Preventing More Than Ear, Nose, and Throat: A Systematic Review of Complication Focused Preventive Strategies in Otorhinolaryngology and Their Somatic Systemic Parallels
Keywords:
otorhinolaryngology, prevention, complications, rhinosinusitis, otitis media, obstructive sleep apnea, head and neck cancer, systemic diseaseAbstract
Preventive strategies in otorhinolaryngology increasingly determine long‑term functional and systemic outcomes, yet evidence is fragmented across disease entities. This systematic literature‑style review synthesizes preventive approaches for major otorhinolaryngology conditions (otitis media, chronic rhinosinusitis, obstructive sleep apnea, head and neck cancer, and otologic/audiologic disorders) with explicit comparison to somatic systemic complications. Evidence indicates that structured primary, secondary, and tertiary prevention—from vaccination and risk‑factor control to screening and rehabilitation—substantially lowers rates of intracranial and intrathoracic complications, improves quality of life, and reduces health‑care utilization. Comparative data suggest that aggressive prevention in ENT diseases can mitigate systemic sequelae such as meningitis, cardiovascular and neurological events, and oncologic progression, paralleling gains seen in other chronic somatic disorders. Remaining gaps relate to heterogeneous study quality, under‑representation of low‑resource settings, and limited integration of ENT prevention into chronic‑disease frameworks.
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