Diagnostic value of tympanometry in infants in clinical practice
One hundred and twenty-one visits of 58 infants (2–11 months of age) were evaluated in the Finnish Otitis Media Vaccine Trial. Infants were examined with tympanometry (Grason-Stadler GSI 38 Autotymp) and pneumatic otoscopy by one study doctor. Diagnosis of otitis media was verified by myringotomy in...
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| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 1999-08, Vol.49 (3), p.207-213 |
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| container_title | International journal of pediatric otorhinolaryngology |
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| creator | Palmu, Arto Puhakka, Heikki Rahko, Tapani Takala, Aino K. |
| description | One hundred and twenty-one visits of 58 infants (2–11 months of age) were evaluated in the Finnish Otitis Media Vaccine Trial. Infants were examined with tympanometry (Grason-Stadler GSI 38 Autotymp) and pneumatic otoscopy by one study doctor. Diagnosis of otitis media was verified by myringotomy in 74% of cases. Tympanometry was technically successful in 94% of ears. The success rate was statistically significantly higher (
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| doi_str_mv | 10.1016/S0165-5876(99)00207-4 |
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P<0.05) among infants less than 7 months of age than those above 7 months. The sensitivity of tympanometry (type B) to detect ears with middle ear fluid was 0.70 and the specificity 0.98 with a positive predictive value of 0.93 and negative predictive value of 0.94. The sensitivity was somewhat lower in the younger age group (0.61); specificity and positive and negative predictive values were good in both age groups. The high success rate and high negative and positive predictive values of tympanometry make it a useful aid for assuring the correct diagnosis of otitis media in infants in routine clinical practice.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/S0165-5876(99)00207-4</identifier><identifier>PMID: 10519700</identifier><identifier>CODEN: IPOTDJ</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Acoustic Impedance Tests - methods ; Acute Disease ; Age Factors ; Biological and medical sciences ; Child, Preschool ; Diagnosis ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Ent. Stomatology ; Female ; Humans ; Impedance audiometry ; Infant ; Infants ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Ear Ventilation ; Models, Biological ; Non tumoral diseases ; Otitis media ; Otitis Media with Effusion - diagnosis ; Otitis Media with Effusion - surgery ; Otorhinolaryngology. Stomatology ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Predictive Value of Tests ; Reproducibility of Results ; Retrospective Studies ; Tympanometry</subject><ispartof>International journal of pediatric otorhinolaryngology, 1999-08, Vol.49 (3), p.207-213</ispartof><rights>1999 Elsevier Science Ireland Ltd</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-3a304c88eec0c964a46eb623b4adb8f1b1d69d07121d5b762bb3cf5c71edd8cd3</citedby><cites>FETCH-LOGICAL-c442t-3a304c88eec0c964a46eb623b4adb8f1b1d69d07121d5b762bb3cf5c71edd8cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0165-5876(99)00207-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1946731$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10519700$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palmu, Arto</creatorcontrib><creatorcontrib>Puhakka, Heikki</creatorcontrib><creatorcontrib>Rahko, Tapani</creatorcontrib><creatorcontrib>Takala, Aino K.</creatorcontrib><title>Diagnostic value of tympanometry in infants in clinical practice</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>One hundred and twenty-one visits of 58 infants (2–11 months of age) were evaluated in the Finnish Otitis Media Vaccine Trial. Infants were examined with tympanometry (Grason-Stadler GSI 38 Autotymp) and pneumatic otoscopy by one study doctor. Diagnosis of otitis media was verified by myringotomy in 74% of cases. Tympanometry was technically successful in 94% of ears. The success rate was statistically significantly higher (
P<0.05) among infants less than 7 months of age than those above 7 months. The sensitivity of tympanometry (type B) to detect ears with middle ear fluid was 0.70 and the specificity 0.98 with a positive predictive value of 0.93 and negative predictive value of 0.94. The sensitivity was somewhat lower in the younger age group (0.61); specificity and positive and negative predictive values were good in both age groups. The high success rate and high negative and positive predictive values of tympanometry make it a useful aid for assuring the correct diagnosis of otitis media in infants in routine clinical practice.