دورية أكاديمية
Facial and trigeminal nerves neuropathy induced by atmospheric pressure changes: A meta-analysis.
| العنوان: | Facial and trigeminal nerves neuropathy induced by atmospheric pressure changes: A meta-analysis. |
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| المؤلفون: | Ben-Ari O; Department of Military Medicine, Faculty of Medicine, The Hebrew University, Jerusalem, Israel; The Israeli Air Force Aeromedical Center, Tel-Hashomer, Ramat Gan, Israel; Israeli Defense Forces Medical Corps, Tel-Hashomer, Ramat Gan, Israel; The Adelson School of Medicine, Ariel University, Ariel, Israel. Electronic address: odbenari@gmail.colm., Zadik Y; Department of Oral Medicine, and Saligman Clinics, Faculty of Dental Medicine, The Hebrew University of Jerusalem, and Hadassah Medical Center, Jerusalem, Israel. Electronic address: Yehuda.zadik@mail.huji.ac.il., Nakdimon I; The Israeli Air Force Aeromedical Center, Tel-Hashomer, Ramat Gan, Israel. Electronic address: nadidim@gmail.com. |
| المصدر: | American journal of otolaryngology [Am J Otolaryngol] 2024 Jul-Aug; Vol. 45 (4), pp. 104311. Date of Electronic Publication: 2024 Apr 20. |
| نوع المنشور: | Journal Article; Meta-Analysis |
| اللغة: | English |
| بيانات الدورية: | Publisher: Saunders Country of Publication: United States NLM ID: 8000029 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-818X (Electronic) Linking ISSN: 01960709 NLM ISO Abbreviation: Am J Otolaryngol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Cherry Hill, N. J., Saunders. |
| مواضيع طبية MeSH: | Barotrauma*/etiology , Atmospheric Pressure*, Humans ; Risk Factors ; Diving/adverse effects ; Male ; Trigeminal Nerve Diseases/etiology ; Female ; Facial Nerve Diseases/etiology ; Adult |
| مستخلص: | Background: Barometric pressure changes during flight or diving may cause facial barotrauma. Neuropathy of the fifth (CN5) or the seventh (CN7) cranial nerves is a rare manifestation of this condition. The aim of this study was to analyze risk factors for baroneuropathies of CN5 and CN7. Methods: A search of PubMed and Cochrane Library databases was conducted to identify all published cases of CN5 and CN7 neuropathies. Only original case reports and series that documented events of neuropathies associated with the trigeminal nerve or facial nerve while flying, diving, or mountain climbing were included. Assessed variables included sex, medical history, age, setting (flight or diving), atmospheric pressure changes, number of episodes, symptoms, treatment, and recovery. Results: We identified a total of 48 articles described >125 episodes in 67 patients. Mean age was 33.5 ± 12.1 years with a male predominance (76.1 %). Cases were equally distributed between flight and diving (50.7 %, 46.3 %, respectively). CN5 involvement was observed in 77.6 % of patients, with ear pain and facial numbness as the most common symptoms. The latter was correlated with positive otolaryngology medical history. CN7 was involved in 88.1 % of patients. Flying, as opposed to diving was correlated with spontaneous resolution of symptoms (86.7 % vs. 42.3 % of cases resolved spontaneously, respectively, p = 0.001). Conclusions: Flight is an equal risk factor to diving with respect to CN5 and CN7 barotrauma. Involvement of CN7 was observed in most cases, but possibly due to report-bias. Positive medical history is a risk factor for facial numbness. Competing Interests: Declaration of competing interest None. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Barotrauma; Diving; Facial nerve; Flight; Trigeminal nerve |
| تواريخ الأحداث: | Date Created: 20240501 Date Completed: 20240612 Latest Revision: 20240612 |
| رمز التحديث: | 20240613 |
| DOI: | 10.1016/j.amjoto.2024.104311 |
| PMID: | 38692074 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-818X |
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| DOI: | 10.1016/j.amjoto.2024.104311 |