{"id":3617,"date":"2020-08-01T11:09:43","date_gmt":"2020-08-01T15:09:43","guid":{"rendered":"http:\/\/wordpress.world.dan.org\/?post_type=dan_diseases_conds&#038;p=3617"},"modified":"2025-06-24T09:47:45","modified_gmt":"2025-06-24T13:47:45","slug":"mask-squeeze-aka-facial-barotrauma","status":"publish","type":"dan_diseases_conds","link":"https:\/\/world.dan.org\/id\/health-medicine\/health-resources\/diseases-conditions\/mask-squeeze-aka-facial-barotrauma\/","title":{"rendered":"Mask Squeeze (Facial Barotrauma)"},"content":{"rendered":"<h3 class=\"wp-block-heading\" id=\"h-overview\">Ikhtisar<\/h3>\n\n\n\n<p>Mask squeeze (mask barotrauma or facial barotrauma) results from a failure to equalize the air space created between your mask and face. In most cases this is a relatively benign injury. It tends to be more common in new divers. Blockages of nose \u2014 such as congestion or nose clips \u2014 will interfere with mask equalization.<\/p>\n\n\n\n<h3 class=\"wp-block-heading translation-block\" id=\"h-mechanisms-of-injury\"><strong>Mekanisme<\/strong> Cedera<\/h3>\n\n\n\n<p>As with your sinuses and ears, you must also equalize the air space in your mask as you descend. Failure to equalize by adding air to the space in the mask (by exhaling through your nose), can create unequal pressure between the air space in the mask and the vascular pressure within the blood vessels of the face. The pressure difference can result in various degrees of facial barotrauma, which is an injury to the soft tissues of the face contained within the mask. Imagine your face in a suction cup.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-manifestations\">Manifestasi<\/h3>\n\n\n\n<p class=\"translation-block\">You will likely feel a suction effect over the affected area. The negative pressure over the soft tissues beneath the mask (upper cheeks, nose, lower forehead, eyelids and eyeballs) will cause engorgement of the blood vessels. The result ranges from mild discomfort to<strong> <\/strong>pain. After it is resolved by properly equalizing the mask or ascending to the surface, you may show some swelling in the affected area and red, brown, or purple spots (petechiae), particularly on your eyelids.<\/p>\n\n\n\n<p>In some cases, subconjunctival petechiae or hemorrhage (blood from burst vessels) appears in the white of the eye. Visual disturbances are rare, but they are a sign of a more severe compromise and require immediate medical evaluation.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"624\" height=\"355\" src=\"https:\/\/world.dan.org\/wp-content\/uploads\/2021\/02\/subconjunctival-petechiae-hemorrhage-mask-barotrauma.jpg\" alt=\"subconjunctival petechiae and hemorrhage from mask barotrauma\" class=\"wp-image-16751\" srcset=\"https:\/\/world.dan.org\/wp-content\/uploads\/2021\/02\/subconjunctival-petechiae-hemorrhage-mask-barotrauma.jpg 624w, https:\/\/world.dan.org\/wp-content\/uploads\/2021\/02\/subconjunctival-petechiae-hemorrhage-mask-barotrauma-360x205.jpg 360w, https:\/\/world.dan.org\/wp-content\/uploads\/2021\/02\/subconjunctival-petechiae-hemorrhage-mask-barotrauma-18x10.jpg 18w\" sizes=\"auto, (max-width: 624px) 100vw, 624px\" \/><figcaption class=\"wp-element-caption\">Subconjunctival petechiae and hemorrhage from mask barotrauma<\/figcaption><\/figure>\n<\/div>\n\n\n<p>During the healing process, blood will change color from the initial bright red to a darker red, then greenish, then yellowish before the eye returns to its standard white color. This healing is a natural process that corresponds with how your body metabolizes the blood.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-treatment\">Perawatan<\/h3>\n\n\n\n<p>Unless you are experiencing eye pain or visual problems, there is no treatment for facial barotrauma except time. Because it is essentially a bruise, your body will eventually reabsorb the blood.<\/p>\n\n\n\n<p>If you have eye pain or visual disturbances such as blurred vision or loss of part of the visual field, or feel blood that has accumulated\/layered (hyphema) in colored part of your eye (iris), see your physician or an eye specialist immediately. These symptoms are infrequent in mask squeeze. With routine healing, and depending on the extent of the injury, the symptoms of mask squeeze can take up to two weeks or more to resolve. You will probably look worse than you&#8217;d like before it gets better. Your body needs to reabsorb the blood and fluid. These are gravity-dependent, meaning they will spread downward on your face.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-who-gets-mask-squeeze\"><strong>Who Gets Mask Squeeze?<\/strong><\/h3>\n\n\n\n<p>It is most common in new divers. They tend to be overwhelmed by all the skills they need to remember, such as buoyancy control and equalization of their ears and sinuses, while adjusting to an unfamiliar environment. Experienced divers are not immune to mask squeeze. They tend to get it when they are concentrating on a new activity or focusing on a task that diverts their attention from clearing their mask. Changing to a new mask or a low-volume mask may also lead to mask squeeze because the diver may not be accustomed to when to add air. Poor-fitting masks or other factors, such as facial hair, may lead to problems with equalizing.