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Acoustic neuroma. Can I fly with 1 ear?

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Acoustic neuroma. Can I fly with 1 ear?

Old 30th May 2018, 15:16
  #1 (permalink)  
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Join Date: May 2015
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Acoustic neuroma. Can I fly with 1 ear?

Dear all,

I was diagnosed with an acoustic neuroma last November. This month after the second MRI, doctors made clear I will need treatment. There are two options.

1. Operation: They will try to fully remove the tumor, but hearing in my right ear (my affected side) will go, plus possible damage to facial nerve. This will involve an 8-10hr operation.

2. Radiotherapy: To stop the growth of the tumor. Tumor will remain approximately the same size over time. Hearing will be saved, most likely for the next 5-10 years, but will go eventually as well. They won't cut my head open, but over the next 10-20 years another tumor could start growing because of the radiation. In that case I would require operation.


I got my Class 1 medical back with OML restriction after diagnosis because the doctors went for 'watch and wait' method. For my decision I would like to know if anyone knows anything about the ability to hold a Class 1 medical with deafness in 1 ear and possible Cross hearing aids?? I struggle to find information and have contacted my AME, but he takes his time.

Any (personal) experience on acoustic neuroma's is more than welcome. And also please don't hesitate if you can put me in touch with another pilot who is dealing with the same situation, or has dealt with it.

There is a nice UK CAA table that shows some guidance(EASA rules). Nothing clearly stated about flying with 1 ear. I can't post URLs yet. But if you google CAA acoustic neuroma, it will come up straight away.

Many thanks and happy landings!!
Lowfl is offline  
Old 31st May 2018, 01:29
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You'd think if you can hold a Class I with only one eye, it should be logical to pass with hearing only on one side. The number of people in my day that only used one ear was extraordinary.
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Old 6th Jun 2018, 00:02
  #3 (permalink)  
 
Join Date: Apr 2009
Location: USA
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brand new FAA AME direction with regard to provision of certification in airmen with AN this month.
Briefly, if it was treated aggressively, and no recurrence is evident at five years, Issue.
If otherwise, defer (but not necessarily deny, the verbiage suggests that a call to the RFS might make an issuance possible in many circumstances)
421dog is online now  
Old 23rd Apr 2019, 13:22
  #4 (permalink)  
 
Join Date: Dec 2006
Location: Beyond the blue yonder
Posts: 26
Acoustic Swannoma - I have it too

,
Originally Posted by Lowfl View Post
Dear all,

I was diagnosed with an acoustic neuroma last November. This month after the second MRI, doctors made clear I will need treatment. There are two options.

1. Operation: They will try to fully remove the tumor, but hearing in my right ear (my affected side) will go, plus possible damage to facial nerve. This will involve an 8-10hr operation.

2. Radiotherapy: To stop the growth of the tumor. Tumor will remain approximately the same size over time. Hearing will be saved, most likely for the next 5-10 years, but will go eventually as well. They won't cut my head open, but over the next 10-20 years another tumor could start growing because of the radiation. In that case I would require operation.


I got my Class 1 medical back with OML restriction after diagnosis because the doctors went for 'watch and wait' method. For my decision I would like to know if anyone knows anything about the ability to hold a Class 1 medical with deafness in 1 ear and possible Cross hearing aids?? I struggle to find information and have contacted my AME, but he takes his time.

Any (personal) experience on acoustic neuroma's is more than welcome. And also please don't hesitate if you can put me in touch with another pilot who is dealing with the same situation, or has dealt with it.

There is a nice UK CAA table that shows some guidance(EASA rules). Nothing clearly stated about flying with 1 ear. I can't post URLs yet. But if you google CAA acoustic neuroma, it will come up straight away.

Many thanks and happy landings!!
Dear Lowfl,
I fly for an airline and was diagnosed with AN in an MRI taken in Oct 18 after a history of asymmetric hearing loss in the Right ear. This was the first time it was diagnosed as I never had a MRI done prior to this. Met a few Nuero surgeons and they gave me similar advice as yours. The (Indian) DGCA cleared me for flying with Class I for 6 months. I have just recently got a repeat MRI done and there is no change in size of the AN. I have no other complaints. Hoping they will grant me Class I again although I could see the Aviation Medicine guy at the medical Centre making some disapproving faces. BTW, it would be nice to exchange notes. Please message me on +918800361444 on Whatsapp. I could argue my case better if I have your facts. Thanks in advance. Reply urgently.
Vic
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Old 23rd Apr 2019, 13:30
  #5 (permalink)  
 
Join Date: Dec 2006
Location: Beyond the blue yonder
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Exclamation SOS

Originally Posted by 421dog View Post
brand new FAA AME direction with regard to provision of certification in airmen with AN this month.
Briefly, if it was treated aggressively, and no recurrence is evident at five years, Issue.
If otherwise, defer (but not necessarily deny, the verbiage suggests that a call to the RFS might make an issuance possible in many circumstances)
Hi 421dog,
Could you share a link if possible. This means a lot to me as I am in the risk of losing my Class I medical due to an aviation Medical ‘Specialist’ who seems to suggest that my AN may cause sudden incapacitation, when then I am asymtomatic and the size of the AN is constant in the repeat MRI. Please help. Thanks.
Vic
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Old 8th May 2019, 09:27
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Join Date: Mar 2018
Location: UK
Posts: 35
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)
ASRAAMTOO is offline  

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