From the Research
Flying with an ear infection is generally not recommended due to the risk of severe pain, potential eardrum rupture, and worsening of the infection. The changes in air pressure during takeoff and landing can cause these complications, especially if the Eustachian tubes are blocked, preventing normal pressure equalization as the aircraft changes altitude 1.
Risks and Considerations
- The risk of otic barotrauma, which involves traumatic inflammation of the middle ear, is higher during air travel, especially during descent 2.
- Severe cases of otic barotrauma can result in tympanic membrane perforation and even round window membrane rupture 2.
- The use of decongestants such as pseudoephedrine may help reduce inflammation, but its effectiveness in preventing ear pain during air travel is not well established, especially in children 3, 2.
Management and Prevention
- If you must fly with an ear infection, consult with a healthcare provider first, who may prescribe antibiotics and decongestants to reduce inflammation before your flight 1.
- Using over-the-counter pain relievers such as ibuprofen can help manage discomfort 4.
- During the flight, stay hydrated, chew gum or swallow frequently during takeoff and landing, and consider using special earplugs designed for air travel that help regulate pressure changes 4, 5.
Key Takeaways
- The most important consideration is to prioritize your health and safety by avoiding air travel with an ear infection if possible.
- If air travel is unavoidable, consult with a healthcare provider and take necessary precautions to minimize the risk of complications.
- The Eustachian tubes play a crucial role in equalizing pressure, and any blockage can lead to a painful vacuum effect in the middle ear, potentially causing complications and prolonging recovery time 1.