in a professional diver with a persistent foramen ovale. Diving Hyperb Med. 2015 Jun;45(2):124-6. PMID:26165536 |
1 |
|
Guenzani S, Mereu D, Messersmith M, Olivari D, Arena M, Spano A. Inner-ear decompression sickness in nine trimix recreational divers. Diving Hyperb Med. 2016 Jun;46(2):111-6. PMID:27334999 |
9 |
|
Azzopardi CP, Caruana J, Matity L, Muscat S, Meintjes J. Increasing prevalence of vestibulo-cochlear decompression illness in Malta - an analysis of hyperbaric treatment data from 1987-2017. Diving Hyperb Med. 2019 Sep 30;49(3):161-166. PMID:31523790 |
99 |