Acoustic Neuroma All Classes Updated 5/30/2018 DISEASE/CONDITION EVALUATION DATA DISPOSITION A. Treated 5 or more years ago With • Surgery, OR • Stereotactic radiation The AME should review a current status report from the treating physician. If no symptoms or current problems, no ongoing treatment, or surveillance needed: ISSUE Summarize history in Block 60. Submit documents to the FAA for retention in the file. B. Treated 5 or more years ago With • Observation ONLY Submit the following to the FAA for review: Current status report from the treating physician with treatment plan and prognosis; o It should identify all treatment used, size of the tumor at diagnosis, and current size; List of medications and side effects, if any; Operative notes and discharge summary, if applicable; and Copies of most recent imaging report(s) (MRI). DEFER Submit the information to the FAA for a possible Special Issuance. Follow up Issuance Will be per the airman’s authorization letter. C. Treated Less than 5 years ago With ANY of the following: • Observation, • Surgery, or • Stereotactic radiation Submit the following to the FAA for review: Current status report from the treating physician (ENT or neurosurgeon) with o Treatment plan, prognosis, and adherence to treatment; o It should indicate presence or absence of any residual tumor and any complications; List of medications and side effects, if any; Operative notes and discharge summary, if applicable; Copies of initial and most recent imaging reports (MRI) and lab; Current audiogram (pure tone and speech discrimination); and If any neurologic deficit is noted, current documentation of the deficit and severity, as well as the status of the rest of the neurologic exam by treating neurosurgeon or neurotologist, must be submitted. DEFER Submit the information to the FAA for a possible Special Issuance. Follow up Issuance Will be per the airman’s authorization letter.
Acoustic Neuroma
Sep 22, 2022
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
All Classes Updated 5/30/2018
DISEASE/CONDITION EVALUATION DATA DISPOSITION A. Treated 5 or more years ago With
• Surgery, OR • Stereotactic radiation
The AME should review a current status report from the treating physician. If no symptoms or current problems, no ongoing treatment, or surveillance needed:
ISSUE Summarize history in Block 60. Submit documents to the FAA for retention in the file.
B. Treated 5 or more years ago With
• Observation ONLY
Submit the following to the FAA for review: Current status report from the treating
physician with treatment plan and prognosis; o It should identify all treatment used,
size of the tumor at diagnosis, and current size;
List of medications and side effects, if any; Operative notes and discharge summary, if applicable; and Copies of most recent imaging report(s)
(MRI).
DEFER Submit the information to the FAA for a possible Special Issuance. Follow up Issuance Will be per the airman’s authorization letter.
C. Treated Less than 5 years ago With ANY of the following:
• Observation, • Surgery, or • Stereotactic radiation
Submit the following to the FAA for review: Current status report from the treating
physician (ENT or neurosurgeon) with o Treatment plan, prognosis, and
adherence to treatment; o It should indicate presence or
absence of any residual tumor and any complications;
List of medications and side effects, if any; Operative notes and discharge summary, if applicable; Copies of initial and most recent imaging
reports (MRI) and lab; Current audiogram (pure tone and speech
discrimination); and If any neurologic deficit is noted, current
documentation of the deficit and severity, as well as the status of the rest of the neurologic exam by treating neurosurgeon or neurotologist, must be submitted.
DISEASE/CONDITION EVALUATION DATA DISPOSITION A. Treated 5 or more years ago With
• Surgery, OR • Stereotactic radiation
The AME should review a current status report from the treating physician. If no symptoms or current problems, no ongoing treatment, or surveillance needed:
ISSUE Summarize history in Block 60. Submit documents to the FAA for retention in the file.
B. Treated 5 or more years ago With
• Observation ONLY
Submit the following to the FAA for review: Current status report from the treating
physician with treatment plan and prognosis; o It should identify all treatment used,
size of the tumor at diagnosis, and current size;
List of medications and side effects, if any; Operative notes and discharge summary, if applicable; and Copies of most recent imaging report(s)
(MRI).
DEFER Submit the information to the FAA for a possible Special Issuance. Follow up Issuance Will be per the airman’s authorization letter.
C. Treated Less than 5 years ago With ANY of the following:
• Observation, • Surgery, or • Stereotactic radiation
Submit the following to the FAA for review: Current status report from the treating
physician (ENT or neurosurgeon) with o Treatment plan, prognosis, and
adherence to treatment; o It should indicate presence or
absence of any residual tumor and any complications;
List of medications and side effects, if any; Operative notes and discharge summary, if applicable; Copies of initial and most recent imaging
reports (MRI) and lab; Current audiogram (pure tone and speech
discrimination); and If any neurologic deficit is noted, current
documentation of the deficit and severity, as well as the status of the rest of the neurologic exam by treating neurosurgeon or neurotologist, must be submitted.
Related Documents
