Acoustic neuroma. Can I fly with 1 ear?

[ASRAAMTOO]

From the EASA Guidelines:
https://www.caa.co.uk/Aeromedical-Ex...ial-GM/#EarCon

Acoustic Neuroma

On diagnosis, the applicant should be made unfit. If clinical management is a ‘watch and wait’ policy, the applicant can be recertified to Class 1 OML/unrestricted Class 2. Follow-up MRI reports should be forwarded to CAA Medical. An applicant with symptoms, or if a decision is made to treat, should be made unfit pending full recovery from symptoms or treatment.

Following surgery, recertification depends on surgical approach, extent of removal and post op symptoms. If brain has been retracted during operation the risk of seizure should be considered. Normally, following full recovery, a fit class 1 OML or unrestricted Class 2 assessment is appropriate. Can consider unrestricted Class 1 at 12 months post-operatively if the imaging shows complete resection of the tumour and there are no seizures or balance disturbance. Following radiotherapy, certification is possible as Class 1 OML/unrestricted Class 2 on recovery (minimum 4 weeks following completion of treatment). Unrestricted certification can be considered 1 year after the completion date of radiotherapy, subject to imaging showing complete resection of the tumour and there being no seizures or balance disturbance.
Medical reports to download - ENT (PDF)