[Aerosinusitis: part 1: Fundamentals, pathophysiology and prophylaxis]

HNO. 2014 Jan;62(1):57-64; quiz 65-6. doi: 10.1007/s00106-013-2791-3.
[Article in German]


The relevance of aerosinusitis stems from the high number of flight passengers and the impaired fitness for work of the flight personnel. The frontal sinus is more frequently affected than the maxillary sinus and the condition generally occurs during descent. Sinonasal diseases and anatomic variations leading to obstruction of paranasal sinus ventilation favor the development of aerosinusitis. This Continuing Medical Education (CME) article is based on selective literature searches of the PubMed database (search terms: "aerosinusitis", "barosinusitis", "barotrauma" AND "sinus", "barotrauma" AND "sinusitis", "sinusitis" AND "flying" OR "aviator"). Additionally, currently available monographs and further articles that could be identified based on the publication reviews were also included. Part 1 presents the pathophysiology, symptoms, risk factors, epidemiology and prophylaxis of aerosinusitis. In part 2, diagnosis, conservative and surgical treatment will be discussed.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Aerospace Medicine
  • Aircraft*
  • Barotrauma / epidemiology
  • Barotrauma / etiology*
  • Barotrauma / prevention & control*
  • Humans
  • Occupational Diseases / epidemiology
  • Occupational Diseases / etiology*
  • Occupational Diseases / prevention & control*
  • Prevalence
  • Risk Factors
  • Sinusitis / epidemiology
  • Sinusitis / etiology*
  • Sinusitis / prevention & control*