Effect of flight on the Eustachian tube function and the tympanic membrane system--a follow-up study.

The Eustachian tube function in 32 aviation trainees was comprehensively tested in simulated flights in a pressure chamber on three occasions during their training. Their mean flight experience between tests comprised 150 h in jet training planes and 260 h in jet fighters. Their capacity to clear the ears in descent did not improve convincingly between tests, but the pressure opening level in ascent was significantly lowered. The elasticity of the eardrum system was significantly increased. The results suggest that the first test, before the flight training, is reliable for selection purposes. Reasons for difficulties in finding good agreement between test results and results of actual flight training are discussed.