International Rhinologic Society Rhinology 0300-0729 2026 07 14 Upper airway disease in Jeju Haenyeo: the aging and resilience cohort (JH-ARC) study EN S.W. Chang Department of Otolaryngology, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea M. Kang Biomedical Research Center, Korea University Guro Hospital, Seoul, Republic of Korea J. Lee Biomedical Research Institute, Jeju National University Hospital, Jeju, Republic of Korea M.J. Suh Department of Otolaryngology, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea J.H. Kim Department of Otolaryngology, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea E. Park Department of Pathology, Jeju National University College of Medicine, Jeju, Republic of Korea S. Ji Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology, Sungkyunkwan University, Seoul, Republic of Korea E. Lee Department of Neurosurgery, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea C. Yang Department of Neurosurgery, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea A. Ha Department of Ophthalmology, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea J.K. Rhim Department of Neurosurgery, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea J. Cho Department of Clinical Research Design J.D Joo Department of Neurosurgery, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea Journal Article 3485 10.4193/Rhin26.196 Jeju Haenyeo are traditional female breath-hold divers from Jeju Island, the southernmost and largest island of the Republic of Korea, who harvest marine products without modern diving equipment (1). During diving, they are repeatedly exposed to cold seawater, breath-holding, and pressure changes (2). The upper airway may be particularly vulnerable, as it is the first anatomical region directly exposed to seawater and pressure-related stimuli.