AMC1 ATCO.MED.B.080 Otorhinolaryngology
ED Decision 2015/010/R
(a) Examination
(1) An otorhinolaryngological examination includes:
(i) history;
(ii) clinical examination including otoscopy, rhinoscopy and examination of the mouth and throat;
(iii) clinical examination of the vestibular system.
(2) Ear, nose and throat (ENT) specialists involved in the aero-medical assessment of air traffic controllers should have an understanding of the functionality required by air traffic controllers whilst exercising the privileges of their licence(s).
(3) Where a full aero-medical assessment and functional check are needed, due regard should be paid to the operational environment in which the operational functions are undertaken.
(b) Hearing
(1) The follow-up of an applicant with hypoacusis should be decided by the licensing authority. If at the next annual test there is no indication of further deterioration, the normal frequency of testing may be resumed.
(2) An appropriate prosthetic aid may be a special headset with individual earpiece volume controls. Full functional and environmental assessments should be carried out with the chosen prosthetic equipment in use.
(c) Ear conditions
An applicant with a single dry perforation of non-infectious origin and which does not interfere with the normal function of the ear may be considered for a fit assessment.
(d) Vestibular disturbance
The presence of vestibular disturbance and spontaneous or positional nystagmus requires complete vestibular evaluation by a specialist. Significant abnormal caloric or rotational vestibular responses are disqualifying. At revalidation and renewal aero-medical examinations, abnormal vestibular responses should be assessed in their clinical context.
(e) Speech disorder
Applicants with a speech disorder should be assessed with due regard to the operational environment in which the operational functions are undertaken. Applicants with significant disorder of speech or voice should be assessed as unfit.
Air traffic controller medical exams require thorough ear, nose, and throat checks, including hearing and vestibular system evaluations. ENT specialists must understand controller job demands. Hearing loss requires monitoring; aids are permitted with functional testing. Specific ear conditions may be acceptable. Vestibular disturbances necessitate specialist evaluation. Speech disorders are assessed considering operational impact; significant issues disqualify.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
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