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
Hauptverfasser: Koivunen, Petri, Uhari, Matti, Laitakari, Kyösti, Alho, Olli-Pekka, Luotonen, and Jukka
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container_end_page 217
container_issue 3
container_start_page 212
container_title Ear and hearing
container_volume 21
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 &lt; 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. 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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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