Weakness of both upper and lower face distinguishes facial baroparesis from stroke or arterial gas embolism ( 1 General references Barotrauma is tissue injury caused by a pressure-related change in body compartment gas volume. When pressure within the middle ear remains elevated during or after ascent from a dive, the facial nerve can be compressed (facial baroparesis), resulting in ipsilateral upper and lower facial paresis. On examination of the ear canal, the tympanic membrane may show congestion, hemotympanum, perforation, or lack of mobility during air insufflation with a pneumatic otoscope conductive hearing loss is usually present. Inflow of cold water to the middle ear may result in vertigo, nausea, and disorientation while submerged. Typically, divers experience ear fullness and pain during descent if pressure is not quickly equilibrated, middle ear hemorrhage or tympanic membrane rupture may occur. **Disclaimer: The information on this page is not intended to be a doctor's advice, nor does it create any form of patient-doctor relationship.Diving can affect the external, middle, and inner ear. To schedule an appointment, visit our website and our patient support will get back to you soon! Our physicians design a custom treatment plan to address every issue you have however minute.ģ5 years of high-quality and affordable healthcare has made us one of Oklahoma’s most trusted names in medical care. Oklahoma Otolaryngology Associates, LLC treats ear, nose, and throat conditions through clinical and surgical care. Other precautionary measures include medication and decongestants. Keep your mouth closed and repeat until the pressure subsides. Then you are to pinch your nose and attempt to gently exhale through the pinched nose. The Valsalva maneuver requires you to breathe in and close your mouth. If it sits untreated, your symptoms will grow more persistent and potentially ruin your trip. Don’t ignore your body’s signs and put off the doctor’s visit for later. A doctor will be able to relieve you of your symptoms and administer acute sinusitis treatments. If you start noticing signs of a sinus infection as your travel date inches closer, consider seeing a healthcare professional immediately.
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