Department of Otolaryngology-Head and Neck Surgery, UZ Brussel, Vrije Universiteit Brussel.
Otol Neurotol. 2011 Feb;32(2):326-9. doi: 10.1097/MAO.0b013e3182040b03.
To report on the professional repercussions of an intravestibular schwannoma in a commercial airline pilot.
The case of a single patient with a unilateral intravestibular schwannoma.
Return to a flying status with specific restrictions and under tight conditions depending on the outcomes of a mandatory periodic watch-and-rescan policy.
Consecutive magnetic resonance imaging results coupled to the clinical otovestibular status of the patient.
After 16 uneventful months of flying, the pilot was grounded after a first episode of vertigo.
The combination of an intravestibular schwannoma-as one of the rarest intralabyrinthine schwannomas-and a pilot-for whom proper otovestibular functioning is of the uppermost importance-challenges the responsibilities of all involved. Depending on the clinical circumstances and under tight conditions with specific restrictions, a return to a flying status can very exceptionally be considered. An open discussion and the establishment of a relation of mutual trust are felt to be an absolute prerequisite.
报告一名商业航空公司飞行员的前庭神经鞘瘤的职业影响。
一名单侧前庭神经鞘瘤患者的病例。
根据强制性定期观察和复查政策的结果,在特定限制和严格条件下恢复飞行状态。
连续磁共振成像结果与患者的临床耳前庭状态相关。
在飞行 16 个月无事后,飞行员首次出现眩晕后停飞。
前庭神经鞘瘤(最罕见的内听道神经鞘瘤之一)和飞行员(适当的耳前庭功能对其至关重要)的结合,对所有相关人员的责任提出了挑战。根据具体情况和严格限制的具体限制,在非常特殊的情况下,可以考虑恢复飞行状态。公开讨论和建立相互信任的关系被认为是绝对的前提条件。