Otic Barotrauma Resulting from Continuous Positive Airway Pressure : Case Report and Literature Review

BACKGROUND: Obstructive sleep apnea (OSA) is a growing problem affecting millions of people in the United States. The prevalence of OSA has risen drastically in the past few decades concurrently with the increasing prevalence of obesity. Subsequently, there has been an ever-increasing rise in the use of continuous positive airway pressure (CPAP) devices. While using CPAP devices may lead to many adverse effects, the majority of these effects are described as relatively benign.

CASE REPORT: We describe the detailed clinical course and outcome for a patient with otic barotrauma as a result of excessive self-titration of CPAP therapy in an in-home setting. We also discuss the pathophysiology of otic barotrauma and present a review of current literature on the topic.

CONCLUSION: While the benefits of CPAP are clear, we must take into account the rare but possible effects on ear structure and function. Many studies describe an increase in middle ear pressure with the use of CPAP, but few describe the effects of this increased pressure on the middle ear, such as the otic barotrauma described in this case. Given the increased prevalence of OSA, it is important to understand the risks associated with CPAP therapy.

Medienart:

Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Ochsner journal - 16(2016), 2 vom: 27., Seite 146-9

Sprache:

Englisch

Beteiligte Personen:

McCormick, Justin P [VerfasserIn]
Hildrew, Douglas M [VerfasserIn]
Lawlor, Claire M [VerfasserIn]
Guittard, Jesse A [VerfasserIn]
Worley, N Knight [VerfasserIn]

Themen:

Barotrauma
Cochlear aqueduct
Continuous positive airway pressure
Ear–middle
Eustachian tube
Hearing loss
Hearing loss–sensorineural
Hearing loss–sudden
Journal Article
Sleep apnea–obstructive

Anmerkungen:

Date Completed 15.06.2016

Date Revised 01.10.2020

published: Print

Citation Status PubMed-not-MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM261406418