Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-09T22:39:04.227Z Has data issue: false hasContentIssue false
  • English
  • Français

Otoscopy compared with tympanometry

(A study evaluating the accuracy of otoscopy in 1702 unselected ears)

Published online by Cambridge University Press:  29 June 2007

Steen Gimsing  and
Lars M. Bergholtz
Steen Gimsing*
Affiliation:
Linköping, Sweden
Lars M. Bergholtz
Affiliation:
Linköping, Sweden
*
Øreafd Sønderborg sygehus 6400 Sønderborg, Denmark.
Get access Rights & Permissions [Opens in a new window]

Abstract

A study comparing otoscopy with tympanometry was carried out in 1702 ears in seven- and ten-year-old children. Pneumatic otoscopy in 917 ears showed an 88 per cent agreement with tympanometry. The agreement was better in ears considered normal by the otoscopist than in ears that were considered abnormal. Furthermore, the accuracy of otoscopy was better in the older children than in the younger ones.

A procedure employing simple otoscopy in 785 ears gave an 83 per cent agreement, but in about 15 per cent of these ears the examiner felt unable to base his evaluation on certainty.

It was found that a middle-ear pressure of –100 mm. H2O correlated with recognizable pathology when pneumatic otoscopy was performed.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 97 , Issue 7 , July 1983 , pp. 587 - 592
Copyright
Copyright © JLO (1984) Limited 1983

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

This paper was supported in part by grants from Östergötlands Läns Landsting and the Tysta Skolan Foundation.

References

McCandless, G. A. (1974) Impedance Audiometry as a Screening Procedure for Middle Ear Disease. Transactions of the American Academy of Ophthalmology and Otolaryngology, March-April, 98–102.Google ScholarPubMed
Margolis, C. Z., Porter, B., Barnoon, S., and Pilpel, D. (1979) Reliability of the Middle Ear Examination. Israel Journal of Medical Science, 15, 23–28.Google ScholarPubMed
Roeser, R. J., Soh, J., Dunckel, D. C., and Adams, R. (1977) Comparison of Tympanometry and Otoscopy in Establishing Pass/Fail Referral Criteria. Journal of the American Audiology Society, 3, 20–25.Google ScholarPubMed
Renwall, U., Lidén, G., Jungert, S., and Nilsson, E. (1973) Impedance Audiometry as Screening Method in School Children. Scandinavian Audiology, 2, 133–137.Google Scholar
Renwall, U., and Holmberg, K. (1981) Diagnostik av Otosalpingit, Astra Nytt No. 8, 2–3. Astra Pharmaceuticals, Södertälje, Sweden.Google Scholar