Otoacoustic Emissions and Tympanometry in Children with Otitis Media
OBJECTIVETo e-amine otoacoustic emission and tympanometric findings in children with surgically confirmed middle ear effusion (MEE). DESIGNA total of 102 children aged 0.7 to 11.4 yr undergoing surgery because of otitis media were included in the study. A tympanometric e-amination and transient evok...
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Veröffentlicht in: | Ear and hearing 2000-06, Vol.21 (3), p.212-217 |
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creator | Koivunen, Petri Uhari, Matti Laitakari, Kyösti Alho, Olli-Pekka Luotonen, and Jukka |
description | OBJECTIVETo e-amine otoacoustic emission and tympanometric findings in children with surgically confirmed middle ear effusion (MEE).
DESIGNA total of 102 children aged 0.7 to 11.4 yr undergoing surgery because of otitis media were included in the study. A tympanometric e-amination and transient evoked otoacoustic emission (TEOAE) measurement were performed on each ear before myringotomy. MEE was aspirated, weighed and classified as mucoid or nonmucoid. TEOAE measurements were compared with the quantity and quality of MEE and to the tympanometric findings.
RESULTSFifty (72%) ears out of the 65 ears containing effusion showed reduced TEOAE. The quantity of effusion was associated significantly (p < 0.001) with the TEOAE responses, and mucoid effusion reduced the emissions more than nonmucoid. The sensitivity of tympanometry in identifying the ears without recordable TEOAE was 73% and the specificity 81%.
CONCLUSIONMEE results in a significant reduction in TEOAEs even when the effusion is nonmucoid. This suggests that transmission of acoustic energy to and from the middle ear is altered in children e-periencing any form of otitis media with effusion. |
doi_str_mv | 10.1097/00003446-200006000-00004 |
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DESIGNA total of 102 children aged 0.7 to 11.4 yr undergoing surgery because of otitis media were included in the study. A tympanometric e-amination and transient evoked otoacoustic emission (TEOAE) measurement were performed on each ear before myringotomy. MEE was aspirated, weighed and classified as mucoid or nonmucoid. TEOAE measurements were compared with the quantity and quality of MEE and to the tympanometric findings.
RESULTSFifty (72%) ears out of the 65 ears containing effusion showed reduced TEOAE. The quantity of effusion was associated significantly (p < 0.001) with the TEOAE responses, and mucoid effusion reduced the emissions more than nonmucoid. The sensitivity of tympanometry in identifying the ears without recordable TEOAE was 73% and the specificity 81%.
CONCLUSIONMEE results in a significant reduction in TEOAEs even when the effusion is nonmucoid. This suggests that transmission of acoustic energy to and from the middle ear is altered in children e-periencing any form of otitis media with effusion.</description><identifier>ISSN: 0196-0202</identifier><identifier>EISSN: 1538-4667</identifier><identifier>DOI: 10.1097/00003446-200006000-00004</identifier><identifier>PMID: 10890729</identifier><identifier>CODEN: EAHEDS</identifier><language>eng</language><publisher>Baltimore, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Acoustic Impedance Tests - methods ; Acoustic Stimulation - methods ; Auditory Threshold - physiology ; Biological and medical sciences ; Child ; Child, Preschool ; Evoked Potentials, Auditory, Brain Stem - physiology ; Humans ; Infant ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Middle Ear Ventilation - methods ; Otitis Media with Effusion - diagnosis ; Otitis Media with Effusion - therapy ; Otoacoustic Emissions, Spontaneous - physiology ; Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</subject><ispartof>Ear and hearing, 2000-06, Vol.21 (3), p.212-217</ispartof><rights>2000 Lippincott Williams & Wilkins, Inc.</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3854-476e95847058f8c16c0f6df7d49c03c0e8ddf4d44d3805e014e09d8b5d08fab43</citedby><cites>FETCH-LOGICAL-c3854-476e95847058f8c16c0f6df7d49c03c0e8ddf4d44d3805e014e09d8b5d08fab43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1388982$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10890729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koivunen, Petri</creatorcontrib><creatorcontrib>Uhari, Matti</creatorcontrib><creatorcontrib>Laitakari, Kyösti</creatorcontrib><creatorcontrib>Alho, Olli-Pekka</creatorcontrib><creatorcontrib>Luotonen, and Jukka</creatorcontrib><title>Otoacoustic Emissions and Tympanometry in Children with Otitis Media</title><title>Ear and hearing</title><addtitle>Ear Hear</addtitle><description>OBJECTIVETo e-amine otoacoustic emission and tympanometric findings in children with surgically confirmed middle ear effusion (MEE).
DESIGNA total of 102 children aged 0.7 to 11.4 yr undergoing surgery because of otitis media were included in the study. A tympanometric e-amination and transient evoked otoacoustic emission (TEOAE) measurement were performed on each ear before myringotomy. MEE was aspirated, weighed and classified as mucoid or nonmucoid. TEOAE measurements were compared with the quantity and quality of MEE and to the tympanometric findings.
RESULTSFifty (72%) ears out of the 65 ears containing effusion showed reduced TEOAE. The quantity of effusion was associated significantly (p < 0.001) with the TEOAE responses, and mucoid effusion reduced the emissions more than nonmucoid. The sensitivity of tympanometry in identifying the ears without recordable TEOAE was 73% and the specificity 81%.
