Rajguru Renu
ENT Specialist, Institute of Aerospace Medicine, Near HAL Airport, Bangalore, Karnataka, India.
Indian J Occup Environ Med. 2014 Sep-Dec;18(3):105-8. doi: 10.4103/0019-5278.146905.
Aeromedical implications of stapedotomy like rapid barometric changes and G forces are generally thought to put an end to the aviation career of an aviator. Aviation industry has grown tremendously in the last few decades, and aviation now is not only occupational but also recreational. The Indian Military Aviation rules state that, "Stapedectomy cases will be assessed permanently unfit for flying duties. These cases will be cautioned against flying in an unpressurised aircraft." The basis of this is the aeromedical concerns associated with stapedotomy as clinical conditions which are of minor significance on the ground may become aggravated in the air. With an ever expanding civil and military aviation industry, the number of aviators who have undergone stapedotomy has also increased. Though grounding the aircrew is the safest option, but if medical certification is denied to all, then the majority who can fly safely will also be excluded, thus denying the organization of its trained resources. This paper discusses post otosclerosis and post stapedotomy aeromedical concerns, reviews existing literature concerning post stapedotomy aviation and various post stapedotomy aviation policies.
像镫骨切除术相关的快速气压变化和重力加速度等航空医学问题，通常被认为会终结飞行员的飞行生涯。在过去几十年里，航空业发展迅猛，如今航空不仅是一种职业，也是一种娱乐活动。印度军事航空规则规定：“接受过镫骨切除术的人员将被判定永远不适于飞行任务。这些人员将被警告不得乘坐未增压的飞机飞行。”其依据是与镫骨切除术相关的航空医学问题，因为一些在地面上意义不大的临床状况在空中可能会加重。随着民用和军事航空业的不断发展，接受过镫骨切除术的飞行员数量也有所增加。虽然让机组人员停飞是最安全的选择，但如果拒绝给所有人发放医学证明，那么大多数能够安全飞行的人也会被排除在外，从而使组织失去其训练有素的资源。本文讨论了耳硬化症术后和镫骨切除术后的航空医学问题，回顾了有关镫骨切除术后飞行的现有文献以及各种镫骨切除术后的飞行政策。
