Abstract：
BACKGROUND: Climate change has been identified by the World Health Organization (WHO) as the greatest existing threat to human health. Given the direct exposure of the upper aerodigestive system to pollutants, patients in otolaryngology are at high risk for increased disease burden in the setting of climate change and worsening air quality. Given this and the environmental impact of surgical care, it is essential for surgeons to understand their role in addressing climate health through quality-driven clinical initiatives, education, advocacy, and research.
METHODS: A state-of-the-art review was performed of the existing literature on the otolaryngologic health impacts of climate change and environmental sustainability efforts in surgery with specific attention to studies in otolaryngology - head and neck surgery.
RESULTS: Climate variables including heat and air pollution are associated with increased incidence of allergic rhinitis, chronic rhinosinusitis and head and neck cancer. A number of studies have shown that sustainability initiatives in otolaryngology are safe and provide direct cost benefit.
CONCLUSIONS: Surgeons have the opportunity to lead on climate health and sustainability to address the public health burden of climate change.
METHODS: A state-of-the-art review was performed of the existing literature on the otolaryngologic health impacts of climate change and environmental sustainability efforts in surgery with specific attention to studies in otolaryngology - head and neck surgery.
RESULTS: Climate variables including heat and air pollution are associated with increased incidence of allergic rhinitis, chronic rhinosinusitis and head and neck cancer. A number of studies have shown that sustainability initiatives in otolaryngology are safe and provide direct cost benefit.
CONCLUSIONS: Surgeons have the opportunity to lead on climate health and sustainability to address the public health burden of climate change.
摘要：
背景：世界卫生组织（WHO）已将气候变化确定为对人类健康的最大威胁。鉴于上部呼吸消化系统直接暴露于污染物，在气候变化和空气质量恶化的背景下,耳鼻喉科患者的疾病负担增加风险很高.考虑到这一点和外科护理对环境的影响，外科医生必须了解他们在通过质量驱动的临床举措解决气候健康问题中的作用，教育,倡导，和研究。
方法：对现有文献中关于气候变化对耳鼻咽喉健康的影响和手术中环境可持续性的影响进行了最新综述，并特别关注耳鼻咽喉头颈外科的研究。
结果：包括高温和空气污染在内的气候变量与过敏性鼻炎的发病率增加有关。慢性鼻窦炎和头颈癌。许多研究表明，耳鼻喉科的可持续性计划是安全的，并提供直接的成本效益。
结论：外科医生有机会领导气候健康和可持续性，以应对气候变化的公共卫生负担。
方法：对现有文献中关于气候变化对耳鼻咽喉健康的影响和手术中环境可持续性的影响进行了最新综述，并特别关注耳鼻咽喉头颈外科的研究。
结果：包括高温和空气污染在内的气候变量与过敏性鼻炎的发病率增加有关。慢性鼻窦炎和头颈癌。许多研究表明，耳鼻喉科的可持续性计划是安全的，并提供直接的成本效益。
结论：外科医生有机会领导气候健康和可持续性，以应对气候变化的公共卫生负担。
