{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T00:40:15Z","timestamp":1740616815011,"version":"3.38.0"},"reference-count":17,"publisher":"Aerospace Medical Association","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p><jats:bold>INTRODUCTION:<\/jats:bold> When a pilot is referred for nasal polyposis, his\/her flight fitness may be questionable. The objective of this retrospective study was to describe a case series of barotrauma in a pilot population exhibiting nasal polyposis and to discuss the decisions about their flight fitness.<\/jats:p>\n<jats:p><jats:bold>METHODS:<\/jats:bold> There were 17 pilots with nasal polyposis who were referred to the Head and Neck Department of the National Pilot Expertise Center. The study was declarative on the occurrence of ear and sinus barotrauma during the last 5 yr. Nasofibroscopy was performed to determine the stage of the nasosinus polyposis.<\/jats:p>\n<jats:p><jats:bold>RESULTS:<\/jats:bold> Out of 17 pilots, 1 did not obtain flight fitness clearance. Among the 16 who received fitness clearance to fly, 2 had restrictions on their flight fitness. Out of 17 patients, 8 had sinus barotrauma and 13 had middle ear barotrauma. A total of 21 cases of sinus barotrauma were reported, 17 involving the frontal sinus and 4 involving the maxillary sinus. Also reported were 48 cases of middle ear barotrauma.<\/jats:p>\n<jats:p><jats:bold>DISCUSSION:<\/jats:bold> Flight fitness was based on the recurrence of barotrauma episodes, their severity, in-flight incapacitation due to hyperalgesic sinusitis or otitis, and the failure of medical and\/or surgical treatments. In our series, nasal polyposis did not seem to be a risk factor for severe barotrauma. The results made it possible to determine a patient\u2019s fitness to fly and any restrictions. The published studies on the resumption of flight for patients who have nasal polyposis and our experience suggest that nasal polyposis may allow a safe pursuit of aviation activity.<\/jats:p>\n<jats:p><jats:bold>Crambert A, Marchi Y, Pons Y, Podeur P, Allali L, Ballivet de R\u00e9gloix S. <jats:italic>Nasal polyposis and fitness to fly<\/jats:italic>. Aerosp Med Hum Perform. 2024; 95(11):841\u2013844.<\/jats:bold><\/jats:p>","DOI":"10.3357\/amhp.6396.2024","type":"journal-article","created":{"date-parts":[[2024,11,16]],"date-time":"2024-11-16T00:30:17Z","timestamp":1731717017000},"page":"841-844","source":"Crossref","is-referenced-by-count":0,"title":["Nasal Polyposis and Fitness to Fly"],"prefix":"10.3357","volume":"95","author":[{"given":"Anna","family":"Crambert","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoran","family":"Marchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoann","family":"Pons","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Podeur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laure","family":"Allali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanislas","family":"Ballivet de R\u00e9gloix","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"issue":"11","key":"B1","series-title":"Aerosp Med Hum Perform.","first-page":"857","article-title":"Sinus barotraumas in commercial aircrew","volume":"92","author":"Lindfors OH","year":"2021","unstructured":"Lindfors OH, Ketola KS, Klockars TK, Leino TK, Sinkkonen ST. Sinus barotraumas in commercial aircrew. Aerosp Med Hum Perform. 2021; 92(11):857\u2013863. 10.3357\/AMHP.5849.2021"},{"issue":"10","key":"B2","series-title":"Aviat Space Environ Med.","first-page":"960","article-title":"Upper respiratory infections and barotraumas in commercial pilots: a retrospective survey","volume":"79","author":"Rosenkvist L","year":"2008","unstructured":"Rosenkvist L, Klokker M, Katholm M. Upper respiratory infections and barotraumas in commercial pilots: a retrospective survey. Aviat Space Environ Med. 2008; 79(10):960\u2013963. 10.3357\/ASEM.2287.2008"},{"issue":"4","key":"B3","series-title":"Eur Ann Otorhinolaryngol Head Neck Dis.","first-page":"263","article-title":"Sinusology","volume":"133","author":"Jankowski R","year":"2016","unstructured":"Jankowski R, Nguyen DT, Poussel M, Chenuel B, Gallet P, Rumeau C. Sinusology. Eur Ann Otorhinolaryngol Head Neck Dis. 2016; 133(4):263\u2013268."},{"year":"2011","key":"B4","unstructured":"European Aviation Safety Agency. Commission regulation (EU) No. 1178\/2011 of 3 November 2011 laying down technical requirements and administrative procedures related to civil aviation aircrew pursuant to Regulation (EC) No. 216\/2008 of the European Parliament and of the Council. Cologne (Germany): EASA; 2011."},{"key":"B5","series-title":"Rhinology.","first-page":"1","article-title":"EPOS 2012: European position paper on rhinosinusitis and nasal polyposis 2012. A summary for otorhinolaryngologists","volume":"50","author":"Fokkens WJ","year":"2012","unstructured":"Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I,  EPOS 2012: European position paper on rhinosinusitis and nasal polyposis 2012. A summary for otorhinolaryngologists. Rhinology. 2012; 50(1):1\u201312. 10.4193\/Rhino12.000"},{"year":"2019","key":"B6","unstructured":"European Aviation Safety Agency. Commission Implementing Regulation (EU) 2019\/27 of December 19, 2018 amending Regulation (EU) No. 1178\/2011 laying down technical requirements and administrative procedures related to civil aviation aircrew pursuant to Regulation (EU) 2018\/1139 of the European Parliament and of the Council (Text with EEA relevance.): Cologne (Germany): EASA; 2019."