Examiner will primarly focus on:
- Evidence of Allergic Rhinitis (Hay Fever)
- Obstructions of sinus openings
AME Instructions for the Exam
7. Nose Examination
The nose will be examined for the presence of polyps, blood, or signs of infection, allergy, or substance abuse. The AME should determine if there is a history of epistaxis or anosmia. Polyps may cause airway obstruction or sinus blockage. Infection or allergy may be cause for obtaining additional history.
This is a hotly debated topic likely to change. From footnote #1 on page 49 (2014 AME Guide): Hay fever controlled solely by desensitization without requiring antihistamines or other medications is not disqualifying. Applicants with seasonal allergies requiring antihistamines may be certified by the Examiner with the stipulation that they not exercise privileges of airman certification within 24 hours of experiencing symptoms requiring treatment or within 24 hours after taking an antihistamine. The Examiner should document this in Item 60: AME Comments on History and Findings. However, non-sedating antihistamines loratadine or fexofenadine may be used while flying, after adequate individual experience has determined that the medication is well tolerated without significant side effects.
|
DISEASE/CONDITION |
CLASS |
EVALUATION DATA |
DISPOSITION |
|---|---|---|---|
|
Obstruction of sinus ostia, including polyps, that would be likely to result in complete obstruction |
All |
Submit all pertinent medical information and current status report |
Requires FAA Decision |
|
Evidence of severe allergic rhinitis1
|
All |
Submit all pertinent medical information and current status report |
Requires FAA Decision |
|
1Hay fever controlled solely by desensitization without requiring antihistamines or other medications is not disqualifying. Applicants with seasonal allergies requiring antihistamines may be certified by the Examiner with the stipulation that they not exercise privileges of airman certification within 24 hours of experiencing symptoms requiring treatment or within 24 hours after taking an antihistamine. The Examiner should document this in Item 60: AME Comments on History and Findings. However, non-sedating antihistamines loratadine or fexofenadine may be used while flying, after adequate individual experience has determined that the medication is well tolerated without significant side effects. | |||