Kozin O V
Vestn Otorinolaringol. 2009(6):26-9.
The author discusses the main aspects of differential diagnosis of occupational neurosensory deafness in the flight personnel of civilian aviation. Taken together, specific working conditions in civil aviation, socio-economic factors, and the structure of morbidity among the flight personnel hinder differential diagnosis of occupational loss of hearing in the pilots. A method for retrospective analysis of dynamic audiometry data is proposed to elucidate pathogenesis of occupational neurosensory deafness in the flight personnel. The method is based on the analysis of results of clinical and audiologic studies taking into consideration concomitant pathology (if any), age-related changes in the health status, intra-cabin aircraft noise characteristics, and objective evaluation of noise load on the organ of hearing during the entire period of professional occupation of individual members of the flight personnel. It is concluded that introduction of this method into routine practice of medical examination of the flight personnel in civilian aviation may contribute to the lowering of the frequency of hyperdiagnosis of occupational deafness in this category of workers.
作者探讨了民航飞行人员职业性神经感觉性耳聋鉴别诊断的主要方面。综合来看，民航的特定工作条件、社会经济因素以及飞行人员的发病结构阻碍了对飞行员职业性听力损失的鉴别诊断。提出了一种回顾性分析动态听力测定数据的方法，以阐明飞行人员职业性神经感觉性耳聋的发病机制。该方法基于对临床和听力学研究结果的分析，同时考虑伴随的病理情况（如有）、健康状况的年龄相关变化、机舱内飞机噪音特征以及对飞行人员个体整个职业期间听力器官噪声负荷的客观评估。得出的结论是，将该方法引入民航飞行人员医学检查的常规实践中，可能有助于降低这类工作人员职业性耳聋过度诊断的频率。
