Traveling by Plane: ENT Considerations for Ear and Eustachian Tube Health - Otolaryngology

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Recent overseas travel?


Doctor, since I have a flight on the 21st, you previously mentioned that the congestion of the vascular tissue around the Eustachian tube does not significantly affect its patency and function.
Therefore, theoretically, there should be no problem with flying, right?

Ru, 20~29 year old female. Ask Date: 2015/06/05

Dr. Zheng Jueyi reply Otolaryngology


Hi: In theory, it should be fine, but it is recommended to swallow more frequently, drink small amounts of water, or chew gum during takeoff and landing to avoid ear discomfort.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/06/05

More Info


Traveling by plane can indeed have implications for ear and Eustachian tube health, particularly during ascent and descent when changes in cabin pressure occur. The Eustachian tube, which connects the middle ear to the back of the throat, plays a crucial role in equalizing pressure on either side of the eardrum. When flying, the rapid changes in altitude can lead to discomfort or pain if the Eustachian tube is unable to function properly.

In your case, since you mentioned that the vascular congestion around the Eustachian tube does not significantly affect its patency and function, it is reasonable to assume that you should be able to fly without major issues. However, it is essential to take some precautions to minimize any potential discomfort during the flight.

During takeoff and landing, the pressure changes can cause the Eustachian tube to become blocked, leading to a sensation of fullness or pain in the ears. To alleviate this, it is advisable to engage in activities that promote the opening of the Eustachian tube. Common methods include swallowing, yawning, or chewing gum. These actions help to equalize the pressure in the middle ear and can significantly reduce discomfort.

If you have a history of Eustachian tube dysfunction or any upper respiratory issues, it may be wise to consult with an ENT specialist before your flight. They can provide personalized advice based on your medical history and current condition. Additionally, if you experience any symptoms such as severe ear pain, hearing loss, or persistent tinnitus during or after the flight, it is crucial to seek medical attention promptly.

For individuals with conditions like temporomandibular joint (TMJ) disorders, which can affect the Eustachian tube's function, flying may pose additional challenges. TMJ disorders can lead to dysfunction in the muscles that help open the Eustachian tube, potentially increasing the risk of discomfort during flights. If you have such a condition, it is advisable to take extra precautions, such as using the techniques mentioned earlier to help equalize ear pressure.

In summary, while flying can pose challenges for ear health, particularly concerning the Eustachian tube, taking proactive measures can help mitigate discomfort. Engaging in activities that promote Eustachian tube function during ascent and descent, staying hydrated, and consulting with a healthcare provider if you have underlying conditions can all contribute to a more comfortable flying experience. Safe travels!

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