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Document ID (ISN)104791
CIS number 06-308
ISSN - Serial title 0095-6562 - Aviation, Space, and Environmental Medicine
Year 2005
Convention or series no.
Author(s) Klokker M., Vesterhauge S.
Title Perilymphatic fistula in cabin attendants: An incapacitating consequence of flying with common cold
Bibliographic information Jan. 2005, Vol.76, No.1, p.66-68. 18 ref.
Abstract A perilymphatic fistula (PLF) is an abnormal communication between the inner ear and the middle ear that leaks perilymph. It has also been described in connection with various activities including flying. The symptoms are uncharacteristic vertigo and, in some cases, hearing impairment and tinnitus. This study describes four cases of PLF during a period of six months in a major Scandinavian airline employing approximately 3000 cabin attendants (CAs). None of the cases was diagnosed at the primary health care level. All were referred to the aviation medical centre for investigation. The PLF diagnosis was based on the case history, platform pressure test (a fistula test), and other vestibular tests. Only one CA has been able to return to flying duties. The article emphasizes the risk of flying with poor middle ear equalization and the necessity of reminding airline crews never to fly with a common cold.
Descriptors (primary) rhinitis; air transport; aircraft; diseases of middle ear
Descriptors (secondary) case study; hearing loss; vertigo; vestibular disorders; tinnitus
Document type D - Periodical articles
Country / State or ProvinceDenmark
Subject(s) Transport and communications
Broad subject area(s) Occupational medicine, epidemiology
Industries and occupations
Browse category(ies) Diseases of the respiratory system (except for pneumoconiosis & similar)
Air transportation
Diseases of the ear and hearing damage