Ear, nose and throat disorders and international travel

被引：0
作者：
Mchugh, Nathaniel [1 ]
Lyons, Robert E. [2 ]
Keogh, Ivan [1 ,2 ]
Flaherty, Gerard T. [2 ,3 ,4 ]
机构：
[1] Univ Hosp Galway, Dept Otorhinolaryngol, Galway, Ireland
[2] Univ Galway, Sch Med, Coll Med Nursing & Hlth Sci, Galway, Ireland
[3] Int Med Univ, Sch Med, Kuala Lumpur, Malaysia
[4] Mahidol Univ, Fac Trop Med, Dept Clin Trop Med, Travel Med Res Unit, Bangkok, Thailand
来源：
TROPICAL DISEASES TRAVEL MEDICINE AND VACCINES | 2025年 / 11卷 / 01期
关键词：
Head and neck; Rhinorrhoea; Barotrauma; Epistaxis; Otitis externa; Dizziness; Deafness; POLLEN ALLERGY; CLIMATE-CHANGE; TOBACCO-SMOKE; EXPOSURE; MIGRATION; DISEASES; PSEUDOEPHEDRINE; PREVALENCE; MEDICINE; UPDATE;
D O I：
10.1186/s40794-024-00238-9
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
BackgroundDisorders of the ear, nose and throat may be the most commonly occurring pre-existing health condition in international travellers. Despite their high incidence, there is limited guidance for travellers and their clinicians on their prevention and management. This narrative review addresses this deficit by compiling and discussing available evidence on this neglected subject.MethodsA comprehensive review of the literature was undertaken using Medine and Scopus databases and multiple combinations of relevant MeSH search terms. Further references were obtained from focused searches on specific issues and manual review of the reference lists of articles obtained from the primary search.ResultsNasal congestion or discharge are among the most common complaints amongst travellers and various causes are reviewed. Changes in elevation result in a pressure differential between the atmospheric pressure and the middle ear and paranasal sinuses. The effects of air travel, recreational high-altitude exposure and diving are considered. Various causes of epistaxis in travellers such as cold air exposure and recreational cocaine use are discussed. The aetiology of a discharging ear in travellers includes otitis externa. The most frequently described travel-specific aetiology of dizziness is motion sickness while mal de debarquement is a specific subtype which affects travellers and is most commonly associated with sea travel. Surgical tourism for treatment of ear, nose and throat pathology is well established and various precautions are presented for post-operative travel. Obstructive sleep apnoea is discussed from the perspective of international travel. The challenges facing travellers with hearing impairment are explored.ConclusionsThis review critically discusses the prevention, diagnosis, and management of acute and chronic ENT conditions in the travelling population. Several areas of inquiry are highlighted that require further investigation. Close communication between ENT specialists and travel medicine practitioners is recommended in the preparation of selected patients for international travel.
引用
收藏
页数：14
相关论文
共 76 条
  • [1] Greenaway C., Castelli F., Migration Medicine, Infect Dis Clin N Am, 33, pp. 265-287, (2019)
  • [2] Hill D.R., Ericsson C.D., Pearson R.D., Keystone J.S., Freedman D.O., Kozarsky P.E., Et al., The practice of Travel Medicine: guidelines by the Infectious Diseases Society of America, Clin Infect Dis, 12, 43, pp. 1499-1539, (2016)
  • [3] Peach H.G., Bath N., Health and safety problems and lack of information among International visitors backpackers through North Queensland, J Travel Med, 7, pp. 234-238, (2000)
  • [4] Ta N.H., ENT in the context of global health, Annals Royal Coll Surg Engl, 101, 2, pp. 93-96, (2019)
  • [5] Han C.T., Flaherty G., Profile of Travelers with Preexisting Medical conditions attending a specialist Travel Medicine Clinic in Ireland, J Travel Med, 22, 5, pp. 312-317, (2015)
  • [6] Silverberg J.I., Simpson E.L., Durkin H.G., Joks R., Prevalence of allergic disease in Foreign-Born American Children, JAMA Paediatrics, 167, 6, pp. 554-560, (2013)
  • [7] Rodriguez A., Vaca M.G., Chico M.E., Rodrigues L.C., Barreto M.L., Cooper P.J., Migration and allergic diseases in a rural area of a developing country, J Allergy Clin Immunol, 138, 3, pp. 901-903, (2016)
  • [8] Stokes J., Casale T.B., The relationship between IgE and Allergic Disease, UpToDate, (2023)
  • [9] Amoah A.S., Prins M., Bel E.H.D., Fokkens W.J., Zwinderman A.H., Yazdanbakhsh M., Et al., Migration and allergic diseases: findings from a population-based study in adults in Amsterdam, the Netherlands, Allergy, 77, 12, pp. 3667-3670, (2022)
  • [10] Zhou Y., Dai J., Liu H., Liu X., Tourist Risk Assessment of Pollen Allergy in Tourism attractions: a case study in the Summer Palace, Beijing, China, Environmental Health and Exposome. Front Public Health, 10, (2022)
12345678