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Head, Face, Neck & Scalp Exam for Pilots Seeking Medical Certification

Item 25: Head & Neck Exam

Apr 2014

Abbreviated Briefing:

AME will check for:

  • Skull defects
  • Gross deformities
  • Fistulas
  • Evidence of recent trauma
  • Limited range of motion of the head and neck
  • Scars

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Guidance is compiled and interpreted by professional pilots and physicians at FlightPhysical.com from the 2014 AME Guide pages 46-50, FAA and FDA web data (www.FAA.gov & www.FDA.gov), instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).

II. Examination Techniques for the Head and Neck

The head and neck should be examined to determine the presence of any significant defects such as:

  •  
  • a. Bony defects of the skull
  • b. Gross deformities
  • c. Fistulas
  • d. Evidence of recent blows or trauma to the head
  • e. Limited motion of the head and neck
  • f. Surgical scars

FAA Aerospace Medical Disposition Grid for
ITEM 25. Head, Face, Neck, and Scalp

DISEASE/CONDITION

CLASS

EVALUATION DATA

DISPOSITION

Active fistula of neck, either congenital or acquired, including tracheostomy

All

Submit all pertinent medical information and current status report

Requires FAA Decision

Loss of bony substance involving the two tables of the cranial vault

All

Submit all pertinent medical information and current status report

Requires FAA Decision

Deformities of the face or head that would interfere with the proper fitting and wearing of an oxygen mask

1st & 2nd

Submit all pertinent medical information and current status report

Requires FAA Decision

3rd

Submit all pertinent medical information

If deformity does not interfere with administration of supplemental O² - Issue

Source 2014 AME Guide Page 49

This page discussed the Head, Face, Neck, Scalp portion of the ENT section of the Fight Physical Examination required of pilots.


Reminder: use FlightPhysical.com to familiarize yourself with aviation medical regulations and guidelines, but always discuss your specific situation with one or more AMEs before dedicating resources toward expensive clinical workups. Find an AME now

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