CONCLUSIONMEE results in a significant reduction in TEOAEs even when the effusion is nonmucoid. This suggests that transmission of acoustic energy to and from the middle ear is altered in children e-periencing any form of otitis media with effusion.</description><subject>Acoustic Impedance Tests - methods</subject><subject>Acoustic Stimulation - methods</subject><subject>Auditory Threshold - physiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Evoked Potentials, Auditory, Brain Stem - physiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Middle Ear Ventilation - methods</subject><subject>Otitis Media with Effusion - diagnosis</subject><subject>Otitis Media with Effusion - therapy</subject><subject>Otoacoustic Emissions, Spontaneous - physiology</subject><subject>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</subject><issn>0196-0202</issn><issn>1538-4667</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctOAyEUhonR2Fp9BcPCuBs9DAwDS1PrJanppq4JBSZF51KBpunbO7X1spGE8Id85_YfhDCBGwKyvIX-UMZ4lu8U72-2E-wIDUlBRcY4L4_REIjkGeSQD9BZjG8AJJecnaIBASGhzOUQ3c9Sp023jskbPGl8jL5rI9atxfNts9Jt17gUtti3eLz0tQ2uxRuflniWfPIRvzjr9Tk6qXQd3cXhHaHXh8l8_JRNZ4_P47tpZqgoWMZK7mQhWAmFqIQh3EDFbVVaJg1QA05YWzHLmKUCCgeEOZBWLAoLotILRkfoep93FbqPtYtJ9Q0bV9e6df0IqiQ5k4LSHhR70IQuxuAqtQq-0WGrCKidg-rbQfXj4NfXrsblocZ60Tj7J3BvWQ9cHQAdja6roFvj4y9HhZAi7zG2xzZdnVyI7_V644JaOl2npfpvgfQTqD6HRg</recordid><startdate>200006</startdate><enddate>200006</enddate><creator>Koivunen, Petri</creator><creator>Uhari, Matti</creator><creator>Laitakari, Kyösti</creator><creator>Alho, Olli-Pekka</creator><creator>Luotonen, and Jukka</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</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>200006</creationdate><title>Otoacoustic Emissions and Tympanometry in Children with Otitis Media</title><author>Koivunen, Petri ; Uhari, Matti ; Laitakari, Kyösti ; Alho, Olli-Pekka ; Luotonen, and Jukka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3854-476e95847058f8c16c0f6df7d49c03c0e8ddf4d44d3805e014e09d8b5d08fab43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Acoustic Impedance Tests - methods</topic><topic>Acoustic Stimulation - methods</topic><topic>Auditory Threshold - physiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Evoked Potentials, Auditory, Brain Stem - physiology</topic><topic>Humans</topic><topic>Infant</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Middle Ear Ventilation - methods</topic><topic>Otitis Media with Effusion - diagnosis</topic><topic>Otitis Media with Effusion - therapy</topic><topic>Otoacoustic Emissions, Spontaneous - physiology</topic><topic>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koivunen, Petri</creatorcontrib><creatorcontrib>Uhari, Matti</creatorcontrib><creatorcontrib>Laitakari, Kyösti</creatorcontrib><creatorcontrib>Alho, Olli-Pekka</creatorcontrib><creatorcontrib>Luotonen, and Jukka</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>Ear and hearing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koivunen, Petri</au><au>Uhari, Matti</au><au>Laitakari, Kyösti</au><au>Alho, Olli-Pekka</au><au>Luotonen, and Jukka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Otoacoustic Emissions and Tympanometry in Children with Otitis Media</atitle><jtitle>Ear and hearing</jtitle><addtitle>Ear Hear</addtitle><date>2000-06</date><risdate>2000</risdate><volume>21</volume><issue>3</issue><spage>212</spage><epage>217</epage><pages>212-217</pages><issn>0196-0202</issn><eissn>1538-4667</eissn><coden>EAHEDS</coden><abstract>OBJECTIVETo e-amine otoacoustic emission and tympanometric findings in children with surgically confirmed middle ear effusion (MEE).
DESIGNA total of 102 children aged 0.7 to 11.4 yr undergoing surgery because of otitis media were included in the study. A tympanometric e-amination and transient evoked otoacoustic emission (TEOAE) measurement were performed on each ear before myringotomy. MEE was aspirated, weighed and classified as mucoid or nonmucoid. TEOAE measurements were compared with the quantity and quality of MEE and to the tympanometric findings.
RESULTSFifty (72%) ears out of the 65 ears containing effusion showed reduced TEOAE. The quantity of effusion was associated significantly (p < 0.001) with the TEOAE responses, and mucoid effusion reduced the emissions more than nonmucoid. The sensitivity of tympanometry in identifying the ears without recordable TEOAE was 73% and the specificity 81%.
CONCLUSIONMEE results in a significant reduction in TEOAEs even when the effusion is nonmucoid. This suggests that transmission of acoustic energy to and from the middle ear is altered in children e-periencing any form of otitis media with effusion.</abstract><cop>Baltimore, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>10890729</pmid><doi>10.1097/00003446-200006000-00004</doi><tpages>6</tpages></addata></record> |
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subjects | Acoustic Impedance Tests - methods Acoustic Stimulation - methods Auditory Threshold - physiology Biological and medical sciences Child Child, Preschool Evoked Potentials, Auditory, Brain Stem - physiology Humans Infant Investigative techniques, diagnostic techniques (general aspects) Medical sciences Middle Ear Ventilation - methods Otitis Media with Effusion - diagnosis Otitis Media with Effusion - therapy Otoacoustic Emissions, Spontaneous - physiology Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...) |
title | Otoacoustic Emissions and Tympanometry in Children with Otitis Media |
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