Balloon Pilots' ears under the microscope: new study checks for noise & pressure damage
NCT ID NCT07200310
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study checked whether hot air balloon pilots, who are exposed to burner noise and air pressure changes, have more hearing, eustachian tube, or balance problems than other adults. About 105 pilots and non-pilots took part in safe, non-invasive hearing and balance tests. The goal is to see if these work exposures are linked to ear issues, which could help improve safety advice for pilots.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If this study finds clear links, it could lead to better occupational health guidelines to protect balloon pilots' hearing and balance.
- What could go wrong
- This is a small, completed observational study, not a treatment trial. It can show associations but not prove cause and effect, and results may not apply to all pilots.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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105 people
The number who actually took part.
- Started
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Sep 2025
- Finished
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Nov 2025
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults (≥18 years) in two cohorts: (1)(Hot-Air Balloon Pilots) licensed hot-air balloon pilots operating in the Cappadocia/Nevşehir region with ≥10 flights in the prior 12 months; and (2)(Controls) age-matched adults with no occupational or recreational exposure to significant noise, altitude, or barometric pressure variation (e.g., non-pilots, non-divers, non-cabin crew). Participants are healthy volunteers with otoscopic suitability (no perforation or active infection). Recruitment is via local pilot companies/registries and the surrounding community; all assessments occur at the SBÜ Gaziosmanpaşa Training and Research Hospital ENT/audiology laboratory (single-center). Planned enrollment: 45 pilots and 45 controls.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years (preferably 18-70). Pilot group: Licensed, professional and actively flying hot-air balloon pilots with regular flight over the past 12 months (on average 5 days per week and at least 20 flights in month), not using any hearing-protection equipment, and typically each flying et least 60-90 minutes. Control group: Adults without occupational or recreational exposure to significant pressure/altitude/noise (e.g., no mountaineering, scuba diving, or cabin crew duties). Otoscopic suitability for testing (no tympanic membrane perforation; no active ear infection). Exclusion Criteria: * Acute upper respiratory tract infection (URTI) or otitis at the time of testing., * High noise exposure within the past 24-48 hours (e.g., concert, workshop). * Tympanic membrane perforation; impacted cerumen that cannot be cleared; chronic suppurative otitis; presence of an active ventilation (tympanostomy) tube. * History of otologic surgery. * Menière's disease; significant otosclerosis; vestibular neuritis within the past 6 months; recent sudden hearing loss. * Significant neurological disease or history affecting balance (e.g., multiple sclerosis, stroke). * Use of ototoxic medications within the past 3 months (e.g., aminoglycosides, cisplatin). * Contraindications to cVEMP testing (e.g., significant cervical pathology or prior cervical surgery, uncontrolled hypertension, suspected advanced carotid artery disease).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Cappadocia Field Site (Göreme) - On-site assessments at hot-air balloon pilot companies
Nevşehir, Göreme, 50200, Turkey (Türkiye)
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University of Health Sciences, Gaziosmanpaşa Training and Research Hospital, Department of Otorhinolaryngology-Head & Neck Surgery (ENT/Audiology Laboratory)
Istanbul, 34108, Turkey (Türkiye)
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