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Tympanoscopy to increase the accuracy of diagnosis in conductive hearing loss

Published online by Cambridge University Press:  29 June 2007

Tapio S. Karhuketo ,
Heikki J. Puhakka  and
Pekka J. Laippala
Tapio S. Karhuketo*
Affiliation:
Department of Otorhinolaryngology, Tampere University Hospital, Tampere, Finland.
Heikki J. Puhakka
Affiliation:
Department of Otorhinolaryngology, Tampere University Hospital, Tampere, Finland.
Pekka J. Laippala
Affiliation:
Department of Tampere School of Public Health, University of Tampere and Tampere University Hospital, Tampere, Finland.
*
Address for correspondence: Tapio S. Karhuketo, M.D., Department of Otorhinolaryngology, Tampere University Hospital, P.O. Box 2000, FIN-33521, Tampere, Finland. Fax: +358 3 2474366
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Abstract

The diagnosis of conductive hearing loss is usually based on audiological methods and radiology. The aim of our study was to show that there is a useful additive method to clarify the findings of diseases with conductive hearing loss.

Patients (151 ears) with conductive hearing loss were examined using several methods: otomicroscopy, air- and bone-conduction threshold, pure tone average, speech threshold, speech discrimination, tympanometry and stapedial reflex and tympanoscopy.

The management of the patients changed in 17 per cent of cases due to tympanoscopy. In a group with normal tympanic membrane the movement of the stapes during endoscopy was compared to stapedial reflex. Stiff stapes were found more often than an abnormal stapedial reflex.

Middle ear endoscopy can increase the accuracy of diagnosis of conductive hearing loss thus enhancing decision making in the case of the patient.

Keywords

Hearing loss, conductiveEar, middleEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 2 , February 1998 , pp. 154 - 157
Copyright
Copyright © JLO (1984) Limited 1998

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References

Anson, B. J., Donaldson, J. A. (1981) Surgical Anatomy of the Temporal Bone. 3rd Edition. W.B. Saunders Company, Philadelphia, pp 282–295.Google Scholar
Bottrill, I. D., Poe, D. S. (1995) Endoscope-assisted ear surgery. American Journal of Otology 16: 158–163.Google ScholarPubMed
Bottrill, I., Perrault, D. F., Poe, D. (1996) In vitro and vivo determination of the thermal effect of middle ear endoscopy. Laryngoscope 106: 213–216.CrossRefGoogle ScholarPubMed
Bowdler, D. A., Walsh, R. M. (1995) Comparison of the otoendoscopic and microscopic anatomy of the middle ear cleft in canal wall-up and canal wall-down temporal bone dissections. Clinical Otolaryngology 20: 418–422.CrossRefGoogle ScholarPubMed
Eichner, H. (1978) Eine Mother- and Baby-scope-Optic zur Trommelfell- und Mittelohr-Endoscopie. Laryngo- Rhino- Otologie 57: 872–876.Google Scholar
Gonzalez, C., Bluestone, C. D. (1986) Visualization of a retraction pocket/cholesteatoma: indications for use of the middle ear telescope in children. Laryngoscope 96: 109–110.CrossRefGoogle ScholarPubMed
Karhuketo, T., Puhakka, H., Laippala, P. (1997a) Endoscopy of the middle ear structures. Acta Oto-Laryngologica (Stockh) (Suppl. 529): 34–39.CrossRefGoogle ScholarPubMed
Karhuketo, T., Laippala, P., Puhakka, H., Sipilä, M. (1997b) Endoscopy and otomicroscopy in the estimation of middle ear structures. Acta Oto-Laryngologica (Stockh) 117: 585–589.CrossRefGoogle ScholarPubMed
Mer, S. B., Derbyshire, A. J., Brushenko, A., Pontarelli, D. A. (1967) Fiberoptic endotoscopes for examining the middle ear. Archives of Otolarynology 85: 387–393.CrossRefGoogle ScholarPubMed
Nomura, Y. (1982) A needle otoscope. An instrument of endotoscopy of the middle ear. Acta Oto-Laryngologica (Stockh) 93: 73–79.CrossRefGoogle ScholarPubMed
Poe, D. S., Rebeiz, E. E., Pankratov, M. M., Shapshay, S. M. (1992a) Transtympanic endoscopy of the middle ear. Laryngoscope 102: 993–996.CrossRefGoogle ScholarPubMed
Poe, D. S., Rebeiz, E. E., Pankratov, M. M. (1992b) Evaluation of perilymphatic fistulas by middle ear endoscopy. American Journal of Otology 13: 529–533.Google ScholarPubMed
Proctor, B. (1989) Surgical Anatomy of the Ear and Temporal Bone. Thieme Medical Publishers, New York, pp 39–111.Google Scholar
Rosenberg, S. I., Silverstein, H., Hoffer, M., Nichols, M. (1995) Use of endoscopes for chronic ear surgery in children. Archives of Otolaryngology – Head and Neck Surgery 121: 870–872.CrossRefGoogle ScholarPubMed
Thomassin, J. M., Duchon-Doris, J. M., Emram, B., Rud, C., Conciatori, J., Vilcoq, P. (1990) Otochirurgie endoscopique. Annales d'Oto-Laryngologie et de Chirurgie Cervico-Faciale 107: 564–570.Google Scholar
Thomassin, J. (1994) Otoendoscopically guided surgery. Springer-Verlag, Paris.CrossRefGoogle Scholar
Thomassin, J. M., Korchia, D., Duchon-Doris, J. M. (1996) Endoscopic-guided otosurgery in the prevention of residual cholesteatomas. Laryngoscope 103: 939–943.CrossRefGoogle Scholar
Weir, N. (1990) Otolaryngology. An Illustrated History. Butterworths, London, pp 30–31, 33, 64–65, 70–71, 76, 80, 204, 233–235, 240–251.Google Scholar
Yung, M. M. (1994) The use of rigid endoscopes in cholesteatoma surgery. Journal of Laryngology and Otology 108: 307–309.CrossRefGoogle ScholarPubMed