Tympanometric Evaluation for Acute Otitis Media in Children

Lee, Geon Joo; Choi, Seok min; Kang, Seon Ho; Kim, Na Yeon; Lee, Sang Cheol; Park, Chun Keun

doi:10.35420/jcohns.1994.5.2.212

J Clin Otolaryngol Head Neck Surg 1994; 5(2):212-218

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1994.5.2.212

원저

소아 급성 중이염 치유의 고실도에 의한 판정

이건주¹, 최석민¹, 강선호¹, 박춘근¹, 이상철², 박춘근²

Tympanometric Evaluation for Acute Otitis Media in Children

Geon Joo Lee¹, Seok min Choi¹, Seon Ho Kang¹, Na Yeon Kim¹, Sang Cheol Lee², Chun Keun Park²

Author Information & Copyright ▼

¹아산재단 해성병원 이비인후과

²인제대학교 의과대학 이비인후과학교실 부산백병원

¹Department of Otolaryngology, Asan Wellfare Foundation Haesung Hospital, Ulsan, Korea

²Department of Otolaryngology, College of Medicine，Inje University, Pusan Path Hospital

© Copyright 1994 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Acute otitis media(AOM) is common health problem among infants and children throughout the world. The goal in treating AOM is to relieve the symptoms as ear pain and fever, to expedite the resolution of middle ear fluid and accompanying conductive hearing loss, and to minimize recurrence, complications and sequelae.

There are many definitions of successful treatment of AOM. Authors used tympanometric results as successful treatment of AOM in 32 patients(42 ears). Tympanometry can be performed in almost all patients and is an object test that does not require voluntary patient response. And authors compared the results of the single frequency, single component tympanometry (conventional tympanometry) and those of the multifrequency multicomponent tympanometry.

The results were obtained as follows:

Tympanographic findings at initial visit were type A in 4 ears, type B in 33 ears and type C in 5 ears among 42 ears.
The cure rate was 70.0% (28/40 ears) based on the only clinical findings and 64.3% (A type = 18/28 ears) in single frequency, single component tympanogram. Of the 18 ears which were recovered to A type on single frequency, single component tympanometry, 9 ears were recovered within 7 days, 15 ears were within 2 weeks, 1 ear was recovered at 3 weeks, and remaining 2 ears were revovered at 4 weeks after treatment.
The accordance rate between the results of single frequency, single component tympanometry and those of multifrequency, multicomponent tympanometry was 61.1%.

These results suggest that multifrequency, multicomponent tympanometry may be more sensitive than single frequency, single component tympanometry for detecting AOM sequelae, and middle ear pathology may persist longer than conventional tympanometry results and clinical findings suggest.

Keywords: Acute otitis media; Clinical findings; Tympanometry (single frequency, multifrequency)