title: Spontaneous pneumothorax in the USAF aircrew population: a retrospective study.
abstract: Spontaneous pneumothorax (SP) is infrequently diagnosed in aircrew personnel. However, once it is diagnosed, aircrew disposition becomes a serious concern. To evaluate this problem, a literature review was conducted to put the disease into proper perspective. A questionnaire was then sent to all aircrew in the United States Air Force waiver file who had suffered SP in order to gain a retrospective view of problems and situations encountered. The following areas were investigated: recurrences, height, weight, age, smoking history, initial medical management, symptomatology, activity at time of occurrence, relationship to flight duties, treatment given and personal/family history of lung disease. A review of FAA, military, and NASA guidelines regarding personnel with a history of SP was also done. It is concluded that SP is an unrecognized hazard to aircrew personnel. Once an SP has been diagnosed in an individual, he/she should be grounded from further flight duties until either 9 years have elapsed without a recurrence or there has been a bilateral parietal pleurectomy.
mesh_terms: D000328:Adult; D000337:Aerospace Medicine; D001827:Body Height; D001835:Body Weight; D006801:Humans; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D011030:Pneumothorax / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D012008:Recurrence; D012189:Retrospective Studies; D012422:Rupture, Spontaneous; D012907:Smoking; D014481:United States