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-prevention\">Pencegahan<\/h3>\n\n\n\n<p>The solution to preventing mask squeeze is to remember to keep your nasal passageways open during descent by blowing small amounts of air through your nose every time you equalize your ears. By exhaling through your nose and using a properly fitted mask, you will minimize the risk of facial barotrauma. A mask should fit comfortably against your face. You should be able to achieve an appropriate seal by gently placing the mask on your face and inhaling through your nose. <\/p>\n\n\n\n<p>The mask should seal to your face and not fall off even without the mask strap in place. It is not unusual for a small amount of leakage to occur while diving, especially if you have facial hair. Exhaling through your nose and tilting your face towards the surface while cracking the lower seal of the mask will generally remove any unwanted water from your mask. This technique will also keep the air space between the mask and your face adequately<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-dan-light-gray-color has-alpha-channel-opacity has-dan-light-gray-background-color has-background is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-implications-in-diving\">Implikasi dalam Menyelam<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading\" id=\"h-for-the-diver\">Bagi Penyelam<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Call the DAN hotline for recommendations if you think you suffered a mask squeeze.<\/li>\n\n\n\n<li>You can consider a return to diving if a physician determines that the risk of further injury is minimal and manageable.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading\" id=\"h-for-the-dive-operator\">Bagi Operator Selam<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Call the DAN hotline for recommendations. As the expedition&#8217;s leader, you have a duty of care if they got injured during your trip.<\/li>\n\n\n\n<li>Offer the diver evaluation by a medical professional.<\/li>\n\n\n\n<li>Don\u2019t worry about referring them to a doctor with dive medicine experience. Any doctor should be able to help.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading\" id=\"h-for-the-physician\">Bagi Dokter<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Provide symptomatic treatment.<\/li>\n\n\n\n<li>Assess for vision deficiencies.<\/li>\n\n\n\n<li>Assess\u00a0ears and vestibular function. Mask squeeze injuries could also present with <a href=\"https:\/\/world.dan.org\/id\/health-medicine\/health-resources\/diseases-conditions\/middle-ear-barotrauma-mebt\/\"><strong>ear<\/strong><\/a> atau <a href=\"https:\/\/world.dan.org\/id\/health-medicine\/health-resources\/diseases-conditions\/sinus-barotrauma\/\"><strong>sinus barotraumas<\/strong><\/a>.\n<ul class=\"wp-block-list\">\n<li>Vertigo, nystagmus or hearing loss might be suggestive of\u00a0<a href=\"https:\/\/world.dan.org\/id\/health-medicine\/health-resources\/diseases-conditions\/inner-ear-barotrauma-iebt\/\"><strong>barotrauma telinga-dalam.<\/strong><\/a>. If present, discourage your patient from\u00a0further diving\u00a0until cleared by a specialist.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Consider recommending no further diving until swelling and\u00a0inflammation\u00a0have resolved, and the diver understands and shows competency on how to properly equalize\u00a0air spaces (ears, sinuses, and mask).\u00a0<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-dan-light-gray-color has-alpha-channel-opacity has-dan-light-gray-background-color has-background is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fitness-to-dive\">Kebugaran Untuk Menyelam<\/h2>\n\n\n\n<p>Do not dive until recommended by your physician. Assess why&nbsp;the problem&nbsp;occurred&nbsp;and address each factor. Consider contacting a dive instructor to address preventing future injuries.<\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Failure to properly equalize the air space in your mask may result in an injury to the face and\/or one or both eyes. Common among new divers, this condition can be avoided with attention to equalization while diving. <\/p>","protected":false},"featured_media":9977,"template":"","dan_diseases_conditions_tags":[],"class_list":["post-3617","dan_diseases_conds","type-dan_diseases_conds","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Mask Squeeze (Facial Barotrauma) - DAN World<\/title>\n<meta name=\"description\" content=\"Mask squeeze happens when a diver doesn&#039;t properly equalize the air space in their mask. 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