BACKGROUND: ENT cancers due to their location and treatment encompass a number of physical symptoms related to swallowing and communication disorders. AIM: To evaluate flight capacity of aircrew personnel with ENT cancer and consequences on fitness and waiver criteria. CASES REPORT: Case 1: A 52 years old smoker pilot whish present laryngeal epidermoid carcinoma staged T3M0N0 and treated by total laryngectomy with curative radio-therapy (70Gy). Metastasis occurred on lumgth and death heaped after acute respiratory failure. Case 2: A 55 years old mechanic whish had rhinopharyngeal undifferentiated carcinoma staged T4N2M0 and treated with radiochemotherapy with favourable follow-up. Inability for flight was proclaimed because of severe psychological impact. Case 3: Concerned a vesiculograpillary carcinoma of thyroid gland occurring in a 46 years old helicopter pilot. After total thyroidectomy and iodine treatment, the patient has obtained complete fitness to flight. CONCLUSION: Fitness to flight can be controversed in ENT cancer occurs. Epidemio-clinical paraclinical, functionnel and operational criterias must be considered when wainer to be proclaimed.
BACKGROUND:ENT cancers due to their location and treatment encompass a number of physical symptoms related to swallowing and communication disorders. AIM: To evaluate flight capacity of aircrew personnel with ENT cancer and consequences on fitness and waiver criteria. CASES REPORT: Case 1: A 52 years old smoker pilot whish present laryngeal epidermoid carcinoma staged T3M0N0 and treated by total laryngectomy with curative radio-therapy (70Gy). Metastasis occurred on lumgth and death heaped after acute respiratory failure. Case 2: A 55 years old mechanic whish had rhinopharyngeal undifferentiated carcinoma staged T4N2M0 and treated with radiochemotherapy with favourable follow-up. Inability for flight was proclaimed because of severe psychological impact. Case 3: Concerned a vesiculograpillary carcinoma of thyroid gland occurring in a 46 years old helicopter pilot. After total thyroidectomy and iodine treatment, the patient has obtained complete fitness to flight. CONCLUSION:Fitness to flight can be controversed in ENT cancer occurs. Epidemio-clinical paraclinical, functionnel and operational criterias must be considered when wainer to be proclaimed.
Authors: Martina Sanlorenzo; Mackenzie R Wehner; Eleni Linos; John Kornak; Wolfgang Kainz; Christian Posch; Igor Vujic; Katia Johnston; Deborah Gho; Gabriela Monico; James T McGrath; Simona Osella-Abate; Pietro Quaglino; James E Cleaver; Susana Ortiz-Urda Journal: JAMA Dermatol Date: 2015-01 Impact factor: 10.282