Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-24T07:24:52.624Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  29 June 2007

R. Vaughan-Jones  and
R. P. Mills
R. Vaughan-Jones*
Affiliation:
Dundee
R. P. Mills
Affiliation:
Dundee
*
R. Vaughan-Jones, Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY.
Get access Rights & Permissions [Opens in a new window]

Abstract

Results of standard audiometry and tympanometry were compared with the Welch Allyn ‘Audioscope’ and ‘Microtymp’, in the diagnosis of secretory otitis media, in 100 children.

Standard pure tone audiometry had a specificity of 92 per cent and sensitivity of 51.6 per cent. The Welch Allyn ‘Audioscope’ a specificity of 84.2 per cent and sensitivity of 57.5 per cent; standard tympanometry a specificity of 71 per cent and sensitivity of 88 per cent; the Welch Allyn ‘Microtymp’ a specificity of 63 per cent and sensitivity of 90 per cent.

In view of cost, portability, and speed of testing the Welch Allyn instruments would be particularly suitable for community screening.

Pure tone audiometry with a pass threshold of 25 dB, at 2 and 4 kHz is a poor indicator of effusion.

Keywords

Otitis media with effusionAudiometryhearing testsacoustic impedance tests
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 7 , July 1992 , pp. 600 - 602
Copyright
Copyright © JLO (1984) Limited 1992

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.)

References

Bluestone, C., Berry, Q. C., Paradise, J. L. (1973). Audiometry and tympanometry in reaction to middle ear effusions in children. Laryngoscope, 83: 594–604.CrossRefGoogle Scholar
Brooks, D. N. (1974) Impedance bridge studies on normal hearing and hearing impaired children. Acta Otorhinolaryngolica Belgica, 28: 140–145.Google ScholarPubMed
Cantekin, E. L., Bluestone, C. D., Fria, T. J., Stool, S. E., Berry, Q. C, Sabo, D. L. (1980) Identification of otitis media with effusion in children. Annals of Otology, Rhinology and Laryngology, 89 (Supplement 68), 190–195.CrossRefGoogle ScholarPubMed
Gates, A. G., Avery, C.Cooper, J. C, Hearne, E. M., Holt, R. G. (1986) Predictive value of tympanometry in middle ear effusion. Annals of Otology, Rhinology and Laryngology, 95: 46–50.CrossRefGoogle ScholarPubMed
Grimaldi, P. M. (1976) The value of impedance testing in diagnosis of middle ear effusion. Journal of Laryngology and Otology, 90: 141–152.CrossRefGoogle ScholarPubMed
Jerger, J. (1970) Clinical experience with impedance audiometry. Archives of Otolaryngology, 92: 311–324.CrossRefGoogle ScholarPubMed
Mills, R. P. (1987) Persistent middle ear effusions in children with recurrent acute otitis media. Clinical Otolaryngology, 12: 97–101.CrossRefGoogle ScholarPubMed
Paradise, J. L., Smith, G. C, Bluestone, C. D. (1976) Tympanometric detection of middle ear effusion in infants and children. Pediatrics, 58: 198–210.CrossRefGoogle Scholar
Toner, J. G., Mains, B. (1990) Pneumatic otoscopy and tympanometry in the detection of middle ear effusion. Clinical Otolaryngology, 15: 121–123.CrossRefGoogle ScholarPubMed