Validity of Tympanometry Versus Myringotomy Findings in Pediatric Middle Ear Effusion
Background and objectives: Otitis media with effusion is a common but treatable cause of hearing impairment in children. It leads to delays in speech acquisition and poor performance at school. Correct diagnosis at an early stage with history and clinical examination and tympanometry is needed We e...
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Kurdistan Higher Council Of Medical Specialties
2023-03-01
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| Series: | Advanced Medical Journal |
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| Online Access: | https://amj.khcms.edu.krd/index.php/main/article/view/144 |
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| author | Dalia Kanan Talib Yousif Ibrahim Al-Chalabi |
| author_facet | Dalia Kanan Talib Yousif Ibrahim Al-Chalabi |
| author_sort | Dalia Kanan Talib |
| collection | DOAJ |
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Background and objectives: Otitis media with effusion is a common but treatable cause of hearing impairment in children. It leads to delays in speech acquisition and poor performance at school. Correct diagnosis at an early stage with history and clinical examination and tympanometry is needed We evaluated the role of tympanometry; type B, flat curve; in predicting middle ear effusion by comparing the findings with those of myringotomies in children with otitis media with effusion.
Methods: This is a prospective case-series study conducted at the department of ENT, Rizgary Teaching Hospital. The test population comprised 39 boys and 21 girls, ages ranged (2years- 12 years). Patients with suspicion of otitis media with effusion underwent tympanom- etry. Its findings were compared with findings of the respective myringotomies. From the data collected sensitivity, specificity, positive predictive value and negative predictive values were estimated
Results: A total of 120 ears from 60 patients were operated. The commonest age group affected by otitis media with effusion was 5-9 years. Type B tympanogram with flat curve and normal canal volume was obtained in 80.0% of the ears. The diagnostic value of tympanometry was; Sensitivity 90.8%, Specificity 68.2%, positive predictive value 92.7%, negative predictive value 62.5%.
Conclusions: Otitis media with effusion is common in age group 5-9 years. We concluded that tympanometry is a valid test providing a high sensitivity, specificity and positive predictive value for middle ear effusion.
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| format | Article |
| id | doaj-art-0054057712f446e787eb6073cb6e0806 |
| institution | OA Journals |
| issn | 2958-8979 2957-3580 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Kurdistan Higher Council Of Medical Specialties |
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| series | Advanced Medical Journal |
| spelling | doaj-art-0054057712f446e787eb6073cb6e08062025-08-20T02:11:58ZengKurdistan Higher Council Of Medical SpecialtiesAdvanced Medical Journal2958-89792957-35802023-03-014110.56056/amj.2018.37145Validity of Tympanometry Versus Myringotomy Findings in Pediatric Middle Ear EffusionDalia Kanan Talib 0Yousif Ibrahim Al-Chalabi1Trainee of KBMS, Otolaryngeology, head and neck surgery, Hawler Training CenterAssistant Professor and Consultant ENT Sulaimani Medical College Background and objectives: Otitis media with effusion is a common but treatable cause of hearing impairment in children. It leads to delays in speech acquisition and poor performance at school. Correct diagnosis at an early stage with history and clinical examination and tympanometry is needed We evaluated the role of tympanometry; type B, flat curve; in predicting middle ear effusion by comparing the findings with those of myringotomies in children with otitis media with effusion. Methods: This is a prospective case-series study conducted at the department of ENT, Rizgary Teaching Hospital. The test population comprised 39 boys and 21 girls, ages ranged (2years- 12 years). Patients with suspicion of otitis media with effusion underwent tympanom- etry. Its findings were compared with findings of the respective myringotomies. From the data collected sensitivity, specificity, positive predictive value and negative predictive values were estimated Results: A total of 120 ears from 60 patients were operated. The commonest age group affected by otitis media with effusion was 5-9 years. Type B tympanogram with flat curve and normal canal volume was obtained in 80.0% of the ears. The diagnostic value of tympanometry was; Sensitivity 90.8%, Specificity 68.2%, positive predictive value 92.7%, negative predictive value 62.5%. Conclusions: Otitis media with effusion is common in age group 5-9 years. We concluded that tympanometry is a valid test providing a high sensitivity, specificity and positive predictive value for middle ear effusion. https://amj.khcms.edu.krd/index.php/main/article/view/144MyringotomyOtitis media with effusionTympanometry |
| spellingShingle | Dalia Kanan Talib Yousif Ibrahim Al-Chalabi Validity of Tympanometry Versus Myringotomy Findings in Pediatric Middle Ear Effusion Advanced Medical Journal Myringotomy Otitis media with effusion Tympanometry |
| title | Validity of Tympanometry Versus Myringotomy Findings in Pediatric Middle Ear Effusion |
| title_full | Validity of Tympanometry Versus Myringotomy Findings in Pediatric Middle Ear Effusion |
| title_fullStr | Validity of Tympanometry Versus Myringotomy Findings in Pediatric Middle Ear Effusion |
| title_full_unstemmed | Validity of Tympanometry Versus Myringotomy Findings in Pediatric Middle Ear Effusion |
| title_short | Validity of Tympanometry Versus Myringotomy Findings in Pediatric Middle Ear Effusion |
| title_sort | validity of tympanometry versus myringotomy findings in pediatric middle ear effusion |
| topic | Myringotomy Otitis media with effusion Tympanometry |
| url | https://amj.khcms.edu.krd/index.php/main/article/view/144 |
| work_keys_str_mv | AT daliakanantalib validityoftympanometryversusmyringotomyfindingsinpediatricmiddleeareffusion AT yousifibrahimalchalabi validityoftympanometryversusmyringotomyfindingsinpediatricmiddleeareffusion |