},{"issue":"1","key":"B7","series-title":"Arch Otolaryngol.","first-page":"107","article-title":"Aerosinusitis","volume":"35","author":"Campbell PA.","year":"1942","unstructured":"Campbell PA. Aerosinusitis. Arch Otolaryngol. 1942; 35(1):107\u2013114. 10.1001\/archotol.1942.00670010108007"},{"issue":"2","key":"B8","series-title":"Diving Hyperb Med.","first-page":"182","article-title":"Sinus barotrauma in diving","volume":"51","author":"Lindfors OH","year":"2021","unstructured":"Lindfors OH, R\u00e4is\u00e4nen-Sokolowski AK, Suvilehto J, Sinkkonen ST. Sinus barotrauma in diving. Diving Hyperb Med. 2021; 51(2):182\u2013189. 10.28920\/dhm51.2.182-189"},{"key":"B9","series-title":"Undersea Hyperb Med.","first-page":"163","article-title":"Barotraumatic orbital emphysema of rhinogenic origin in a breath-hold diver: a case report","volume":"35","author":"Bolognini A","year":"2008","unstructured":"Bolognini A, Delehaye E, Cau M, Cosso L. Barotraumatic orbital emphysema of rhinogenic origin in a breath-hold diver: a case report. Undersea Hyperb Med. 2008; 35:163\u2013167."},{"issue":"8","key":"B10","series-title":"Acta Radiol.","first-page":"872","article-title":"Sphenoid sinus barotrauma with intracranial air in sella turcica after diving","volume":"47","author":"Tryggvason G","year":"2006","unstructured":"Tryggvason G, Briem B, Guomundsson \u00d3, Einarsd\u00f3ttir H. Sphenoid sinus barotrauma with intracranial air in sella turcica after diving. Acta Radiol. 2006; 47(8):872\u2013874. 10.1080\/02841850600771494"},{"key":"B11","series-title":"J Laryngol Otol.","first-page":"1","article-title":"Air flight barotrauma and meningitis: causality seems real","volume":"22","author":"D\u017eupov\u00e1 O","year":"2020","unstructured":"D\u017eupov\u00e1 O, Bene\u0161 J. Air flight barotrauma and meningitis: causality seems real. J Laryngol Otol. 2020; 22:1\u20133."},{"issue":"3","key":"B12","series-title":"Allergy Rhinol (Providence).","first-page":"109","article-title":"Barosinusitis: comprehensive review and proposed new classification system","volume":"8","author":"Vaezeafshar R","year":"2017","unstructured":"Vaezeafshar R, Psaltis AJ, Rao VK, Zarabanda D, Patel ZM, Nayak JV. Barosinusitis: comprehensive review and proposed new classification system. Allergy Rhinol (Providence). 2017; 8(3):109\u2013117. 10.2500\/ar.2017.8.0221"},{"issue":"3","key":"B13","series-title":"Eur Ann Otorhinolaryngol Head Neck Dis.","first-page":"191","article-title":"Nasal polyposis (or chronic olfactory rhinitis)","volume":"135","author":"Jankowski R","year":"2018","unstructured":"Jankowski R, Rumeau C, Gallet P, Nguyen DT. Nasal polyposis (or chronic olfactory rhinitis). Eur Ann Otorhinolaryngol Head Neck Dis. 2018; 135(3):191\u2013196. 10.1016\/j.anorl.2018.03.004"},{"issue":"3","key":"B14","series-title":"Eur Arch Otorhinolaryngol.","first-page":"853","article-title":"Medical and surgical treatment in divers with chronic rhinosinusitis and paranasal sinus barotrauma","volume":"269","author":"Skevas T","year":"2012","unstructured":"Skevas T, Baumann I, Bruckner T, Clifton N, Plinkert PK, Klingmann C. Medical and surgical treatment in divers with chronic rhinosinusitis and paranasal sinus barotrauma. Eur Arch Otorhinolaryngol. 2012; 269(3):853\u2013860. 10.1007\/s00405-011-1742-4"},{"issue":"1","key":"B15","series-title":"Aerosp Med Hum Perform.","first-page":"17","article-title":"Upper respiratory infections and barotrauma among commercial pilots","volume":"88","author":"Boel NM","year":"2017","unstructured":"Boel NM, Klokker M. Upper respiratory infections and barotrauma among commercial pilots. Aerosp Med Hum Perform. 2017; 88(1):17\u201322. 10.3357\/AMHP.4511.2017"},{"key":"B16","series-title":"Physiologie et m\u00e9decine de la plong\u00e9e.","author":"Broussolle B.","year":"2006","unstructured":"Broussolle B. Physiologie et m\u00e9decine de la plong\u00e9e. Paris: Ellipses; 2006."},{"issue":"4","key":"B17","series-title":"Aerosp Med Hum Perform.","first-page":"406","article-title":"Middle ear barotrauma in student pilots","volume":"88","author":"Sohn JH","year":"2017","unstructured":"Sohn JH, Cho KR. Middle ear barotrauma in student pilots. Aerosp Med Hum Perform. 2017; 88(4):406\u2013412. 10.3357\/AMHP.4666.2017"}],"container-title":["Aerospace Medicine and Human Performance"],"original-title":[],"link":[{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/95\/11\/article-p841.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/95\/11\/article-p841.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/95\/11\/article-p841.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T00:01:39Z","timestamp":1740614499000},"score":1,"resource":{"primary":{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/95\/11\/article-p841.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":17,"journal-issue":{"issue":"11"},"URL":"https:\/\/doi.org\/10.3357\/amhp.6396.2024","relation":{},"ISSN":["2375-6314","2375-6322"],"issn-type":[{"type":"print","value":"2375-6314"},{"type":"electronic","value":"2375-6322"}],"subject":[],"published":{"date-parts":[[2024,11]]}}}