title: [Head and neck cancer of aircrew personnel in aeronautical medical expertise].
abstract: BACKGROUND
  ENT cancers due to their location and treatment encompass a number of physical symptoms related to swallowing and communication disorders.
  
  
  OBJECTIVE
  To evaluate flight capacity of aircrew personnel with ENT cancer and consequences on fitness and waiver criteria.
  
  
  METHODS
  Case 1: A 52 years old smoker pilot whish present laryngeal epidermoid carcinoma staged T3M0N0 and treated by total laryngectomy with curative radio-therapy (70Gy). Metastasis occurred on lumgth and death heaped after acute respiratory failure. Case 2: A 55 years old mechanic whish had rhinopharyngeal undifferentiated carcinoma staged T4N2M0 and treated with radiochemotherapy with favourable follow-up. Inability for flight was proclaimed because of severe psychological impact. Case 3: Concerned a vesiculograpillary carcinoma of thyroid gland occurring in a 46 years old helicopter pilot. After total thyroidectomy and iodine treatment, the patient has obtained complete fitness to flight.
  
  
  CONCLUSIONS
  Fitness to flight can be controversed in ENT cancer occurs. Epidemio-clinical paraclinical, functionnel and operational criterias must be considered when wainer to be proclaimed.
authors.affiliation: Centre D'expertise de Médecine Aéronautique.
authors.forename: Anissa
authors.initials: A
authors.lastname: Sethom
authors.forename: Samir
authors.initials: S
authors.lastname: Ben Salem
authors.forename: Imededdine
authors.initials: I
authors.lastname: Ben Dhia
authors.forename: Ali
authors.initials: A
authors.lastname: Mrabet
authors.forename: Amel
authors.initials: A
authors.lastname: Souissi
authors.forename: Ibtissem
authors.initials: I
authors.lastname: Dkhil
authors.forename: Faouzi
authors.initials: F
authors.lastname: Mehdi
authors.forename: Riadh
authors.initials: R
authors.lastname: Allani
authors.forename: Rim
authors.initials: R
authors.lastname: Bouattour
authors.forename: Touhami
authors.initials: T
authors.lastname: Khelifi
authors.forename: Chokri
authors.initials: C
authors.lastname: Ben Othmen
authors.forename: Nabil
authors.initials: N
authors.lastname: Guermazi
authors.forename: Mohamed Kamel
authors.initials: MK
authors.lastname: Chebbi
mesh_terms: D000337:Aerospace Medicine; D004608:Eligibility Determination; D006258:Head and Neck Neoplasms / Q000503:physiopathology* / Q000523:psychology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009790:Occupations; D013647:Task Performance and Analysis