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Ear Drums FAA Guidance on the Exam

Pilot Medical Exam

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Excerpts from AME Guide
Decision Considerations


Aerospace Medical Dispositions


Item 30. Ear Drums


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Ear Drum

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Exam Techniques and Criteria for Qualification
Item 30. Ear Drums

  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 30. Ear Drums

The following info from the FAA lists the most common conditions of aeromedical significance. Included is the course of action that should be taken by the AME as defined by the FAA protocol and disposition in the table. 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.

Disease/Condition Class Evaluation Data Disposition
Perforation that has associated pathology All Establish etiology, treatment, and submit all pertinent medical information Requires FAA Decision
Perforation which has resolved without any other clinical symptoms All Submit all pertinent medical information If no physiologic effects - Issue
Otologic Surgery. A history of otologic surgery is not necessarily disqualifying for medical certification. The FAA evaluates each case on an individual basis following review of the otologist's report of surgery. The type of prosthesis used, the person's adaptability and progress following surgery, and the extent of hearing acuity attained are all major factors to be considered. Examiners should defer issuance to an applicant presenting a history of otologic surgery for the first time, sending the completed report of medical examination, with all available supplementary information, to the AMCD.

Some conditions may have several possible causes or exhibit multiple symptomatology. Episodic disorders of dizziness or disequilibrium require careful evaluation and consideration by the FAA. Transient processes, such as those associated with acute labyrinthitis or benign positional vertigo may not disqualify an applicant when fully recovered. (Also see Item 46 for a discussion of syncope and vertigo).

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)

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

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