Reflectometric screening for otitis media: inconsistencies in a sample of Australian aboriginal children
This paper evaluates reflectometry, or acoustic otoscopy, as an objective test for the mobility of intact tympanic membranes in Australian Aboriginal children, who are a population at high risk for otitis media. Reflectometry, pneumotoscopy and tympanometry were compared in 395 ears in 198 Aborigina...
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| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 1993, Vol.25 (1), p.49-60 |
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| creator | Boswell, J.B. Nienhuys, T.G. |
| description | This paper evaluates reflectometry, or acoustic otoscopy, as an objective test for the mobility of intact tympanic membranes in Australian Aboriginal children, who are a population at high risk for otitis media. Reflectometry, pneumotoscopy and tympanometry were compared in 395 ears in 198 Aboriginal children living in remote communities in Northern Australia. A strong interaction was found between pneumotoscopy and tympanometry (
P < 0.001), there was some interaction between pneumotoscopy and reflectometry (breakpoint 5.0) (
P < 0.05) and there was no significant interaction between reflectometry and tympanometry. Results showed that intea-observer and inter-observer agreement for measures of reflectivity were 0.87 and 0.83, respectively. Unexpected differences between reflectivity measures for right (mean 5.4 units) and left (mean 4.9 units) ears and for different test locations were attributed to procedural artifact or training effects. It was concluded that, despite its practical advantages, reflectometry cannot be recommended as a screening tool for tympanic membrane (TM) immobility in this population. |
| doi_str_mv | 10.1016/0165-5876(93)90009-R |
| format | Article |
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P < 0.001), there was some interaction between pneumotoscopy and reflectometry (breakpoint 5.0) (
P < 0.05) and there was no significant interaction between reflectometry and tympanometry. Results showed that intea-observer and inter-observer agreement for measures of reflectivity were 0.87 and 0.83, respectively. Unexpected differences between reflectivity measures for right (mean 5.4 units) and left (mean 4.9 units) ears and for different test locations were attributed to procedural artifact or training effects. It was concluded that, despite its practical advantages, reflectometry cannot be recommended as a screening tool for tympanic membrane (TM) immobility in this population.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/0165-5876(93)90009-R</identifier><identifier>PMID: 8436480</identifier><identifier>CODEN: IPOTDJ</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Aboriginal ; Acoustic Impedance Tests ; Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Endoscopy ; Ent ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Mass Screening - methods ; Medical sciences ; Middle ear ; Northern Territory - epidemiology ; Otitis media ; Otitis Media - ethnology ; Otitis Media - prevention & control ; Otolaryngology - instrumentation ; Reflectometry ; Screening ; Training Abstract</subject><ispartof>International journal of pediatric otorhinolaryngology, 1993, Vol.25 (1), p.49-60</ispartof><rights>1993</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-6bdce70b0e04ac4a8c45961e61b28488bc317c2a8d7bb4683779ab58011d58d43</citedby><cites>FETCH-LOGICAL-c386t-6bdce70b0e04ac4a8c45961e61b28488bc317c2a8d7bb4683779ab58011d58d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/016558769390009R$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4610252$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8436480$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boswell, J.B.</creatorcontrib><creatorcontrib>Nienhuys, T.G.</creatorcontrib><title>Reflectometric screening for otitis media: inconsistencies in a sample of Australian aboriginal children</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>This paper evaluates reflectometry, or acoustic otoscopy, as an objective test for the mobility of intact tympanic membranes in Australian Aboriginal children, who are a population at high risk for otitis media. Reflectometry, pneumotoscopy and tympanometry were compared in 395 ears in 198 Aboriginal children living in remote communities in Northern Australia. A strong interaction was found between pneumotoscopy and tympanometry (
P < 0.001), there was some interaction between pneumotoscopy and reflectometry (breakpoint 5.0) (
