Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 27. Sinuses

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.

Sinus Conditions

Disease/Condition Class Evaluation Data Disposition
Sinus Conditions
Sinusitis (acute or chronic infection; deviated nasal septum);
Sinus Obstruction (nasal cysts; nasal polyps; or sinus tumor)
All See Sinus Conditions Disposition Table (PDF) See Sinus Conditions Disposition Table

Sinus Tumor

Disease/Condition Class Evaluation Data Disposition
Benign - Cysts/Polyps All If no physiologic effects, submit documentation Asymptomatic, no observable growth over a 12-month period, no potential for sinus block - Issue
Malignant All Submit all pertinent medical information and current status report Requires FAA Decision
Last updated: Wednesday, August 28, 2024