Abstract:
BACKGROUND:Presented is a rare case of transient unilateral facial nerve paralysis occurring in a pilot while on initial ascent in an F-16CM. This pathology is sporadically observed in the diving community, but rarely described in military or civil aviation. This case was particularly unusual in its promptness of onset, rapid recovery, and its association with vertigo. CASE REPORT:This case report describes a previously healthy 26-yr-old F-16 pilot who experienced ear block and subsequent unilateral facial paralysis while on initial ascent. This was relieved quickly after clearing the affected ear without any neurological sequelae. A second episode was associated with vertigo in addition to the ear block and facial symptoms. Both episodes were separated by 3 d. DISCUSSION:Barotrauma to the facial nerve via an uncovered or "dehiscent" facial nerve canal was suggested by the clinical course, computed tomography, and confirmed by expert consultation. Making the diagnosis in an aviator, especially the military aviator, is important for safety of flight, to avoid unwarranted diagnostics, and to minimize operational impact. A mechanism for the aviator's associated vertigo is suggested.
journal_name
Aerosp Med Hum Performjournal_title
Aerospace medicine and human performanceauthors
Wimmer MS,Ali TYdoi
10.3357/AMHP.4449.2016subject
Has Abstractpub_date
2016-02-01 00:00:00pages
141-3issue
2eissn
2375-6314issn
2375-6322journal_volume
87pub_type
杂志文章abstract::INTRODUCTION: This study explores the safety risk due to delayed detection of hazardous health conditions that would result from increasing the duration of U.S. first-class aeromedical certificates from 6 mo to 12 mo for pilots ages 40 yr old through 60 yr old.METHODS: All pilots who submitted a U.S. first-class appli...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5268.2019
更新日期:2019-05-01 00:00:00
abstract::Mahakian CG. You're the flight surgeon: hypersensitivity pneumonitis. Aerosp Med Hum Perform. 2018; 89(1):74-77. ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4993.2018
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Cartilage tissue engineering is a growing field due to the lack of regenerative capacity of native tissue. The use of bioreactors for cartilage tissue engineering is common, but the results are controversial. Some studies suggest that microgravity bioreactors are ideal for chondrogenesis, while others show t...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4743.2017
更新日期:2017-04-01 00:00:00
abstract::BACKGROUND: High-altitude decompression sickness (HADCS) is a rare condition that has been associated with aircraft accidents. To the best of our knowledge, the present paper is the first case report of a patient treated for severe HADCS using recompression therapy and veno-venous extracorporeal oxygenation (VV-ECMO) ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5457.2020
更新日期:2020-02-01 00:00:00
abstract::BACKGROUND: Although oropharyngeal squamous cell papilloma (OSCP) is not uncommon in the general population, reports of OSCP in aviators are rare. This case report serves as a call for flight surgeons to consider all oropharyngeal pathology as a potential source of airway compromise during flight, and highlights regio...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5429.2019
更新日期:2019-11-01 00:00:00
abstract::Martin BR. You're the flight surgeon: West Nile virus neuroinvasive disease. Aerosp Med Hum Perform. 2016; 87(11):976-979. ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4715.2016
更新日期:2016-01-01 00:00:00
abstract:INTRODUCTION:With commercial spaceflight comes the possibility of spaceflight participants (SFPs) with significant medical conditions. Those with previously untested medical conditions, such as diabetes mellitus (DM) and the use of indwelling medical devices, represent a unique challenge. It is unclear how SFPs with su...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4134.2015
更新日期:2015-04-01 00:00:00
abstract:INTRODUCTION:To ensure flight safety military aircrew undergo regular clinical and occupational assessment. Coronary artery calcium scoring (CACS) has been established as an imaging modality to noninvasively assess coronary artery disease (CAD). CT coronary angiography (CTCA) potentially offers a more accurate assessme...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4636.2017
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Habitual exposure to carbon dioxide (CO2) is expected, but it is not proven, to dull ventilatory sensitivity to co2 by reducing hypercapnic ventilatory response (HCVR) as it is expressed by the slope of the derived response curve (CO2 sensitivity: ΔVE/ΔPetCO2). It was hypothesized that HCVR is decreased by r...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章,随机对照试验
doi:10.3357/AMHP.3932.2015
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Acetabular labral tears in the hip have become an increasingly common finding in active duty members due to improved diagnostic capabilities. This has led to a dramatic increase in operative management despite a lack of evidence to support clear long-term benefits. Literature review demonstrated overwhelming...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4883.2018
更新日期:2018-02-01 00:00:00
abstract:INTRODUCTION:The greater sensitivity of extended high-frequency audiometry (EHFA) than conventional audiometry (CA) for identifying early changes in hearing has been well documented in previous literature. However, no studies about EHFA were conducted on civilian pilots. The aim of this study was to investigate the use...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5029.2018
更新日期:2018-07-01 00:00:00
abstract::INTRODUCTION: We examined aircrew fatigue during the following flight duty periods (FDPs) mentioned in the European Union (EU) Flight Time Limitations (FTLs): night FDPs longer than 10 h and FDPs typical of disruptive schedules (early starts, late finishes, and nights). An alternative way of classifying night FDPs was...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5561.2020
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Research indicates that first-generation antihistamine usage may impair pilot performance by increasing the likelihood of vestibular illusions, spatial disorientation, and/or cognitive impairment. Second- and third-generation antihistamines generally have fewer impairing side effects and are approved for pil...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4828.2018
更新日期:2018-04-01 00:00:00
abstract::BACKGROUND: Frequent migraine headaches are disabling and aeromedically disqualifying. Four new monoclonal antibody medications, targeting calcitonin gene-related peptide (CGRP), have been approved by the U.S. Food and Drug Administration (FDA) since 2018, with more expected in the coming years. These medications pres...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5688.2020
