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QNH999
31st Dec 2006, 00:44
Assume the scenario as following.

A person does get an orbital blowout fracture due to trauma to the head. Medical testing is performed that reveals nothing significant, and no further action is taken. More than a year later he applies and is granted a first class medical certificate in accordance with Joint Aviation Requirements.

When flying he is more suspected to the result of pressure changes in the ear that corresponds to the affected eye. He gets more easily "partly death" on that ear which normally goes back to normal after a while (an hour to a day) as well as sometimes feeling some light pressure on that eye. Flying non-pressurized aircraft as well as flying as a passenger on a Boeing, Airbus is fine. However, on two occasions, several months apart, after flying a specific old pressurized aircraft type as a passenger vertigo (world spinning around) was induced for a few seconds within an hour after landing.

He has no intention of flying a pressurized aircraft as pilot. More than a year after the aforementioned vertigo some passenger flying was made a few hours a day for a few weeks in a small aircraft. Within a few weeks after the flying was completed he sometimes felt some very light pain from the corresponding ear as well as feeling a "light pressure on small spots on different locations from time to time on the head". After a few months the light pressure could sometimes be felt but even lighter and not very often.


I am aware that a written forum is not the most suitable place for any medical advice. However, it would be well appreciated if any or all of the following questions can be answered.

What consequences are likely of the aforementioned in regards to the renewal standard of a class 1 JAR medical? Is it obligatory to communicate a scenario as the aforementioned to the relevant authority? Is there any safety concern in regards to the aforementioned if piloting a non-pressurized aircraft?

What medical options are possible to make? If surgery or any other matter is taken, what are the chances and time scale for recertification?

Flyin'Dutch'
5th Jan 2007, 18:55
Q,

I think you need to organise a trip to a good ENT person with knowledge of aviation medicine.

As you rightly state it is impossible to give any meaningful medical advice without knowing all the ins and outs and having a look/doing some investigations.

Regarding certification of any class.

Read your post and give yourself an honest answer.

FD