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Presbycusis and Fitness to Fly
Aerospace Medicine and Human Performance
|April 25, 2020
Summary
Pilots with age-related hearing loss (presbycusis) can often maintain flight fitness. Most pilots evaluated received waivers, with many having no flight restrictions, indicating safe aviation activity is possible.
Area of Science:
- Aviation Medicine
- Otolaryngology
- Audiology
Background:
- Presbycusis (age-related hearing loss) can raise questions about pilot flight fitness.
- Evaluating hearing loss in pilots is crucial for aviation safety and career continuation.
Purpose of the Study:
- To analyze a case series of pilots with presbycusis.
- To discuss flight waiver decisions for pilots with age-related hearing loss.
Main Methods:
- Retrospective examination of medical files for 19 pilots referred for presbycusis.
- Assessment of flight fitness based on speech recognition in noise and audiometry results.
Main Results:
- 14 out of 19 pilots received flight fitness waivers.
- 7 of the waiver recipients had no flight restrictions.
- Only 5 pilots were denied flight fitness waivers.
Conclusions:
- Presbycusis does not automatically disqualify pilots.
- Flight fitness can be determined through specific audiological assessments, allowing for safe aviation activity with or without restrictions.
- Waiver criteria focus on speech recognition capabilities in noisy environments.
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