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Skin Pathology Prevalence in Deployed Fighter Aircrew Using Custom Molded Hearing Protection.

Phillip A Strawbridge, Lawrence W Steinkraus, Rachel M Girsch

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    Fighter aircrew using the Attenuating Custom Communications Earpiece System (ACCES) during deployment reported increased ear discomfort and skin issues. This study highlights potential problems with ACCES in deployed environments, necessitating further investigation.

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    Area of Science:

    • Aerospace Medicine
    • Occupational Health
    • Dermatology

    Background:

    • Aircrew deployment environments may present unique challenges to ear health.
    • Previous literature noted ear discomfort with communication systems, but not prevalence or skin ulcerations.

    Purpose of the Study:

    • To estimate the prevalence of ear discomfort and auricular pathology among fighter aircrew using the Attenuating Custom Communications Earpiece System (ACCES) during deployment.
    • To describe skin conditions associated with ACCES use in a deployed setting.

    Main Methods:

    • An anonymous paper questionnaire was administered to 59 aircrew across three fighter squadrons (F-15C/E, F-16) during a 2019 deployment.
    • Participants exclusively used the ACCES system; those not using ACCES were excluded.

    Main Results:

    • A 57.3% response rate was achieved, with 79.7% of respondents reporting ACCES-related problems in the deployed setting.
    • Among those with problems, 89% experienced ear discomfort, and a significant portion reported skin redness, erosion, and bleeding.

    Conclusions:

    • The study provides a preliminary estimate of increased ear discomfort and new-onset auricular skin pathology in deployed fighter aircrew using ACCES.
    • Findings suggest ACCES may contribute to these issues, but further research with larger sample sizes is needed to control for confounding factors.