{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T22:39:48Z","timestamp":1784241588482,"version":"3.55.0"},"reference-count":12,"publisher":"Aerospace Medical Association","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p><jats:bold>BACKGROUND:<\/jats:bold> Sinus barotrauma, or aerosinusitis, occurs during rapid atmospheric changes in aviation, primarily affecting the frontal sinus. Mucosal swelling from a cold or allergic rhinitis (AR) can obstruct pressure equalization, leading to mucosal tears, cranial pain, and nasal bleeding. Despite its significance in aerospace medicine, high-quality imaging, nasal endoscopy, long-term outcomes, and the impact of AR management on sinus barotrauma remain inadequately documented in the literature.<\/jats:p>\n<jats:p><jats:bold>CASE REPORT:<\/jats:bold> A 29-yr-old healthy male healthcare provider experienced severe frontal sinus barotrauma during aircraft descent, presenting with intense frontal headache, ocular pain, and left epistaxis, with head computed tomography revealing a fully opacified left frontal sinus. Despite experiencing persistent severe AR symptoms daily, he had never been diagnosed or treated for AR, and his symptoms worsened during the flight. The clinical presentations and image findings suggested a diagnosis of frontal sinus barotrauma. His initial treatment included oral decongestants, antihistamines, and acetaminophen. Remarkably, follow-up computed tomography\/magnetic resonance images over 2 wk, 1 mo, and 1 yr demonstrated the spontaneous resorption of the submucosal hemorrhage in the frontal sinus. Furthermore, though concurrently diagnosed with perennial AR due to house dust mite and cat fur sensitization, the patient\u2019s effective pharmacological management of AR symptoms led to an uneventful flight 1 yr later.<\/jats:p>\n<jats:p><jats:bold>DISCUSSION:<\/jats:bold> This case demonstrates that submucosal hemorrhages in the affected sinus generally resolve spontaneously within a year. Also, it highlights the critical need for diagnosing and managing sinonasal disorders in symptomatic individuals before flights to prevent sinus barotrauma.<\/jats:p>\n<jats:p><jats:bold>Park MJ, Kang SJ, Kim GT, Kim S. <jats:italic>Frontal sinus barotrauma in an airliner passenger with undiagnosed allergic rhinitis<\/jats:italic>. Aerosp Med Hum Perform. 2025; 96(7):581\u2013585.<\/jats:bold><\/jats:p>","DOI":"10.3357\/amhp.6610.2025","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:01:56Z","timestamp":1750809716000},"page":"581-585","source":"Crossref","is-referenced-by-count":2,"title":["Frontal Sinus Barotrauma in an Airliner Passenger with Undiagnosed Allergic Rhinitis"],"prefix":"10.3357","volume":"96","author":[{"given":"Marn Joon","family":"Park","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seo Jun","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyu Tae","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sungryeal","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1911","reference":[{"issue":"1","key":"B1","series-title":"Res Sports Med.","first-page":"124","article-title":"Sphenoid sinus barotrauma in diving: case series and review of the literature","volume":"26","author":"Schipke JD","year":"2018","unstructured":"Schipke JD, Cleveland S, Drees M. Sphenoid sinus barotrauma in diving: case series and review of the literature. Res Sports Med. 2018; 26(1):124\u2013137."},{"issue":"3","key":"B2","series-title":"Allergy Rhinol (Providence).","first-page":"109","article-title":"Barosinusitis: comprehensive review and proposed new classification system","volume":"8","author":"Vaezeafshar R","year":"2017","unstructured":"Vaezeafshar R, Psaltis AJ, Rao VK, Zarabanda D, Patel ZM, Nayak JV. Barosinusitis: comprehensive review and proposed new classification system. Allergy Rhinol (Providence). 2017; 8(3):109\u2013117."},{"issue":"1","key":"B3","series-title":"Aviat Space Environ Med.","first-page":"50","article-title":"Aerosinusitis: pathophysiology, prophylaxis, and management in passengers and aircrew","volume":"79","author":"Weitzel EK","year":"2008","unstructured":"Weitzel EK, McMains KC, Rajapaksa S, Wormald P-J. Aerosinusitis: pathophysiology, prophylaxis, and management in passengers and aircrew. Aviat Space Environ Med. 2008; 79(1):50\u201353."},{"issue":"3","key":"B4","series-title":"AJNR Am J Neuroradiol.","first-page":"346","article-title":"MR imaging appearance of frontal sinus barotrauma","volume":"24","author":"Segev Y","year":"2003","unstructured":"Segev Y, Landsberg R, Fliss DM. MR imaging appearance of frontal sinus barotrauma. AJNR Am J Neuroradiol. 