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Article contents
The great transatlantic race: physiologic and otoneurologic considerations
Published online by Cambridge University Press: 25 March 2025
Abstract
Background
In the era of the competition for the first transatlantic flight at the beginning of the nineteenth century, numerous accidents occurred. Whereas engine failure, bad weather and navigational problems are usually held responsible, the human factor has hardly been addressed.
Methods
In view of current insights, an inventory was made of possible physiologic and otoneurologic factors that could have contributed to failures and accidents.
Results
Extreme fatigue, hyperventilation with vestibular hyperreactivity and airsickness may have played roles. When flying in the dark and in clouds, pilots were subject to spatial disorientation because of vestibulo-visual conflicts and gravitational misinformation. The loudness of the engines was deafening, which may have caused noise-induced vertigo. In some cases, asymptomatic third-window lesions may have become manifest and may have contributed to dizziness.
Conclusion
Accidents and failures in the early days of aviation were not only the result of technical defects. Undoubtedly, human physiology played a role as well.
Information
- Type
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- Information
- Copyright
- © The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.
Footnotes
Kees Graamans takes responsibility for the integrity of the content of the paper
References
Armstrong, HG. Psychology of flight. In: Armstrong, HG. Principles and Practice of Aviation Medicine. Baltimore: Williams & Wilkins Company, 1939;450–3Google Scholar
Steinman, Y, Groen, E, Frings-Dresen, MHW. Exposure to hypoxia impairs helicopter pilot’s awareness of environment. Ergonomics 2021;64:1481–90CrossRefGoogle ScholarPubMed
Theunissen, EJ, Huygen, PL, Folgering, HT. Vestibular hyperreactivity and hyperventilation. Clin Otolaryngol Allied Sci 1986;11:161–9CrossRefGoogle ScholarPubMed
Quix, FH. Le mal de mer, le mal des aviateurs. In: Vernet, M, Ledoux, L, Sourdille, M, Aloin, H, eds. Monographies Oto-Rhino-Laryngologiques Internationales, No 8. Paris: Amédee Legrand, 1923;829–912Google Scholar
Samuel, O, Tal, D. Airsickness: etiology, treatment, and clinical importance – a review. Mil Med 2015;180:1135–9CrossRefGoogle ScholarPubMed
Bles, W, Bos, JE, de Graaf, B, Groen, E, Wertheim, AH. Motion sickness: only one provocative conflict? Brain Res Bull 1998;47:481–7CrossRefGoogle ScholarPubMed
van Wulfften Palthe, PM. Function of the deeper sensibility and of the vestibular organs in flying. Acta Otolaryngol 1922;4:415–49Google Scholar
Collar, AR. On an Aspect of the Accident History of Aircraft Taking off at Night Aeronautical Research Council, Reports and Memoranda No. 2277. London: Ministry of Supply, 1946;1–8Google Scholar
Groen, E. Research methods for understanding spatial disorientation in pilots. In: Koglbauer, IV, Biede-Straussberger, S, eds. Aviation Psychology: Applied Methods and Techniques. Amsterdam: Hogrefe, 2021;69–94Google Scholar
Stott, JRR. Orientation and disorientation in aviation. Extrem Physiol Med 2013;2:2CrossRefGoogle ScholarPubMed
Newman, RL, Rupert, AH. The magnitude of spatial disorientation problem in transport airplanes. Aerosp Med Hum Perform 2020;91:65–70CrossRefGoogle ScholarPubMed
Tullio, P. Some Experiments and Considerations on Experimental Otology and Phonetics. Bologna: Cappelli, 1929Google Scholar
Minor, LB, Solomon, D, Zinreich, JS, Zee, DS. Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 1998;124:249–58CrossRefGoogle ScholarPubMed
Erdogan, N, Songu, M, Akay, E, Mete, BD, Uluc, E, Onal, K, et al. Posterior semicircular canal dehiscence in asymptomatic ears. Arch Otolaryngol 2011;131:4–8CrossRefGoogle ScholarPubMed
Stimmer, H, Hamann, KF, Zeiter, S, Naumann, A, Rummeny, EJ. Semicircular canal dehiscence in HR multislice computed tomography: distribution, frequency, and clinical relevance. Eur Arch Otorhinolaryngol 2012;269:475–80CrossRefGoogle ScholarPubMed
Sugihara, EM, Babu, SC, Kitsko, DJ, Haupert, MS, Thottam, PJ. Incidence of pediatric superior semicircular canal dehiscence and inner ear anomalies: a large multicenter review. Otol Neurotol 2016;37:1370–5CrossRefGoogle ScholarPubMed
Berning, AW, Arani, K, Branstetter, BF 4th . Prevalence of superior semicircular canal dehiscence on high-resolution CT imaging in patients without vestibular or auditory abnormalities. AJNR Am J Neuroradiol 2019;40:709–12Google ScholarPubMed
Keystone-France. File:Arthur Whitten Brown and John Alcock in 1919.jpg. In: https://commons.wikimedia.org/wiki/File:Arthur_Whitten_Brown_and_John_Alcock_in_1919.jpg [14 November 2024]Google Scholar
Canadian Forces. File:Vickers Vimy ExCC.jpg. In: https://commons.wikimedia.org/wiki/File:Vickers_Vimy_ExCC.jpg [14 November 2024]Google Scholar
Mail, Daily. File:Daily Mail Front Cover June 16 1919.jpg [British airmen win “the Daily Mail” £10,000 Atlantic prize]. In: https://commons.wikimedia.org/wiki/File:Daily_Mail_Front_Cover_June_16_1919.jpg [14 November 2024]Google Scholar
Alcock, J. Alcock and Brown fly across the Atlantic; Captain Alcock’s Own Narrative of His Flight from Newfoundland to Ireland. In: https://timesmachine.nytimes.com/timesmachine/1919/06/16/96314544.html?pageNumber=1 [14 November 2024]Google Scholar
Murphy-Bates, S (for Mail Online). The basic controls that would have been found in a Vimy. In: https://i.dailymail.co.uk/1s/2019/04/17/11/12381506-6931495-image-m-69_1555496574489.jpgGoogle Scholar
Science & Society Picture Library. Vickers Vimy Rolls Royce Biplane, complete with two Rolls Royce engines and propellers made by Rolls Royce Ltd. In: https://collection.sciencemuseumgroup.org.uk/objects/co499537/alcock-and-browns-vickers-vimy-biplane. Image released under CC BY-NC-SA 4 .0 Licence [14 November 2024]Google Scholar