Aircraft operations from above ground level to 3000 feet impact air quality and cause health issues, particularly for people working and living in and around airports. This paper evaluates the current emission calculation methods to identify the most accurate way to generate an emission inventory. Journal articles on aircraft influence on air quality were selected for a systematic literature review (SLR). After screening 277 articles written in English, 60 articles on emission calculation methods were included in the analysis. Based on the analysis, air quality can be more accurately assessed when considering direct emissions from an aircraft than when measuring atmospheric pollutant concentrations. While the International Civil Aviation Organization’s (ICAO) advanced approach was the most widely used from the literature reviewed, airport-specific, time-in-mode, and actual atmospheric conditions where aircraft operate offer the potential for significant improvement. The SLR demonstrates a need for more accurate emission calculation methods to assess the aircraft’s influence on air quality. The SLR guides airlines and airports to maintain an accurate emission inventory, which will set future targets to improve air quality.