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Air travellers' awareness of the preventability of otic barotrauma

Published online by Cambridge University Press:  04 June 2014

A Mitchell-Innes ,
E Young ,
A Vasiljevic  and
M Rashid
A Mitchell-Innes*
Affiliation:
ENT Department, Russells Hall Hospital, Dudley, UK
E Young
Affiliation:
ENT Department, Russells Hall Hospital, Dudley, UK
A Vasiljevic
Affiliation:
ENT Department, Russells Hall Hospital, Dudley, UK
M Rashid
Affiliation:
ENT Department, Royal Devon and Exeter Hospital, UK
*
Address for correspondence: Mr A Mitchell-Innes, ENT Department, Russells Hall Hospital, Dudley, United Kingdom Fax: +44 01384 244169 E-mail: [email protected]
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Abstract

Objective:

Otic barotrauma is common among air travellers and can cause severe otalgia, perforation of the tympanic membrane and hearing loss. Many prevention measures exist, with varying evidence to support their use. There are no data to establish if air travellers are aware of them or indeed use them. We aimed to establish air travellers' knowledge of such prevention measures.

Methods:

We surveyed air travellers at two UK airports by means of a questionnaire. Answers to the questionnaire were collected over a two-week period.

Results:

Overall, 179 air travellers with a mean age of 28 years (range: 15–72 years) completed the questionnaire. There were 66 female and 113 male air travellers. The majority (84 per cent) complained of symptoms while flying and 30 per cent were not aware of any prevention measures. Barotrauma-related symptoms were reported in 25 per cent of air travellers who were unaware of any prevention measures. Nearly all air travellers (86 per cent) indicated that more information regarding prevention measures would be useful.

Conclusion:

Air travellers are often not aware of prevention measures to avoid otic barotrauma, and the majority suffer as a result. Increasing public awareness of simple prevention measures would have a significant impact on air travellers.

Keywords

BarotraumaPrevention & ControlEar, MiddleAerospace MedicineHealth Education
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 6 , June 2014 , pp. 494 - 498
Copyright
Copyright © JLO (1984) Limited 2014 

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Footnotes

Pilot results presented at the 2012 Spring Meeting of the Otorhinolaryngology Research Society, 16 March 2012, London, UK.

References

1Uzun, C, Adali, MK, Tas, A, Koten, M, Karasalihoglu, AR, Devren, M. Use of the nine-step inflation/deflation test as a predictor of middle ear barotrauma in sports scuba divers. Br J Audiol 2000; 34:153–63Google Scholar
2Stangerup, SE, Tjernström, O, Harcourt, J, Klokker, M, Stokholm, J. Barotitis in children after aviation; prevalence and treatment with Otovent. J Laryngol Otol 1996;110: 625–8CrossRefGoogle ScholarPubMed
3Westerman, ST, Fine, MB, Gilbert, L. Aerotitis: cause, prevention, and treatment. J Am Osteopath Assoc 1990;90: 926–8CrossRefGoogle ScholarPubMed
4Edmonds, C. Otological Aspects of Diving. Glebe, NSW: Australasian Medical Pub. Co., 1973Google Scholar
5Gussen, R. Sudden hearing loss associated with cochlear membrane rupture. Two human temporal bone reports. Arch Otolaryngol 1981;107:598–600Google Scholar
6Love, JT Jr, Caruso, VG. Civilian air travel and the otolaryngologist. Laryngoscope 1978;88:1732–42Google Scholar
7Csortan, E, Jones, J, Haan, M, Brown, M. Efficacy of pseudoephedrine for the prevention of barotrauma during air travel. Ann Emerg Med 1994;23:1324–7Google Scholar
8Civil Aviation Authority. Passenger numbers at UK airports up 1.4 million, but still below 2007 peak. In: http://www.caa.co.uk/application.aspx?catid=14&pagetype=65&appid=7&mode=detail&nid=2217 [9 May 2014]Google Scholar
9Airport, Watch. The problems. In: http://www.airportwatch.org.uk/?page_id=4775 [9 May 2014]Google Scholar
10Browning, GG, Gatehouse, S. The prevalence of middle ear disease in the adult British population. Clin Otolaryngol Allied Sci 1992;17:317–21Google Scholar
11Fiellau-Nikolajsen, M. Tympanometry in three-year-old children. Prevalence and spontaneous course of MEE. Ann Otol Rhinol Laryngol Suppl 1980;89:223–7Google Scholar
12World Health Organization. International travel and health. Cabin air pressure. In: http://www.who.int/ith/mode_of_travel/cab/en/ [9 May 2014]Google Scholar
13Stangerup, SE, Tjernström, O, Klokker, M, Harcourt, J, Stokholm, J. Point prevalence of barotitis in children and adults after flight, and the effect of autoinflation. Aviat Space Environ Med 1998;69:45–9Google ScholarPubMed
14Basu, A. Middle ear pain and trauma during air travel. Clin Evid (Online) 2007;pii:0501Google ScholarPubMed
15O'Reilly, BJ. Otorhinolaryngology. In: Ernsting, J, Nicholson, AN, Rainford, DJ, eds. Aviation Medicine, 3rd edn.Oxford: Butterworth-Heinemann, 1999; 319–36Google Scholar
16Farmer, JC Jr.Otological and paranasal sinus problems in diving. In: Bennett, PB, Elliott, DH, eds. The Physiology and Medicine of Diving, 4th edn.Philadelphia, PA: W.B. Saunders, 1993;267–9Google Scholar
17Keller, AP Jr.A study of the relationship of air pressure to myringorupture. Laryngoscope 1958;68:2015–29CrossRefGoogle ScholarPubMed
18Kortschot, HW, Oosterveld, WJ. Barotrauma in Boeing 737 cabin crew. ORL J Otorhinolaryngol Relat Spec 1993;55:114–16Google Scholar
19Jones, JS, Sheffield, W, White, LJ, Bloom, MA. A double-blind comparison between oral pseudoephedrine and topical oxymetazoline in the prevention of barotrauma during air travel. Am J Emerg Med 1998;16:262–4CrossRefGoogle ScholarPubMed
20Buchanan, BJ, Hoagland, J, Fischer, PR. Pseudoephedrine and air travel-associated ear pain in children. Arch Pediatr Adolesc Med 1999;153:466–8CrossRefGoogle ScholarPubMed
21Handzel, O, Poe, D, Marchbanks, RJ. Synchronous endoscopy and sonotubometry of the eustachian tube: a pilot study. Otol Neurotol 2012;33:184–91Google Scholar
22Poe, DS, Pyykkö, I, Valtonen, H, Silvola, J. Analysis of eustachian tube dysfunction by video endoscopy. Am J Otol 2000;21:602–7Google ScholarPubMed
23Byers, PH. Infant crying during aircraft descent. Nurs Res 1986;35:260–2CrossRefGoogle ScholarPubMed
24Wanless, D. Securing good health for the whole population: final report – February 2004. In: http://www.southampton.gov.uk/moderngov/documents/s19272/prevention-appx%201%20wanless%20summary.pdf [9 May 2014]Google Scholar
25Waddell, G, O'Connor, M, Boorman, S, Torsney, B. Working Backs Scotland: a public and professional health education campaign for back pain. Spine 2007;32:2139–43Google Scholar
26McAvoy, BR, Raza, R. Can health education increase uptake of cervical smear testing among Asian women? BMJ 1991;302:833–6Google Scholar
27Dey, P, Collins, S, Will, S, Woodman, CB. Randomised controlled trial assessing effectiveness of health education leaflets in reducing incidence of sunburn. BMJ 1995;311:1062–3CrossRefGoogle ScholarPubMed