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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

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Otitis Media with Effusion in Aircrew Members.

José Antônio Pinto, Heloisa Dos Santos Sobreira Nunes, Rozania Soeli Dos Santos

Aerospace Medicine and Human Performance

|April 27, 2019

Summary

Otitis media with effusion affects nearly 10% of aircrew. This middle ear condition typically resolves within approximately 8 days, but requires medical clearance before returning to flight duties.

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Area of Science:

Otolaryngology
Aerospace Medicine
Public Health

Background:

Middle-ear barotrauma is a frequent complaint among airline passengers and crew.
Ear discomfort affects 20-50% of passengers during or after flights.
Understanding otitis media with effusion prevalence in aircrew is crucial for aviation safety.

Purpose of the Study:

To determine the prevalence of otitis media with effusion in aviation personnel.
To document the typical time to resolution for this condition in aircrew.

Main Methods:

Retrospective review of 1607 aircrew undergoing annual medical examinations.
Diagnosis of otitis media with effusion confirmed via immittance testing.
Inclusion criteria: pilots, copilots, and flight attendants with confirmed otitis media with effusion.

Main Results:

Otitis media with effusion was diagnosed in 155 (9.65%) of aircrew members.
The majority of affected individuals were flight attendants (81.9%).
The average time for complete resolution of otitis media was 8.23 days.

Conclusions:

Otolaryngologists must consider middle ear gas expansion effects at altitude.
Aircrew should only return to flying duties after complete resolution of otitis media with effusion, confirmed by testing.