Head and neck cancer of aircrew personnel in aeronautical medical expertise
Keywords:
Head and neck cancer, fitness, flight attendant, waiverAbstract
Background: ENT cancers due to their location and treatment encompass a number of physical symptoms related to swallowing and communication disorders.
Aim: To evaluate flight capacity of aircrew personnel with ENT
cancer and consequences on fitness and waiver criteria.
Cases report:
Case 1: A 52 years old smoker pilot whish present laryngeal epidermoid carcinoma staged T3M0N0 and treated by total laryngectomy with curative radio-therapy (70Gy). Metastasis occurred on lumgth and death heaped after acute respiratory failure.
Case 2: A 55 years old mechanic whish had rhinopharyngeal undifferentiated carcinoma staged T4N2M0 and treated with radiochemotherapy with favourable follow-up. Inability for flight was proclaimed because of severe psychological impact.
Case 3: Concerned a vesiculograpillary carcinoma of thyroid gland occurring in a 46 years old helicopter pilot. After total thyroidectomy and iodine treatment, the patient has obtained complete fitness to flight.
Conclusion: Fitness to flight can be controversed in ENT cancer occurs. Epidemio-clinical paraclinical, functionnel and operational criterias must be considered when wainer to be proclaimed.
Downloads
References
Mbarek Ch., Zribi S., Tabali S. Et Al. Facteurs Prédictifs De Malignité D'un Nodule Thyroïdien. Rev Magh Endoc. Diab. Et Rep. 2008 ;13 : 14-19.
Paris J.F., Leduc A., Doireau P. Et Al. La Pathologie Thyroïdienne: Implications Aéronautiques. Rev. Med. Aéro. Spaciale. 1999 ;38: 154-158.
Band Pr., Len D., Fang R. Et Al. Cohort Study Of Air Canada Pilots: Mortality, Cancer Incidence And Leukemia Risk. Am J Epidemio 1996 ;143-2 : 137-43.
Desmaris G. Rayonnement Cosmique Et Radioprotection Intérêt De La Météospaciale Pour Une Compagnie Aérienne. Rev Med Aéro Spatiale. 2006 ;47 : 31-38.
Pukkaha E., Aspholm R., Auvionen A Et Al. Cancer Incidence Among 10211 Ailine Pilots : A Nordic Study. Aviat. Space. Environ. Med 2003;747: 699-706.
Blettner M., Grosche B., Zeeb H. Occupationnel Cancer Risk In Pilots And Flight Attendants. Current Epidemiological Knowledge. Rad Environ Biophys 1998 ;37: 75-80.
Ballard T., Lagorio S., De Angelis G., Verdecchia A. Cancer Incidence And Mortality Among Flight Personnal. Aviat. Space Environ. Med 2000 ;71-3: 216-24.
Couturier J. Cancer Orl Et Aptitude Aéronautique. Rev. Med. Aéro .Spaciale. 2009 ;185 : 33-35.
