There are also soundproofing drop seals that still allow air to pass through: just google "Planet MinE". Sound insulation and air volumes are specified very precisely in the datasheets... after all, it's a Swiss manufacturer ;) The doors themselves are quite massive hollow core chipboard panels about 50mm thick with double rebate (for flush block frames). We installed this in a bathroom close to a living area and are satisfied.
Theoretically, critical rooms could also be designed without overflow by providing controlled living space ventilation supply air and exhaust air in these rooms. However, this would have to be discussed with the ventilation planner to avoid ventilation short circuits.