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Ear

FAA Aeromedical Dispositions

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Excerpts from AME Guide
Decision Considerations


Aerospace Medical Dispositions


Item 29. Ear


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Ear

Guide for Aviation Medical Examiners
Application Process for Medical Certification


Exam Techniques and Criteria for Qualification
Item 29. Ear

  1. Code of Federal Regulations
    1. First-Class: 14 CFR 67.105(b)(c)
    2. Second-Class: 14 CFR 67.205(b)(c)
    3. Third-Class: 14 CFR 67.305(b)(c)
  2. FAA Approved Examination Techniques Used by FAA Designated AMEs

III. Aerospace Medical Dispositions
Item 29. Ear

The following info from the FAA lists the most common conditions of aeromedical significance with respect to the 3 portions of the ear and the surrounding mastoid bone. The table reflects the course of action that should be taken by the AME as defined by the protocol and disposition. Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS. Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.

Inner Ear

Disease/Condition Class Evaluation Data Disposition
Acoustic Neuroma All Submit all pertinent medical information and current status report Requires FAA Decision
Acute or chronic disease without disturbance of equilibrium and successful miringotomy, if applicable All Submit all pertinent medical information If no physiologic effects - Issue
Acute or chronic disease that may disturb equilibrium All Submit all pertinent medical information and current status report Requires FAA Decision
Motion Sickness All Submit all pertinent medical information and current status report If occurred during flight training and resolved - Issue

If condition requires medication - Requires FAA Decision

Middle Ear

Disease/Condition Class Evaluation Data Disposition
Impaired Aeration All Submit all pertinent medical information and current status report Requires FAA Decision
Otitis Media All Submit all pertinent medical information and current status report If acute and resolved –Issue

If active or chronic - Requires FAA Decision

Outer Ear

Disease/Condition Class Evaluation Data Disposition
Impacted Cerumen All Submit all pertinent medical information and current status report If asymptomatic and hearing is unaffected - Issue
Otherwise - Requires FAA Decision
Otitis Externa that may progress to impaired hearing or become incapacitating All Submit all pertinent medical information and current status report Requires FAA Decision

Mastoids

Disease/Condition Class Evaluation Data Disposition
Mastoid fistula All Submit all pertinent medical information and current status report Requires FAA Decision
Mastoiditis, acute or chronic All Submit all pertinent medical information and current status report Requires FAA Decision


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The AME must personally conduct the examination. This section provides guidance for completion of the Application for Airman Medical Certificate +/- Student Pilot Certificate, FAA Form 8500-8.

The AME must note in Item 60 of the FAA Form 8500-8 any condition found in the course of the examination. The AME must list facts, such as dates, frequency, and severity.

When questions arises, AMEs must check the Guide for Aviation Medical Examiners and other FAA documents. If the question remains unresolved, the AME should seek advice from a RFS or the Manager of the AMCD.

After all evaluations and tests are completed, the AME reviews Form 8500-8. If complete and accurate, the AME adds final comments, makes qualification and decision statements, and signs the declaration. The medical history page must be completed in the handwriting of and signed and dated by the applicant. Upon completion of the examination, the entire FAA Form 8500-8 must be electronically transmitted to the FAA.


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Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

25. Head, Face, Neck, and Scalp 42. Upper and Lower Extremities
26. Nose 43. Spine and other Musculoskeletal
27. Sinuses 44. Identifying Body Marks, Scars, Tattoos
28. Mouth and Throat 45. Lymphatics
29. Ear 46. Neurologic
30. Ear Drums 47. Psychiatric Conditions
31. Eyes 48. General Systemic
32. Ophthalmoscopic 49. Hearing
33. Pupils 50. Distant Vision
34. Ocular Motility 51. Near and Intermediate Vision
35. Lungs and Chest 52. Color Vision
36. Heart 53. Field of Vision
37. Vascular System 54. Heterophoria
38. Abdomen and Viscera 55. Blood Pressure
39. Anus (No Disposition) 56. Pulse
40. Skin 57. Urinalysis
41. G-U System 58. ECG (No Disposition)

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Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

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