Document Detail

Perilymphatic fistula in cabin attendants: an incapacitating consequence of flying with common cold.
MedLine Citation:
PMID:  15672990     Owner:  NLM     Status:  MEDLINE    
A perilymphatic fistula (PLF) is an abnormal communication between the inner ear and the middle ear that leaks perilymph. PLF is considered rare, but is known to occur during childbirth, straining, weightlifting, head trauma, and diving with middle ear equalizing problems. It has also, anecdotally, been described in connection with flying. The symptoms are uncharacteristic vertigo and, in some cases, hearing impairment and tinnitus. This study describes four cases of PLF during a period of 6 mo in a major Scandinavian airline company employing approximately 3000 cabin attendants (CAs). None of the cases were diagnosed at the primary health care level. All were referred to the Aviation Medical Center for investigation. The PLF diagnosis was based on the case history, Platform Pressure Test (a fistula test), and other vestibular tests. Only one CA has been able to return to flying duties. The article emphasizes the risk of flying with poor middle ear equalization and the necessity of reminding crews and airline companies to "never fly with a common cold".
Mads Klokker; Søren Vesterhauge
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Aviation, space, and environmental medicine     Volume:  76     ISSN:  0095-6562     ISO Abbreviation:  Aviat Space Environ Med     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-27     Completed Date:  2005-04-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501714     Medline TA:  Aviat Space Environ Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  66-8     Citation Subset:  IM; S    
Aviation Medical Center and Department of Otorhinolaryngology, Head and Neck Surgery, FLMKL-7522, Cophenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen O, Denmark.
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MeSH Terms
Aerospace Medicine
Cochlear Aqueduct*
Common Cold / complications*
Dizziness / etiology
Fistula / diagnosis*,  therapy
Hearing Loss / etiology
Tinnitus / etiology
Vestibular Function Tests

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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