Systems and methods for measuring a volume of a ballonet are provided. In some aspects, the system may include a plurality of sensors configured to transmit a plurality of signals toward an interior surface of the ballonet and to receive the plurality of signals reflected off of the interior surface of the ballonet, a distance calculating module configured to calculate a plurality of distances from the plurality of sensors to the interior surface of the ballonet using the received plurality of signals, and a mapping module configured to create a three-dimensional surface using the calculated plurality of distances. The system may further include a measurement module configured to calculate the volume of the ballonet using the three-dimensional surface.