{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T17:15:00Z","timestamp":1778433300473,"version":"3.51.4"},"reference-count":11,"publisher":"Aerospace Medical Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p>\n<jats:bold>BACKGROUND:<\/jats:bold> Aero-otitis media (AOM), also known as aural barotrauma or barotitis media, is categorized into primary AOM and secondary AOM. Because conservative treatment was ineffective, primary AOM was one of the main reasons for grounding. In 2014, the team successfully treated a pilot with primary AOM using balloon Eustachian tuboplasty (BET). Now, this case is reported.<\/jats:p>\n<jats:p>\n<jats:bold>CASE REPORT:<\/jats:bold>The patient was a 40-yr-old male transport pilot who joined a flight after catching a cold. During the descent, the right ear appeared to have stuffiness and hearing loss, accompanied by tinnitus and ear pain. The local hospital\u2019s acoustic immittance test showed an \u201cA\u201d curve in the left ear and a \u201cB\u201d curve in the right ear. According to \u201csecretory otitis media\u201d, right tympanic membrane puncture and drugs were performed. After he recovered, he continued to fly, and the symptoms reappeared again. Then he was transferred to our hospital, and right BET was performed. Equalization of ear pressure in the hypobaric chamber returned to normal 2 mo after the operation. The pilot was found fit to fly. The pilot is still qualified, with more than 6000\u2009h of flight time.<\/jats:p>\n<jats:p>\n<jats:bold>DISCUSSION:<\/jats:bold> AOM is linked to Eustachian tube dysfunction. BET has been a minimally invasive treatment of Eustachian tube lesions in recent years. If conservative treatments for primary AOM are ineffective, BET can be selected. While the postoperative symptoms disappeared, pure tone audiometry, tympanometry, and ear pressure function tests met the standards for the physical examination of pilots, allowing the determination of flight qualification.<\/jats:p>\n<jats:p>\n<jats:bold>Zhang M, Liu X, Wang B, Jin Z, Xu X. <jats:italic>Qualification of pilots with aero-otitis media after balloon Eustachian tuboplasty<\/jats:italic>. Aerosp Med Hum Perform. 2023; 94(8):629\u2013633.<\/jats:bold>\n<\/jats:p>","DOI":"10.3357\/amhp.6165.2023","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T04:32:14Z","timestamp":1690518734000},"page":"629-633","source":"Crossref","is-referenced-by-count":1,"title":["Qualification of Pilots with Aero-Otitis Media After Balloon Eustachian Tuboplasty"],"prefix":"10.3357","volume":"94","author":[{"given":"Mengdi","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xunyuan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binru","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhanguo","family":"Jin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xianrong","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"issue":"11","key":"B1","series-title":"J Laryngol Otol","first-page":"1018","article-title":"Efficacy of balloon Eustachian tuboplasty as a first-line treatment for otitis media with effusion in children","volume":"134","author":"Demir B","year":"2020","unstructured":"Demir B\n\n, \n\nBatman C\n\n\n. \nEfficacy of balloon Eustachian tuboplasty as a first-line treatment for otitis media with effusion in children\n. \nJ Laryngol Otol\n. \n2020\n; \n134(11):1018\u20131021\n. \n\n10.1017\/S0022215120002340"},{"issue":"1","key":"B2","series-title":"Laryngoscope","first-page":"237","article-title":"Treatment of Eustachian tube dysfunction with balloon dilation: A systematic review","volume":"128","author":"Huisman JML","year":"2018","unstructured":"Huisman JML\n\n, \n\nVerdam FJ\n\n, \n\nStegeman I\n\n\n. \nTreatment of Eustachian tube dysfunction with balloon dilation: A systematic review\n. \nLaryngoscope\n. \n2018\n; \n128(1):237\u2013247\n. \n\n10.1002\/lary.26800"},{"issue":"5","key":"B3","series-title":"PLoS One","first-page":"e0268763","article-title":"Serial histological changes in the cartilaginous Eustachian tube in the rat following balloon dilation","volume":"17","author":"Kim Y","year":"2022","unstructured":"Kim Y\n\n, \n\nKang JM\n\n, \n\nRyu DS\n\n, \n\nPark JH\n\n, \n\nKang WS\n\n, \n\nPark HJ\n\n\n. \nSerial histological changes in the cartilaginous Eustachian tube in the rat following balloon dilation\n. \nPLoS One\n. \n2022\n; \n17(5):e0268763\n. \n\n10.1371\/journal.pone.0268763"},{"issue":"22","key":"B4","first-page":"1759","article-title":"[Eustachian tube balloon dilation in Eustachian tube dysfunction related disease.] [Article in Chinese.] Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi","volume":"28","author":"Liang M","year":"2014","unstructured":"Liang M\n\n, \n\nZheng Y\n\n, \n\nZhang Z\n\n, \n\nXu Y\n\n, \n\nQu Y\n, \n [Eustachian tube balloon dilation in Eustachian tube dysfunction related disease.] [Article in Chinese.] Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi\n. \n2014\n; \n28(22):1759\u20131761, 1764."},{"issue":"7","key":"B5","series-title":"Laryngoscope","first-page":"1411","article-title":"Balloon dilatation Eustachian tuboplasty: a clinical study","volume":"120","author":"Ockermann T","year":"2010","unstructured":"Ockermann T\n\n, \n\nReineke U\n\n, \n\nUpile T\n\n, \n\nEbmeyer J\n\n, \n\nSudhoff HH\n\n\n. \nBalloon dilatation Eustachian tuboplasty: a clinical study\n. \nLaryngoscope\n. \n2010\n; \n120(7):1411\u20131416\n. \n\n10.1002\/lary.20950"},{"issue":"6","key":"B6","series-title":"Otol Neurotol","first-page":"611","article-title":"Efficacy of balloon tuboplasty for baro-challenge-induced Eustachian tube dysfunction: a systematic review and a retrospective cohort study of 39 patients","volume":"43","author":"Oehlandt H","year":"2022","unstructured":"Oehlandt H\n\n, \n\nLaakso J\n\n, \n\nLindfors O\n\n, \n\nToivonen J\n\n, \n\nPoe D\n, \n Efficacy of balloon tuboplasty for baro-challenge-induced Eustachian tube dysfunction: a systematic review and a retrospective cohort study of 39 patients\n. \nOtol Neurotol\n. \n2022\n; \n43(6):611\u2013618\n. \n\n10.1097\/MAO.0000000000003558"},{"issue":"2","key":"B7","series-title":"J Otol","first-page":"219","article-title":"[Positive-negative pressure balance combined with Valsalva\u2019s maneuver in evaluating Eustachian tube function in patients with chronic otitis media compared to those with tympanic membrane perforation.] [Article in Chinese.]","volume":"14","author":"Hong P","year":"2016","unstructured":"Hong P\n\n, \n\nLe Y\n\n, \n\nZheng M\n\n, \n\nZhao X\n\n, \n\nGong P\n, \n [Positive-negative pressure balance combined with Valsalva\u2019s maneuver in evaluating Eustachian tube function in patients with chronic otitis media compared to those with tympanic membrane perforation.] [Article in Chinese.] J Otol\n. \n2016\n; \n14(2):219\u2013222."},{"issue":"5","key":"B8","series-title":"Laryngoscope","first-page":"908","article-title":"In reference to Balloon dilatation Eustachian tuboplasty: a clinical study","volume":"121","author":"Poe D","year":"2011","unstructured":"Poe D\n\n\n. \nIn reference to Balloon dilatation Eustachian tuboplasty: a clinical study\n. \nLaryngoscope\n. \n2011\n; \n121(5):908\n. \n\n10.1002\/lary.21138"},{"issue":"5","key":"B9","series-title":"Clin Otolaryngol","first-page":"407","article-title":"Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation, and diagnosis","volume":"40","author":"Schilder AG","year":"2015","unstructured":"Schilder AG\n\n, \n\nBhutta MF\n\n, \n\nButler CC\n\n, \n\nHoly C\n\n, \n\nLevine LH\n, \n Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation, and diagnosis\n. \nClin Otolaryngol\n. \n2015\n; \n40(5):407\u2013411\n. \n\n10.1111\/coa.12475"},{"issue":"5","key":"B10","first-page":"433","article-title":"[The clinical research of aviatic nasal disease with medical evaluation prevention and control intervention.] [Article in Chinese.] Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi","volume":"29","author":"Wang B","year":"2015","unstructured":"Wang B\n\n, \n\nXu X\n\n, \n\nJin Z\n\n, \n\nYang Z\n\n\n. \n[The clinical research of aviatic nasal disease with medical evaluation prevention and control intervention.] [Article in Chinese.] Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi\n. \n2015\n; \n29(5):433\u2013436."},{"issue":"1","key":"B11","first-page":"13","article-title":"[Contrastive analysis on disease spectrum of otorhinolaryngology in 230 pilots of three generation fighters.] [Article in Chinese.] Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi","volume":"20","author":"Yong W","year":"2006","unstructured":"Yong W\n\n, \n\nXu X\n\n\n. \n[Contrastive analysis on disease spectrum of otorhinolaryngology in 230 pilots of three generation fighters.] [Article in Chinese.] Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi\n. \n2006\n; \n20(1):13\u201315."}],"container-title":["Aerospace Medicine and Human Performance"],"original-title":[],"link":[{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/94\/8\/article-p629.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/94\/8\/article-p629.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/94\/8\/article-p629.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:03:13Z","timestamp":1740096193000},"score":1,"resource":{"primary":{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/94\/8\/article-p629.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":11,"journal-issue":{"issue":"8"},"URL":"https:\/\/doi.org\/10.3357\/amhp.6165.2023","relation":{},"ISSN":["2375-6314","2375-6322"],"issn-type":[{"value":"2375-6314","type":"print"},{"value":"2375-6322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8]]}}}