Obstructive sleep apnea syndrome: aeronautical medical assessment

Obstructive sleep apnea syndrome is a highly prevalent condition. It falls under sleep-related breathing disorders, is linked to increased morbidity and mortality, and is believed to be markedly underdiagnosed. Practical guidelines for this syndrome in aeronautical/space occupational medicine remain scarce. According to the European Union Aviation Safety Agency, candidates with inadequately treated obstructive sleep apnea syndrome must be considered unfit. The Aerospace Medical Association encourages initiatives to raise awareness and ensure treatment, as it impacts pilot performance and flight safety. Thus, developing clinical guidelines targeting high-risk groups, addressing diagnosis, treatment, and monitoring, is essential. This study aims to guide attending physicians managing aeronautical/space industry workers, as well as roles requiring high attention and human-life responsibility, thereby minimizing risks linked to obstructive sleep apnea syndrome. Results obtained through narrative literature review.