Abstract: . . .  are not nearly as likely as Meniere's Disease to be recurrent, and recovery is usually complete, so a waiver for these conditions is far more likely. A precise diagnosis is not always possible in cases of vertigo, but if a waiver is sought, the more specific a diagnosis one has, the easier it is to determine waiverability. ICD-9 CODES: 386.0 Meniere's Disease / Vertigo 780.48 Vertigo, not otherwise specified 386.12 Vestibular neuronitis 386.11 Benign paroxysmal positional vertigo U.S. Navy Aeromedical Reference and Waiver Guide ENT - 12 Page 13 6.7 CHOLESTEATOMA AEROMEDICAL CONCERNS: This is a concern in aviation personnel due to hearing loss and risk of recurrence, with the possibility of labyrinthine involvement, and even intracranial extension in the more advanced cases. WAIVER: A history of cholesteatoma is CD. It must be surgically removed before . . .
. . .  Rhinitis , which may consist of rhinorrhea, sneezing, and congestion. The congestion is often seen as alternating, sometimes severe, nasal obstruction. Inciting factors include temperature and humidity changes, odors, irritants, recumbency, and emotion. Treatment of vasomotor rhinitis with inhaled nasal steroids can be effective, and, if symptoms aren't disabling, no waiver is required. The potential for VR to cause barotrauma is nil. ICD-9 CODES: 477.9 Allergic/Vasomotor Rhinitis 477.98 Allergic Rhinitis , treated with steroids 477.0 Allergic Rhinitis , due to pollen 477.8 Allergic Rhinitis , due to other allergens P22.60 Functional Endoscopic Sinus Surgery (FESS) U.S. Navy Aeromedical Reference and Waiver Guide ENT - 2 Page 3 ALLERGIC RHINITIS WORKSHEET EXAMINING FACILITY: FACILITY UIC: TODAY'S DATE: EXAMINER'S PHONE #:  . . .
. . .  most cases. This is a must if a waiver is to be considered with one exception. If polyps are very small and in no way blocking the middle meatus according to the ENT consultant, then a waiver may be recommended even without surgery. Topical nasal steroids may be needed to keep these from enlarging. DISCUSSION: Nasal polyps have a poorly understood etiology and tend to be recurrent. Allergic polyps are relatively uncommon considering the large number of allergic rhinitis patients on active duty. Inflammatory nasal polyps may be more common in our population, and are frequently the result of chronic sinusitis. They are usually found in and near the middle meatus, which is why even a small polyp may lead to sinus barotrauma. Polypoid middle turbinates are somewhat more common, and don't cause barotraumas frequently. They often can be reduced dramatically in size by topical nasal steroid sprays, and rarely require surgery. If . . .
--3000,3,500,3225,38193