Flying can be uncomfortable when you have sinus problems. Cabin pressure changes can affect your sinuses and ears, potentially leading to conditions such as barosinusitis and "airplane ear." If you're going to be flying with sinus problems sometime soon, it's best to be prepared. Here's what you need to know.

Key takeaways:

• Problems like sinus pain and congestion only get worse when the cabin pressure changes during a flight.
• If you have a sinus infection, the risk of discomfort while flying is increased.
• There are many simple strategies you can use when flying with sinus congestion to help alleviate airplane sinus pain.
• If you have a severe sinus problem, you may need to be evaluated by an ENT specialist before flying.
• Sometimes, in severe cases, it's better to postpone travel.

Why Does Flying Affect the Sinuses?

Air pressure inside a plane can change during the ascent and descent of a flight. Chronic sinus conditions can cause the Eustachian tubes to swell.

These tubes help balance air pressure inside your ears, which means that blocked sinuses can ultimately prevent normal pressure equalization during a flight. This is why some people experience sinus pressure, facial pain, ear fullness, and nasal congestion when they're flying.

Who Is At Risk?

You may be at risk of ear pressure and other feelings of pressure during your flight if you have a cold, upper respiratory infection, a chronic sinus condition, nasal polyps, or other structural blockages.

Afraid of Sinus Pressure on a Flight? What You Can Do

There are many things you can do to avoid sinus pressure during your next flight. Before the flight, use a nasal saline rinse to clear your nasal passages. You may also be a good candidate for a decongestant (talk to your doctor). If you're very sick, avoid flying altogether.

During the flight, you can regulate pressure in your ears by intentionally swallowing and yawning during ascent and descent. Chewing gum helps too.

Do I Need to See a Specialist Before Flying?

See a rhinologist before flying if you have frequent severe sinus pain during flights or if you are experiencing chronic sinus infections. If you've been getting treatment from a primary care provider but still have persistent congestion, a rhinologist may help. And if you've experienced facial pain and pressure for many days after air travel in the past, a rhinologist can evaluate the anatomy of your sinuses to determine if treatment is recommended.

What Can A Rhinologist Do?

Rhinologists have many ways to treat sinus problems, including medicines, prescription nasal sprays, and even sinus surgery. To determine the best treatment for you, the rhinologist will image your sinuses, review your medical history, and make recommendations based on that.

Frequently Asked Questions