2003; 24(3):346\u2013347."},{"issue":"4","key":"B5","series-title":"Thorax.","first-page":"289","article-title":"Managing passengers with respiratory disease planning air travel: British Thoracic Society recommendations","volume":"57","year":"2002","unstructured":"British Thoracic Society Standards of Care Committee. Managing passengers with respiratory disease planning air travel: British Thoracic Society recommendations. Thorax. 2002; 57(4):289\u2013304."},{"issue":"4","key":"B6","series-title":"J Allergy Clin Immunol.","first-page":"721","article-title":"Rhinitis 2020: a practice parameter update","volume":"146","author":"Dykewicz MS","year":"2020","unstructured":"Dykewicz MS, Wallace DV, Amrol DJ, Baroody FM, Bernstein JA,  Rhinitis 2020: a practice parameter update. J Allergy Clin Immunol. 2020; 146(4):721\u2013767."},{"issue":"7","key":"B7","series-title":"Aviat Space Environ Med.","first-page":"660","article-title":"Endoscopic frontal sinus drillout for recurrent barotrauma: a procedure to save a pilot\u2019s career","volume":"80","author":"Weitzel EK","year":"2009","unstructured":"Weitzel EK, Flottmann JT, McMains KC. Endoscopic frontal sinus drillout for recurrent barotrauma: a procedure to save a pilot\u2019s career. Aviat Space Environ Med. 2009; 80(7):660\u2013662."},{"issue":"1","key":"B8","series-title":"Curr Opin Otolaryngol Head Neck Surg.","first-page":"11","article-title":"Comprehensive surgical management of the aerosinusitis patient","volume":"17","author":"Weitzel EK","year":"2009","unstructured":"Weitzel EK, McMains KC, Wormald P-J. Comprehensive surgical management of the aerosinusitis patient. Curr Opin Otolaryngol Head Neck Surg. 2009; 17(1):11\u201317."},{"issue":"3","key":"B9","series-title":"Otolaryngol Clin North Am.","first-page":"295","article-title":"Complementary and integrative treatments: allergy","volume":"46","author":"Garbo G","year":"2013","unstructured":"Garbo G, Tessema B, Brown SM. Complementary and integrative treatments: allergy. Otolaryngol Clin North Am. 2013; 46(3):295\u2013307."},{"issue":"14","key":"B10","series-title":"Expert Opin Pharmacother.","first-page":"1943","article-title":"Rise and fall of decongestants in treating nasal congestion related diseases","volume":"25","author":"Wang J","year":"2024","unstructured":"Wang J, Mao Z-F, Cheng L. Rise and fall of decongestants in treating nasal congestion related diseases. Expert Opin Pharmacother. 2024; 25(14):1943\u20131951."},{"issue":"2","key":"B11","series-title":"Allergy.","first-page":"116","article-title":"Consensus statement on the treatment of allergic rhinitis. European Academy of Allergology and Clinical Immunology","volume":"55","author":"van Cauwenberge P","year":"2000","unstructured":"van Cauwenberge P, Bachert C, Passalacqua G, Bousquet J, Canonica GW,  Consensus statement on the treatment of allergic rhinitis. European Academy of Allergology and Clinical Immunology. Allergy. 2000; 55(2):116\u2013134."},{"issue":"7","key":"B12","series-title":"Int Forum Allergy Rhinol.","first-page":"677","article-title":"The International Frontal Sinus Anatomy Classification (IFAC) and Classification of the Extent of Endoscopic Frontal Sinus Surgery (EFSS)","volume":"6","author":"Wormald P-J","year":"2016","unstructured":"Wormald P-J, Hoseman W, Callejas C, Weber RK, Kennedy DW,  The International Frontal Sinus Anatomy Classification (IFAC) and Classification of the Extent of Endoscopic Frontal Sinus Surgery (EFSS). Int Forum Allergy Rhinol. 2016; 6(7):677\u2013696."}],"container-title":["Aerospace Medicine and Human Performance"],"original-title":[],"link":[{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/96\/7\/article-p581.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/96\/7\/article-p581.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/96\/7\/article-p581.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:02:44Z","timestamp":1750809764000},"score":1,"resource":{"primary":{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/96\/7\/article-p581.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":12,"journal-issue":{"issue":"7"},"URL":"https:\/\/doi.org\/10.3357\/amhp.6610.2025","relation":{},"ISSN":["2375-6314","2375-6322"],"issn-type":[{"value":"2375-6314","type":"print"},{"value":"2375-6322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}