Clinical treatment and medical evaluation of the civil airline pilots with otosclerosis

中华航空航天医学杂志 Pub Date : 2019-03-15 DOI:10.3760/CMA.J.ISSN.1007-6239.2019.01.006

Y. Shao

{"title":"Clinical treatment and medical evaluation of the civil airline pilots with otosclerosis","authors":"Y. Shao","doi":"10.3760/CMA.J.ISSN.1007-6239.2019.01.006","DOIUrl":null,"url":null,"abstract":"Objective \nTo explore the clinical treatment and medical evaluation standard for the airline pilots with otosclerosis. \n \n \nMethods \nThe clinical treatment and prognosis of 3 East China airline pilots, who were diagnosed as otosclerosis, were reviewed. The clinical diagnosis and medical evaluation methods of the disease were analyzed and discussed. \n \n \nResults \nAll 3 cases showed progressive monaural hearing loss but without vertigo. Their pure tone audiometry showed conductive deafness. The stapes otosclerosis was definite diagnosed by high-resolution CT scan on the temporal bone of 3 pilots. Two cases were taken conservative treatment and were qualified. Another case was cured by laser stapes resection and artificial stapes implantation. His hearing well recovered and no more surgical complications were found by 3 months follow-up. Then he was qualified in accordance with a waiver of standards. \n \n \nConclusions \nEarly progressive hearing loss of speech frequency of airline pilots should be regarded more. The pure tone audiometry in every six months and the high-resolution CT scan on temporal bone are suggested. Three months or even longer follow-up is necessary and the assessments under hyperbaric/hypobaric environment would be introduced for the pilot treated by stapes resection surgery. \n \n \nKey words: \nOtosclerosis; Stapes surgery; Diagnosis; Eligibility determination; Civil pilots","PeriodicalId":9904,"journal":{"name":"中华航空航天医学杂志","volume":"29 1","pages":"30-34"},"PeriodicalIF":0.0000,"publicationDate":"2019-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华航空航天医学杂志","FirstCategoryId":"1087","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2019.01.006","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objective To explore the clinical treatment and medical evaluation standard for the airline pilots with otosclerosis. Methods The clinical treatment and prognosis of 3 East China airline pilots, who were diagnosed as otosclerosis, were reviewed. The clinical diagnosis and medical evaluation methods of the disease were analyzed and discussed. Results All 3 cases showed progressive monaural hearing loss but without vertigo. Their pure tone audiometry showed conductive deafness. The stapes otosclerosis was definite diagnosed by high-resolution CT scan on the temporal bone of 3 pilots. Two cases were taken conservative treatment and were qualified. Another case was cured by laser stapes resection and artificial stapes implantation. His hearing well recovered and no more surgical complications were found by 3 months follow-up. Then he was qualified in accordance with a waiver of standards. Conclusions Early progressive hearing loss of speech frequency of airline pilots should be regarded more. The pure tone audiometry in every six months and the high-resolution CT scan on temporal bone are suggested. Three months or even longer follow-up is necessary and the assessments under hyperbaric/hypobaric environment would be introduced for the pilot treated by stapes resection surgery. Key words: Otosclerosis; Stapes surgery; Diagnosis; Eligibility determination; Civil pilots

查看原文本刊更多论文

民航飞行员耳硬化的临床治疗及医学评价

目的探讨航空公司飞行员耳硬化症的临床治疗及医学评价标准。方法回顾性分析3例经诊断为耳硬化的华东航空公司飞行员的临床治疗及预后。对该病的临床诊断和医学评价方法进行了分析和探讨。结果3例患者均有进行性单耳听力丧失，无眩晕。纯音听力测定显示为传导性耳聋。对3名飞行员颞骨进行高分辨率CT扫描，明确诊断镫骨耳硬化。2例采用保守治疗，均符合要求。1例经激光镫骨切除术和人工镫骨植入术治愈。随访3个月，听力恢复良好，无手术并发症发生。那么，他是根据放弃标准而获得资格的。结论航空公司飞行员早期进行性听力损失应引起重视。建议每半年进行一次纯音听力学检查和颞骨高分辨率CT扫描。术后随访3个月或更长时间，对镫骨切除术患者进行高压压/低压环境评估。关键词:耳硬化;镫骨手术;诊断;资格审定;民用飞行员

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

中华航空航天医学杂志航空航天医学

自引率

0.00%

发文量

2962

期刊介绍： The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties. Topics of interest for Chinese Journal of Aerospace Medicine include: -The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc. -Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal. -The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote. -The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.