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Published in: Indian Journal of Otolaryngology and Head & Neck Surgery 3/2013

01-07-2013 | Original Article

High Frequency Tympanometry in Neonates with Normal Otoacoustic Emissions: Measurements and Interpretations

Authors: Arvinder Singh Sood, Charanjit Singh Bons, Gursharan Singh Narang

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 3/2013

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Abstract

Tympanometry is used in evaluating middle ear functional conditions. Before 6 months of age its results may be misleading. High-frequency studies aim to provide more valid procedures. In this study, 236 healthy newborns (127 male, 109 female; 73 % rural, 27 % urban) with age between 0 and 42 days (mean 27 days) no risk for hearing impairment; were analyzed for DPOAE. 209 babies who passed DPOAE were further analyzed for high-frequency tympanometry using Interacoustic AT235h tympanometer, which was possible for 399 ears. The success rate for HFT was 95.3 %. Descriptive statistics for six parameters TPP, Y 200, Y peak, Y tail, YpC-200 and Ypc-tail were analyzed and compared with previous studies. All the parameters except the Ypc-tail were in the range of previous studies.
Literature
1.
go back to reference Alaerts J, Luts H, Wouters J (2007) Evaluation of middle ear function in young children: clinical guidelines for the use of 226- and 1,000-Hz tympanometry. Otol Neuro Otol 28:727–732CrossRef Alaerts J, Luts H, Wouters J (2007) Evaluation of middle ear function in young children: clinical guidelines for the use of 226- and 1,000-Hz tympanometry. Otol Neuro Otol 28:727–732CrossRef
4.
go back to reference Baldwin M (2006) Choice of probe tone and classification of trace patterns in tympanometry undertaken in early infancy. Int J Audiol 45:417–427PubMedCrossRef Baldwin M (2006) Choice of probe tone and classification of trace patterns in tympanometry undertaken in early infancy. Int J Audiol 45:417–427PubMedCrossRef
5.
go back to reference Beery Q, Andrus W, Bluestone C, Cantekin E (1975) Tympanometric pattern classification in relation to middle ear effusion. Ann Otol Rhinol Laryngol 84:56–64PubMed Beery Q, Andrus W, Bluestone C, Cantekin E (1975) Tympanometric pattern classification in relation to middle ear effusion. Ann Otol Rhinol Laryngol 84:56–64PubMed
6.
go back to reference Bluestone C, Klein J (2007) Otitis media in infants and children, 4th edn. BC Decker, Inc, Hamilton Bluestone C, Klein J (2007) Otitis media in infants and children, 4th edn. BC Decker, Inc, Hamilton
7.
go back to reference Boone R, Bowers C, Martin P (2005) Failed newborn hearing screens as presentation for otitis media with effusion in the newborn population. Int J Pediatr Otorhinolaryngol 69:393–397PubMedCrossRef Boone R, Bowers C, Martin P (2005) Failed newborn hearing screens as presentation for otitis media with effusion in the newborn population. Int J Pediatr Otorhinolaryngol 69:393–397PubMedCrossRef
8.
go back to reference Doyle K, Burggraaff B, Fujikawa S, Macarthur C (1997) Neonatal hearing screening with otoscopy, auditory brain stem response, and otoacoustic emissions. Otolaryngol Head Neck Surg 116:597–603PubMedCrossRef Doyle K, Burggraaff B, Fujikawa S, Macarthur C (1997) Neonatal hearing screening with otoscopy, auditory brain stem response, and otoacoustic emissions. Otolaryngol Head Neck Surg 116:597–603PubMedCrossRef
9.
go back to reference Finitzo T, Friel-Patti S, Chinn K, Brown O (1992) Tympanometry and otoscopy prior to myringotomy: issues in diagnosis of otitis media. Int J Pediatr Otorhinolaryngol 24:101–110PubMedCrossRef Finitzo T, Friel-Patti S, