{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:35:05Z","timestamp":1787747705973,"version":"build-2784847793"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2020,12,9]],"date-time":"2020-12-09T00:00:00Z","timestamp":1607472000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120002431_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Facial nerve baroparesis is a rare phenomenon which has been reported during flight. It is thought to occur due to ischaemic neuropraxia on the facial nerve as middle-ear pressure increases in the presence of Eustachian tube dysfunction and force is transmitted through a dehiscent facial nerve canal.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120002431_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>This study presents an aviation-associated, right-sided facial nerve palsy as well as presenting the results of a systematic review that was performed on the available literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Full-text articles from Medline, PubMed and Embase were used, as well as associated reference lists. This study systematically reviews the literature to discuss presentation, investigations performed and an approach to management of this rare condition.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120002431_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>This study identified 23 cases in the literature (including the case presented in this study) of facial nerve baroparesis.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120002431_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Facial nerve baroparesis is a mostly temporary rare phenomenon that can be managed effectively with ventilation tube insertion. In the event of long-standing facial nerve palsy after descent of the aircraft, urgent myringotomy should be performed to prevent permanent facial nerve damage.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120002431","type":"journal-article","created":{"date-parts":[[2020,12,10]],"date-time":"2020-12-10T03:55:03Z","timestamp":1607572503000},"page":"88-92","source":"Crossref","is-referenced-by-count":9,"title":["Facial nerve baroparesis during airflight: a case report and literature review"],"prefix":"10.1017","volume":"135","author":[{"given":"M","family":"Alwan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Gordan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,12,9]]},"reference":[{"key":"S0022215120002431_ref33","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1515\/jom-1990-901013","article-title":"Aerotitis: cause, prevention, and treatment","volume":"90","author":"Westerman","year":"1990","journal-title":"J Am Osteopath Assoc"},{"key":"S0022215120002431_ref24","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100087533"},{"key":"S0022215120002431_ref27","doi-asserted-by":"publisher","DOI":"10.3109\/00016489609137870"},{"key":"S0022215120002431_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2017.02.026"},{"key":"S0022215120002431_ref14","doi-asserted-by":"publisher","DOI":"10.3357\/AMHP.4449.2016"},{"key":"S0022215120002431_ref12","doi-asserted-by":"publisher","DOI":"10.14735\/amcsnn2017724"},{"key":"S0022215120002431_ref8","first-page":"1075","article-title":"Facial nerve palsy aboard a commercial aircraft","volume":"75","author":"Grossman","year":"2004","journal-title":"Aviat Space Environ Med"},{"key":"S0022215120002431_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002379"},{"key":"S0022215120002431_ref7","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-224593"},{"key":"S0022215120002431_ref16","doi-asserted-by":"publisher","DOI":"10.1258\/0022215001906543"},{"key":"S0022215120002431_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215112001594"},{"key":"S0022215120002431_ref2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.17.2.194"},{"key":"S0022215120002431_ref18","first-page":"394","article-title":"Facial paralysis associated with air flight","volume":"7","author":"Silverstein","year":"1986","journal-title":"Am J Otol"},{"key":"S0022215120002431_ref21","doi-asserted-by":"publisher","DOI":"10.1258\/0022215053945723"},{"key":"S0022215120002431_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s001060170020"},{"key":"S0022215120002431_ref23","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.66.776.465"},{"key":"S0022215120002431_ref29","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100073849"},{"key":"S0022215120002431_ref28","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541040515"},{"key":"S0022215120002431_ref11","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.0048"},{"key":"S0022215120002431_ref17","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100106255"},{"key":"S0022215120002431_ref3","first-page":"277","article-title":"Facial nerve palsy in aviation facial baroparesis","volume":"6","author":"Rutten","year":"2010","journal-title":"J Int Adv Otol"},{"key":"S0022215120002431_ref30","first-page":"205","article-title":"Developmental studies on the petrous part of the human temporal bone--special references to the morphogenesis of the facial nerve canal [in Japanese]","volume":"71","author":"Kida","year":"1996","journal-title":"Hokkaido Igaku Zasshi"},{"key":"S0022215120002431_ref20","first-page":"643","article-title":"Peripheral facial paralysis of dysbaric origin [in French]","volume":"37","author":"D'Andrea","year":"2008","journal-title":"Presse Med"},{"key":"S0022215120002431_ref19","unstructured":"19 Anonymous. 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