Comparison of the tympanogram and otoscopic findings in effusions of middle ear
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 1
Abstract
Objective: The aim of this study was to investigate the role of tympanogram test in routine use comparing the tympanogram findings and otoscopic examination findings in patients with suspicious otitis media with effusion. Materials and methods: 64 outpatients with suspicious otitis media with effusion presented at our Otorhinolaryngology clinic and first otoscopic examination and then tympanometric examination was performed for their 128 ears. Predictions of the physicians who performed otoscopic examination for outcomes from tympanogram and actual tympanogram outcomes were compared. Results: Predictions of the physician for otoscopic examination were different from tympanogram outcomes in 22.6 percent (n=29) of 128 otoscopic examinations in total. However, the physician predicted Type A tympanogram suggesting no effusion in only four of these otoscopic examinations yet Type B or Type C outcomes suggesting existence of effusion were obtained from tympanogram. Conclusion: Application of tympanogram test routinely as part of otologic examination to each patient is a cause of material loss. Our first choice should be otoscopic examination. Key words: Otitis media with effusion, tympanogram, otoscope
Authors and Affiliations
Rıfat Karlı, Arzu Karlı, Ahmet Aksoy, Sevil Açıkgöz, Emre Ayhan
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