Guide for Aviation Medical Examiners

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Decision Considerations

Aerospace Medical Dispositions
Item 25. Head, Face, Neck, and Scalp
The following lists the most common conditions of aeromedical significance, and course of action that should be taken by the examiner as defined by the protocol and disposition in the table. Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS. Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.

Disease/Condition	Class	Evaluation Data	Disposition
Active fistula of neck, either congenital or acquired, including tracheostomy	All	Submit all pertinent medical information and current status report	Requires FAA Decision
Loss of bony substance involving the two tables of the cranial vault	All	Submit all pertinent medical information and current status report	Requires FAA Decision
Deformities of the face or head that would interfere with the proper fitting and wearing of an oxygen mask	1st & 2nd	Submit all pertinent medical information and current status report	Requires FAA Decision
	3rd	Submit all pertinent medical information	If deformity does not interfere with administration of supplemental O2 - Issue