Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-12-01T00:03:29.306Z Has data issue: false hasContentIssue false
  • English
  • Français

Diagnostic value of the wideband acoustic absorbance test in middle-ear effusion

Published online by Cambridge University Press:  22 September 2015

S Terzi ,
A Özgür ,
Ö Ç Erdivanli ,
Z Ö Coşkun ,
M Ogurlu ,
M Demirci  and
E Dursun
S Terzi*
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey
A Özgür
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey
Ö Ç Erdivanli
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey
Z Ö Coşkun
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey
M Ogurlu
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey
M Demirci
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey
E Dursun
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey
*
Address for correspondence: Dr S Terzi, Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Kulak Burun Boğaz Departmanı, Şehitler Caddesi 74, İslampaşa Mahallesi, Rize 53100Turkey Fax: +90 464 2130493 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

This study aimed to investigate the diagnostic value of wideband acoustic absorbance testing in otitis media with effusion.

Methods:

This prospective study compared middle-ear wideband acoustic absorbance rates in three paediatric patient groups: a healthy group of 34 volunteers; 48 patients diagnosed with otitis media with effusion; and 28 patients with chronic effusion but no sign of effusion during myringotomy. The diagnostic value of absorbance testing was analysed with the receiver operating characteristic test.

Results:

The wideband acoustic absorbance rate was significantly lower in the otitis media with effusion group than in both the otitis media and healthy groups at the 0.375–2 kHz averaged mean absorbance (p < 0.017 and p < 0.001, respectively). Receiver operating characteristic analysis showed the highest diagnostic value for the 0.375–2 kHz averaged mean (area under the curve 0.984), followed by those at 1 and 1.5 kHz (area under the curve: 0.973 and 0.967, respectively).

Conclusion:

The wideband acoustic absorbance test is more accurate for detecting middle-ear effusion compared with conventional 226-Hz tympanometry. Its practicality and objectivity suggest that the wideband acoustic absorbance test may be a better alternative for diagnosing otitis media with effusion.

Keywords

Acoustic Impedance TestsTympanometryMiddle Ear Effusion
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 11 , November 2015 , pp. 1078 - 1084
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented as an oral presentation at the 3rd National Otology and Neurootology Congress, 1–4 May 2014, Antalya, Turkey