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:The ecology of medical care model has been used in various populations with varying results. We aimed to apply this model in the population of Israeli Air Force (IAF) aviators. METHODS:An anonymous questionnaire was presented to all Israeli Air Force aviators during their mandatory yearly check-up over 1 yr...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4406.2016
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Assessment of the influence of personality and decision processes on the performance of two-person expedition teams has application for the composition of small teams for planetary exploration and potentially responding to off-nominal situations. CASE REPORT:We studied a two-man Special Forces team with a g...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4256.2015
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:There is only scant information on the influence of the hypobaric environment on luting agents and their efficacy on dental crown cementation. The objective of this study was to provide data on the retentive characters of two cements commonly used on implant abutment surfaces both under normal and under hypo...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4992.2018
更新日期:2018-05-01 00:00:00
abstract::INTRODUCTION: Visual performance is important for safe and accurate taxiing operations. Visibility is associated with navigation errors during taxiing. The main objective of the present study was to investigate the effects of visibility on pilots' fixation patterns during taxiing. The interaction between visibility an...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5206.2019
更新日期:2019-06-01 00:00:00
abstract::INTRODUCTION: The auditory system is not as heavily involved in the pilot's spatial orientation as the visual and vestibular systems; however, it plays a significant role in the cockpit for communication and warning information. The aim of this research was to investigate the combined effect of selective auditory atte...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5153.2018
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION:Microgravity (μG) exposure and even early recovery from μG in combination with mild hypoxia may increase the alveolar-arterial oxygen (O2) partial pressure gradient. METHODS:Four male astronauts on STS-69 (1995) and four on STS-72 (1996) were exposed on Earth to an acute sequential hypoxic challenge by br...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4804.2017
更新日期:2017-06-01 00:00:00
abstract:INTRODUCTION:Recent physiological incidents involving pilots of high performance fighter aircraft have raised the question of whether inadvertent, short bursts of significantly reduced oxygen could negatively impact real-time performance. This study evaluated normobaric, real-time performance in the setting of transien...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4041.2015
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Mild hypercapnia combined with a cephalad fluid shift [e.g., that occurring during spaceflight or laparoscopic surgery with head-down tilt (HDT)] might affect cerebral autoregulation. However, no reports have described the effects of the combination on dynamic cerebral autoregulation. Therefore, we tested th...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4870.2017
更新日期:2017-09-01 00:00:00
abstract::INTRODUCTION: This study sought to determine the incidence, severity, and time-course of simulator sickness (SS) among Asian military pilots following flight simulator training.METHODS: A survey was conducted on Republic of Singapore Air Force pilots undergoing simulator training. Each subject completed a questionnair...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5674.2020
更新日期:2020-11-01 00:00:00
abstract:INTRODUCTION:This study explores the U.S. experience with waivers for insulin treatment for third-class medical certificates. From 1997 through 2014, the Federal Aviation Administration (FAA) approved an estimated 1500 waivers for insulin-treated diabetes with a total of 450 active waivers as of December 31, 2014. Thes...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4726.2017
更新日期:2017-01-01 00:00:00
abstract::INTRODUCTION: Research on the mortality of space explorers has focused exclusively on U.S. astronauts and Soviet and Russian cosmonauts. However, other nations have organized space programs over the last 40 yr and the European Space Agency, the Canadian Space Agency, the China National Space Administration, and the Ja...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5369.2019
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Remote-guidance (RG) techniques aboard the International Space Station (ISS) have enabled astronauts to collect diagnostic-level ultrasound (US) images. Exploration-class missions will likely require nonformally trained sonographers to operate with greater autonomy given longer communication delays (> 6 s fo...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章,随机对照试验
doi:10.3357/AMHP.3244.2015
更新日期:2015-12-01 00:00:00
abstract::Wolf SJ. You're the flight surgeon: lateral epicondylitis. Aerosp Med Hum Perform. 2015; 86(12):1077-1080. ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4312.2015
更新日期:2015-12-01 00:00:00
abstract::INTRODUCTION: The Statement of Demonstrated Ability (SODA) is a type of U.S. aeromedical waiver used for disqualifying conditions that are not expected to change. About 21,000 (2%) U.S. pilots possess a SODA waiver.METHODS: We matched all pilot medical exams from the FAA's medical certification database from 2002 thro...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5420.2019
更新日期:2019-12-01 00:00:00
abstract::INTRODUCTION: Spatial disorientation (SD) remains a leading cause of Class A mishaps and fatalities in aviation. Motion-based flight simulators and other research devices provide the capacity to rigorously study SD in order to develop effective countermeasures. By applying mathematical models of human orientation perc...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5416.2019
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Helicopter emergency medical services (HEMS) transport critically ill patients to/between emergency care facilities and operate in a hazardous environment: the destination site is often encumbered with obstacles, difficult to visualize at night, and lack instrument approaches for degraded visibility. The stu...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4446.2016
更新日期:2016-01-01 00:00:00