Excerpts from AME Guide
Guide for Aviation Medical Examiners
Application Process for Medical Certification
Exam Techniques and Criteria for Qualification
Items 25-30. Ear, Nose, and Throat - External Ear
The external ear is seldom a major problem in the medical certification of applicants. Otitis externa or a furuncle may call for temporary disqualification. Obstruction of the canal by impacted cerumen or cellular debris may indicate a need for referral to an ENT specialist for examination.
The tympanic membranes should be examined for scars or perforations. Discharge or granulation tissue may be the only observable indication of perforation. Middle ear disease may be revealed by retraction, fluid levels, or discoloration. The normal tympanic membrane is movable and pearly gray in color. Mobility should be demonstrated by watching the drum through the otoscope during a valsalva maneuver.
Other Regions of Head and Neck
- Head and Neck
- External Ear
- Pathology of the Middle Ear
- Unilateral Deafness
- Bilateral Deafness
- Hearing Aids
- Evidence of Sinus Disease
- Mouth and Throat
Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8
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.