</description><subject>Acoustic Impedance Tests - methods</subject><subject>Acute Disease</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Diagnosis</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Ent. Stomatology</subject><subject>Female</subject><subject>Humans</subject><subject>Impedance audiometry</subject><subject>Infant</subject><subject>Infants</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Ear Ventilation</subject><subject>Models, Biological</subject><subject>Non tumoral diseases</subject><subject>Otitis media</subject><subject>Otitis Media with Effusion - diagnosis</subject><subject>Otitis Media with Effusion - surgery</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Predictive Value of Tests</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Tympanometry</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQhoMoun78BKUHET1UJ22atCcVv0HwoJ5DOplKpB9r0hX235t1F_UmhMkcnndmeBjb53DKgcuz51iKtCiVPK6qE4AMVCrW2ISXKktLIcU6m_wgW2w7hHcArqAoNtkWh4JXCmDCLq6deeuHMDpMPk07o2RoknHeTU0_dDT6eeL6-BrTj2HRYut6h6ZNpt5gDNEu22hMG2hv9e-w19ubl6v79PHp7uHq8jFFIbIxzU0OAsuSCAErKYyQVMssr4WxddnwmltZWVA847aolczqOsemQMXJ2hJtvsOOlnOnfviYURh15wJS25qehlnQCkquMg4RLJYg-iEET42eetcZP9cc9EKd_lanF150VelvdVrE3MFqwazuyP5JLV1F4HAFmBANNN706MIvVwmpch6x8yVG0canI68DOuqRrPOEo7aD--eSL5LpiyQ</recordid><startdate>19990820</startdate><enddate>19990820</enddate><creator>Palmu, Arto</creator><creator>Puhakka, Heikki</creator><creator>Rahko, Tapani</creator><creator>Takala, Aino K.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>19990820</creationdate><title>Diagnostic value of tympanometry in infants in clinical practice</title><author>Palmu, Arto ; Puhakka, Heikki ; Rahko, Tapani ; Takala, Aino K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-3a304c88eec0c964a46eb623b4adb8f1b1d69d07121d5b762bb3cf5c71edd8cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Acoustic Impedance Tests - methods</topic><topic>Acute Disease</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Diagnosis</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Ent. Stomatology</topic><topic>Female</topic><topic>Humans</topic><topic>Impedance audiometry</topic><topic>Infant</topic><topic>Infants</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Ear Ventilation</topic><topic>Models, Biological</topic><topic>Non tumoral diseases</topic><topic>Otitis media</topic><topic>Otitis Media with Effusion - diagnosis</topic><topic>Otitis Media with Effusion - surgery</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Predictive Value of Tests</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Tympanometry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palmu, Arto</creatorcontrib><creatorcontrib>Puhakka, Heikki</creatorcontrib><creatorcontrib>Rahko, Tapani</creatorcontrib><creatorcontrib>Takala, Aino K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palmu, Arto</au><au>Puhakka, Heikki</au><au>Rahko, Tapani</au><au>Takala, Aino K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic value of tympanometry in infants in clinical practice</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>1999-08-20</date><risdate>1999</risdate><volume>49</volume><issue>3</issue><spage>207</spage><epage>213</epage><pages>207-213</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><coden>IPOTDJ</coden><abstract>One hundred and twenty-one visits of 58 infants (2–11 months of age) were evaluated in the Finnish Otitis Media Vaccine Trial. Infants were examined with tympanometry (Grason-Stadler GSI 38 Autotymp) and pneumatic otoscopy by one study doctor. Diagnosis of otitis media was verified by myringotomy in 74% of cases. Tympanometry was technically successful in 94% of ears. The success rate was statistically significantly higher (
P<0.05) among infants less than 7 months of age than those above 7 months. The sensitivity of tympanometry (type B) to detect ears with middle ear fluid was 0.70 and the specificity 0.98 with a positive predictive value of 0.93 and negative predictive value of 0.94. The sensitivity was somewhat lower in the younger age group (0.61); specificity and positive and negative predictive values were good in both age groups. The high success rate and high negative and positive predictive values of tympanometry make it a useful aid for assuring the correct diagnosis of otitis media in infants in routine clinical practice.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>10519700</pmid><doi>10.1016/S0165-5876(99)00207-4</doi><tpages>7</tpages></addata></record> |
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| subjects | Acoustic Impedance Tests - methods Acute Disease Age Factors Biological and medical sciences Child, Preschool Diagnosis Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Ent. Stomatology Female Humans Impedance audiometry Infant Infants Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Ear Ventilation Models, Biological Non tumoral diseases Otitis media Otitis Media with Effusion - diagnosis Otitis Media with Effusion - surgery Otorhinolaryngology. Stomatology Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Predictive Value of Tests Reproducibility of Results Retrospective Studies Tympanometry |
| title | Diagnostic value of tympanometry in infants in clinical practice |
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