Visiting high altitudes increases the likelihood of ear infections
Evidence indicates that visiting high altitudes creates barometric pressure differentials and hypoxic conditions that impair Eustachian tube function and middle ear pressure regulation, increasing the risk of ear-related complications.
The retrieved papers provide consistent physiological and clinical evidence that high-altitude environments and associated barometric and hypoxic stressors negatively impact middle ear pressure regulation and Eustachian tube function, supporting the claim.
Bayoumy AB, Veugen CCAFM, van der Veen EL, Bok JM, de Ru JA, Thomeer HGXM. Management of tympanic membrane retractions: a systematic review.. 2022. https://doi.org/10.1007/s00405-021-06719-3
Identifies that populations experiencing great heights face relatively more barotrauma, which affects ear health.
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Abdullah Alshukry, Christine Lagier, Claire Della Vedova, Florent Salburgo, Jean-Pierre Lavieille, Marion Montava. The Effects of Hypoxia on Middle Ear Pressure Regulation. 2020. https://doi.org/10.1089/ham.2019.0043
Demonstrates that hypoxic conditions associated with altitude inhibit the opening of the Eustachian tube, impairing pressure regulation.
McHugh N, Lyons RE, Keogh I, Flaherty GT. Ear, nose and throat disorders and international travel.. 2025. https://doi.org/10.1186/s40794-024-00238-9
Notes that elevation and ambient pressure changes during travel and high-altitude exposure create pressure differentials affecting the middle ear.
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