Questions fréquemment posées sur la médecine de plongée

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Les chirurgiens ORL (oto-rhino-laryngologistes) formés à la médecine de la plongée ont des avis divergents quant à l’opportunité de plonger après une stapédectomie, une intervention chirurgicale visant à traiter la perte auditive en remplaçant l’étrier, un os de l’oreille moyenne, par une prothèse. Peu d’études ont porté sur un petit nombre de personnes ayant plongé après une stapédectomie. Les résultats de ces échantillons indiquent que les sujets ne courent pas un risque accru de blessure par rapport aux groupes témoins de plongeurs, à condition qu’ils puissent égaliser leurs oreilles et leurs sinus en toute sécurité en fonction des changements de pression ambiante. Cela dit, les conséquences d’un échec de l’égalisation peuvent être plus importantes pour les personnes ayant subi une stapédectomie. L’incapacité à équilibrer efficacement l’espace de l’oreille moyenne, ou une tentative trop énergique, peut entraîner le déplacement de la prothèse de l’étrier. Ce déplacement ne peut être corrigé que par une intervention chirurgicale et peut entraîner une perte auditive permanente. La plongée après une stapédectomie comporte également le risque que le déplacement de la prothèse endommage la fenêtre ronde ou ovale de la cochlée. Une telle blessure peut affecter de manière permanente l’audition et l’équilibre. Encore une fois, ce n’est pas que le risque de blessure soit nécessairement plus élevé que celui encouru par les autres plongeurs, mais plutôt que les conséquences d’une blessure sont plus graves. Avant de décider de poursuivre ou de reprendre la plongée, il est clairement dans votre intérêt d’évaluer honnêtement votre aptitude à plonger avec un médecin et de procéder à une analyse rigoureuse des risques et des avantages sur la base des informations disponibles.[/vc_column_text][/vc_column][/vc_row]

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Ear, nose and Throat (ENT) surgeons trained in diving medicine differ in their opinions regarding the wisdom of diving after a stapedectomy, which is a surgery to treat hearing loss by replacing the stapes bone in the middle ear with a prosthesis. Limited studies have described small numbers of people diving after stapedectomies. The results from these samples indicate that the subjects are not at an increased risk of injury when compared to the control groups of divers, provided they can safely equalize their ears and sinuses with the changes on ambient pressure. With that said, the consequences of failure to equalise can be greater for those who have undergone stapedectomy procedures. The inability to equalize the middle ear space effectively, or an attempt to do so too forcefully, may dislocate the prosthetic stapes. Dislocation can be corrected only in surgery and may result in permanent hearing loss. Diving after a stapedectomy also carries the risk that the desolation of the prosthesis may damage the round or oval window of the cochlea. Such an injury can permanently affect both hearing and balance. Again, it is not that the risk of injury is necessarily greater than that faced by other divers, but rather that there are greater consequences in the event of an injury. Before deciding to pursue or return to diving, it is clearly in your best interest to candidly review your fitness to dive with a doctor and make a brutally honest risk versus benefit analysis based on the information available.[/vc_column_text][/vc_column][/vc_row]

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Ear, nose and Throat (ENT) surgeons trained in diving medicine differ in their opinions regarding the wisdom of diving after a stapedectomy, which is a surgery to treat hearing loss by replacing the stapes bone in the middle ear with a prosthesis. Limited studies have described small numbers of people diving after stapedectomies. The results from these samples indicate that the subjects are not at an increased risk of injury when compared to the control groups of divers, provided they can safely equalize their ears and sinuses with the changes on ambient pressure. With that said, the consequences of failure to equalise can be greater for those who have undergone stapedectomy procedures. The inability to equalize the middle ear space effectively, or an attempt to do so too forcefully, may dislocate the prosthetic stapes. Dislocation can be corrected only in surgery and may result in permanent hearing loss. Diving after a stapedectomy also carries the risk that the desolation of the prosthesis may damage the round or oval window of the cochlea. Such an injury can permanently affect both hearing and balance. Again, it is not that the risk of injury is necessarily greater than that faced by other divers, but rather that there are greater consequences in the event of an injury. Before deciding to pursue or return to diving, it is clearly in your best interest to candidly review your fitness to dive with a doctor and make a brutally honest risk versus benefit analysis based on the information available.[/vc_column_text][/vc_column][/vc_row]

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Ear, nose and Throat (ENT) surgeons trained in diving medicine differ in their opinions regarding the wisdom of diving after a stapedectomy, which is a surgery to treat hearing loss by replacing the stapes bone in the middle ear with a prosthesis. Limited studies have described small numbers of people diving after stapedectomies. The results from these samples indicate that the subjects are not at an increased risk of injury when compared to the control groups of divers, provided they can safely equalize their ears and sinuses with the changes on ambient pressure. With that said, the consequences of failure to equalise can be greater for those who have undergone stapedectomy procedures. The inability to equalize the middle ear space effectively, or an attempt to do so too forcefully, may dislocate the prosthetic stapes. Dislocation can be corrected only in surgery and may result in permanent hearing loss. Diving after a stapedectomy also carries the risk that the desolation of the prosthesis may damage the round or oval window of the cochlea. Such an injury can permanently affect both hearing and balance. Again, it is not that the risk of injury is necessarily greater than that faced by other divers, but rather that there are greater consequences in the event of an injury. Before deciding to pursue or return to diving, it is clearly in your best interest to candidly review your fitness to dive with a doctor and make a brutally honest risk versus benefit analysis based on the information available.[/vc_column_text][/vc_column][/vc_row]

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Ear, nose and Throat (ENT) surgeons trained in diving medicine differ in their opinions regarding the wisdom of diving after a stapedectomy, which is a surgery to treat hearing loss by replacing the stapes bone in the middle ear with a prosthesis. Limited studies have described small numbers of people diving after stapedectomies. The results from these samples indicate that the subjects are not at an increased risk of injury when compared to the control groups of divers, provided they can safely equalize their ears and sinuses with the changes on ambient pressure. With that said, the consequences of failure to equalise can be greater for those who have undergone stapedectomy procedures. The inability to equalize the middle ear space effectively, or an attempt to do so too forcefully, may dislocate the prosthetic stapes. Dislocation can be corrected only in surgery and may result in permanent hearing loss. Diving after a stapedectomy also carries the risk that the desolation of the prosthesis may damage the round or oval window of the cochlea. Such an injury can permanently affect both hearing and balance. Again, it is not that the risk of injury is necessarily greater than that faced by other divers, but rather that there are greater consequences in the event of an injury. Before deciding to pursue or return to diving, it is clearly in your best interest to candidly review your fitness to dive with a doctor and make a brutally honest risk versus benefit analysis based on the information available.[/vc_column_text][/vc_column][/vc_row]