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  • Title: Common otolaryngologic problems of flying.
    Author: Stewart TW.
    Journal: Am Fam Physician; 1979 Feb; 19(2):113-9. PubMed ID: 760435.
    Abstract:
    Pressure-volume changes associated with changing atmospheric pressure precipitate acute inflammation of the sinus and middle ear cavities, known collectively as barotrauma. Barotitis occurs during descent from high altitudes. A partial vacuum develops, manifested by a retracted tympanic membrane. Hemorrhage may occur as a consequence of the vacuum. Similar pathophysiology causes barosinusitis. While the cause of aerodontalgia is not known, pain in the teeth does occur during ascent rather than descent.
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