title: [Environmental health in ENT medicine].
abstract: BACKGROUND
  Genetic and environmental factors contribute to the development of human diseases. This review article deals with the impact of physical and chemical environmental pollutants on the development of various diseases in otorhinolaryngology.
  
  
  METHODS
  Data were obtained from textbooks, review articles, original publications, medical databases, internet searches, and publications of various German and international agencies and organizations concerned with environmental health.
  
  
  RESULTS
  Environmental pollutants are important contributing factors in the etiology of head and neck diseases. Health effects include hearing loss due to noisy leisure time activities and cardiovascular diseases due to traffic noise, impairment of hearing and equilibrium induced by various compounds, odor annoyance and olfactory disturbances, irritation and alterations of respiratory mucosa, acute and chronic inflammatory and allergic diseases of the upper airways and the middle ear, disorders of the voice and larynx, and head and neck tumors.
  
  
  CONCLUSIONS
  Environmental medicine may play an increasingly important role in the prevention of head and neck diseases. It requires a considerable toxicological and epidemiological qualification. However, the contribution of specialists well familiar with the complex anatomy, physiology and functional diagnosis of organ systems located in the head and neck are essential for the reliable assessment of environmental diseases in otorhinolaryngology.
authors.affiliation: Univ. HNO-Klinik Ulm.
authors.forename: H
authors.initials: H
authors.lastname: Riechelmann
mesh_terms: D000818:Animals; D004781:Environmental Exposure / Q000009:adverse effects*; D004785:Environmental Pollutants / Q000009:adverse effects*; D006801:Humans; D010038:Otorhinolaryngologic Diseases / Q000209:etiology*; D010039:Otorhinolaryngologic Neoplasms / Q000209:etiology*; D012307:Risk Factors
chemical_list: D004785:Environmental Pollutants