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前庭神经鞘瘤患者能否飞行:飞还是不飞?

A pilot with an intravestibular schwannoma: to fly or not to fly?

机构信息

Department of Otolaryngology-Head and Neck Surgery, UZ Brussel, Vrije Universiteit Brussel.

出版信息

Otol Neurotol. 2011 Feb;32(2):326-9. doi: 10.1097/MAO.0b013e3182040b03.

DOI:10.1097/MAO.0b013e3182040b03
PMID:21150685
Abstract

OBJECTIVE

To report on the professional repercussions of an intravestibular schwannoma in a commercial airline pilot.

PATIENTS

The case of a single patient with a unilateral intravestibular schwannoma.

INTERVENTION

Return to a flying status with specific restrictions and under tight conditions depending on the outcomes of a mandatory periodic watch-and-rescan policy.

MAIN OUTCOME MEASURES

Consecutive magnetic resonance imaging results coupled to the clinical otovestibular status of the patient.

RESULTS

After 16 uneventful months of flying, the pilot was grounded after a first episode of vertigo.

CONCLUSION

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.

摘要

目的

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。

患者

一名单侧前庭神经鞘瘤患者的病例。

干预

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。

主要观察指标

连续磁共振成像结果与患者的临床耳前庭状态相关。

结果

在飞行 16 个月无事后,飞行员首次出现眩晕后停飞。

结论

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。

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A pilot with an intravestibular schwannoma: to fly or not to fly?前庭神经鞘瘤患者能否飞行:飞还是不飞?
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Braz J Otorhinolaryngol. 2019 Jan-Feb;85(1):111-120. doi: 10.1016/j.bjorl.2018.05.007. Epub 2018 Jun 21.
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