P < 0.05) and there was no significant interaction between reflectometry and tympanometry. Results showed that intea-observer and inter-observer agreement for measures of reflectivity were 0.87 and 0.83, respectively. Unexpected differences between reflectivity measures for right (mean 5.4 units) and left (mean 4.9 units) ears and for different test locations were attributed to procedural artifact or training effects. It was concluded that, despite its practical advantages, reflectometry cannot be recommended as a screening tool for tympanic membrane (TM) immobility in this population.</description><subject>Aboriginal</subject><subject>Acoustic Impedance Tests</subject><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Endoscopy</subject><subject>Ent</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Medical sciences</subject><subject>Middle ear</subject><subject>Northern Territory - epidemiology</subject><subject>Otitis media</subject><subject>Otitis Media - ethnology</subject><subject>Otitis Media - prevention & control</subject><subject>Otolaryngology - instrumentation</subject><subject>Reflectometry</subject><subject>Screening</subject><subject>Training Abstract</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90cuKFDEUBuAgytiOvoFCFiK6qDHpyq1cCMMwF2FgoNF1SFKnZiKppM2pFnx703bTSxchJOfPSfhCyFvOLjjj6nMbspNGq49D_2lgjA3d5hlZcaPXnRFKPCerU-QleYX4kzGumZRn5MyIXgnDVuRpA1OCsJQZlhoDxVABcsyPdCqVliUuEekMY3RfaMyhZIy4QA4RsK2po-jmbQJaJnq5w6W6FF3b9qXGx5hdouEpprFCfk1eTC4hvDnO5-THzfX3q7vu_uH229XlfRd6o5ZO-TGAZp4BEy4IZ4KQg-KguF8bYYwPPddh7cyovRfK9FoPzkvDOB-lGUV_Tj4c-m5r-bUDXOwcMUBKLkPZodVSGtOIWlAcgqEWxAqT3dY4u_rHcmb3wHavZ_d6dujtP2C7acfeHfvvfHM5HTqKtvr7Y91hcGmqrmHhKSYUZ2u5v_3rIQbN4neEarGZ5tCka_sOO5b4_3f8BbiDmHQ</recordid><startdate>1993</startdate><enddate>1993</enddate><creator>Boswell, J.B.</creator><creator>Nienhuys, T.G.</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>1993</creationdate><title>Reflectometric screening for otitis media: inconsistencies in a sample of Australian aboriginal children</title><author>Boswell, J.B. ; Nienhuys, T.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-6bdce70b0e04ac4a8c45961e61b28488bc317c2a8d7bb4683779ab58011d58d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Aboriginal</topic><topic>Acoustic Impedance Tests</topic><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Endoscopy</topic><topic>Ent</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Mass Screening - methods</topic><topic>Medical sciences</topic><topic>Middle ear</topic><topic>Northern Territory - epidemiology</topic><topic>Otitis media</topic><topic>Otitis Media - ethnology</topic><topic>Otitis Media - prevention & control</topic><topic>Otolaryngology - instrumentation</topic><topic>Reflectometry</topic><topic>Screening</topic><topic>Training Abstract</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boswell, J.B.</creatorcontrib><creatorcontrib>Nienhuys, T.G.</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>Boswell, J.B.</au><au>Nienhuys, T.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reflectometric screening for otitis media: inconsistencies in a sample of Australian aboriginal children</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>1993</date><risdate>1993</risdate><volume>25</volume><issue>1</issue><spage>49</spage><epage>60</epage><pages>49-60</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><coden>IPOTDJ</coden><abstract>This paper evaluates reflectometry, or acoustic otoscopy, as an objective test for the mobility of intact tympanic membranes in Australian Aboriginal children, who are a population at high risk for otitis media. Reflectometry, pneumotoscopy and tympanometry were compared in 395 ears in 198 Aboriginal children living in remote communities in Northern Australia. A strong interaction was found between pneumotoscopy and tympanometry (
P < 0.001), there was some interaction between pneumotoscopy and reflectometry (breakpoint 5.0) (
P < 0.05) and there was no significant interaction between reflectometry and tympanometry. Results showed that intea-observer and inter-observer agreement for measures of reflectivity were 0.87 and 0.83, respectively. Unexpected differences between reflectivity measures for right (mean 5.4 units) and left (mean 4.9 units) ears and for different test locations were attributed to procedural artifact or training effects. It was concluded that, despite its practical advantages, reflectometry cannot be recommended as a screening tool for tympanic membrane (TM) immobility in this population.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>8436480</pmid><doi>10.1016/0165-5876(93)90009-R</doi><tpages>12</tpages></addata></record> |
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| ispartof | International journal of pediatric otorhinolaryngology, 1993, Vol.25 (1), p.49-60 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aboriginal Acoustic Impedance Tests Adolescent Biological and medical sciences Child Child, Preschool Endoscopy Ent Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Mass Screening - methods Medical sciences Middle ear Northern Territory - epidemiology Otitis media Otitis Media - ethnology Otitis Media - prevention & control Otolaryngology - instrumentation Reflectometry Screening Training Abstract |
| title | Reflectometric screening for otitis media: inconsistencies in a sample of Australian aboriginal children |
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