References

1Casselbrant, ML, Brostoff, LM, Cantekin, EI. Otitis media with effusion in preschool children. Laryngoscope 1985;95:428–36CrossRefGoogle ScholarPubMed
2Birch, L, Elbrønd, O. Prospective epidemiological study of secretory otitis media in children not attending kindergarten. An incidence study. Int J Pediatr Otorhinolaryngol 1986;11:183–90CrossRefGoogle ScholarPubMed
3Minovi, A, Dazert, S. Diseases of the middle ear in childhood. GMS Curr Top Otorhinolaryngol Head Neck Surg 2014;13:11Google ScholarPubMed
4Hizalan, I, Basut, O. Otitis media with effusion. Türkiye Klinikleri J Ear Nose Throat Special Topics 2001;1:68–79Google Scholar
5Cantekin, EI, Bluestone, CD, Fria, TJ, Stool, SE, Beery, QC, Sabo, DL. Identification of otitis media with effusion in children. Ann Otol Rhinol Laryngol Suppl 1980;89:190–5CrossRefGoogle ScholarPubMed
6Toner, JG, Mains, B. Pneumatic otoscopy and tympanometry in the detection of middle ear effusion. Clin Otolaryngol Allied Sci 1990;15:121–3CrossRefGoogle ScholarPubMed
7Vaughan-Jones, R, Mills, RP. The Welch Allyn Audioscope and Microtymp: their accuracy and that of pneumatic otoscopy, tympanometry and pure tone audiometry as predictors of otitis media with effusion. J Laryngol Otol 1992;106:600–2CrossRefGoogle ScholarPubMed
8Rosenfeld, RM, Culpepper, L, Doyle, KJ, Grundfast, KM, Hoberman, A, Kenna, MA et al. American Academy of Pediatrics Subcommittee on Otitis Media with Effusion; American Academy of Family Physicians; American Academy of Otolaryngology–Head and Neck Surgery. Clinical practice guideline: Otitis media with effusion. Otolaryngol Head Neck Surg 2004;130:S95–118Google Scholar
9Margolis, RH, Hunter, LL, Giebink, GS. Tympanometric evaluation of middle ear function in children with otitis media. Ann Otol Rhinol Laryngol Suppl 1994;163:34–8CrossRefGoogle ScholarPubMed
10Liu, Y, Sanford, CA, Ellison, JC, Fitzpatrick, DF, Gorga, MP, Keefe, DH. Wideband absorbance tympanometry using pressure sweeps: system development and results on adults with normal hearing. J Acoust Soc Am 2008;124:3708–19CrossRefGoogle ScholarPubMed
11Hunter, LL, Tubaugh, L, Jackson, A, Propes, S. Wideband middle ear power measurement in infants and children. J Am Acad Audiol 2008;19:309–24Google ScholarPubMed
12Beers, AN, Shahnaz, N, Westerberg, BD, Kozak, FK. Wideband reflectance in normal Caucasian and Chinese school-aged children and in children with otitis media with effusion. Ear Hear 2010;31:221–33CrossRefGoogle ScholarPubMed
13Piskorski, P, Keefe, DH, Simmon, JL, Gorga, MP. Prediction of conductive hearing loss based on acoustic ear canal response using a multivariate clinical decision theory. J Acoust Soc Am 1999;105:1749–64CrossRefGoogle ScholarPubMed
14Keefe, DH, Simmons, JL. Energy transmittance predicts conductive hearing loss in older children and adults. J Acoust Soc Am 2003;114:3217–38CrossRefGoogle ScholarPubMed
15Feeney, MP, Grant, IL, Marryott, LP. Wideband energy reflectance measurements in adults with middle-ear disorders. J Speech Lang Hear Res 2003;46:901–11CrossRefGoogle ScholarPubMed
16Keefe, DH, Sanford, CA, Ellison, JC, Fitzpatrick, DF, Gorga, MP. Wideband aural acoustic absorbance predicts conductive hearing loss in children. Int J Audiol 2012;51:880–91CrossRefGoogle ScholarPubMed
17Ellison, JC, Gorga, M, Cohn, E, Fitzpatrick, D, Sanford, CA, Keefe, DH. Wideband acoustic transfer functions predict middle-ear effusion. Laryngoscope 2012;122:887–94CrossRefGoogle ScholarPubMed
18Takata, GS, Chan, LS, Morphew, T, Mangione-Smith, R, Morton, SC, Shekelle, P. Evidence assessment of the accuracy of methods of diagnosing middle ear effusion in children with otitis media with effusion. Pediatrics 2003;112:1379–87CrossRefGoogle ScholarPubMed
19Gates, GA, Avery, C, Cooper, JC, Hearne, EM, Holt, GR. Predictive value of tympanometry in middle ear effusion. Ann Otol Rhinol Laryngol 1986;95:46–50CrossRefGoogle ScholarPubMed
20Watters, GW, Jones, JE, Freeland, AP. The predictive value of tympanometry in the diagnosis of middle ear effusion. Clin Otolaryngol Allied Sci 1997;22:343–5CrossRefGoogle ScholarPubMed
21Williams, RG, Haughton, PM. Tympanometric diagnosis of middle ear effusion. J Laryngol Otol 1997;91:959–62CrossRefGoogle Scholar
22Voss, SE, Allen, JB. Measurement of acoustic impedance and reflectance in the human ear canal. J Acoust Soc Am 1994;95:372–84CrossRefGoogle ScholarPubMed
23Margolis, RH, Saly, GL, Keefe, DH. Wideband reflectance tympanometry in normal adults. J Acoust Soc Am 1999;106:265–80CrossRefGoogle ScholarPubMed
24Feeney, MP, Sanford, CA. Age effects in the human middle ear: wideband acoustical measures. J Acoust Soc Am 2004;116:3546–58CrossRefGoogle ScholarPubMed
25Shahnaz, N, Bork, K. Wideband reflectance norms for Caucasian and Chinese young adults. Ear Hear 2006;27:774–88CrossRefGoogle ScholarPubMed
26Hunter, LL, Bagger-Sjöbäck, D, Lundberg, M. Wideband reflectance associated with otitis media in infants and children with cleft palate. Int J Audiol 2008;47:57–61CrossRefGoogle ScholarPubMed
27Shahnaz, N, Bork, K, Polka, L, Longridge, N, Bell, D, Westerberg, BD. Energy reflectance and tympanometry in normal and otosclerotic ears. Ear Hear 2009;30:219–33CrossRefGoogle ScholarPubMed
28Shaver, MD, Sun, XM. Wideband energy reflectance measurements: effects of negative middle ear pressure and application of a pressure compensation procedure. J Acoust Soc Am 2013;134:332–4CrossRefGoogle ScholarPubMed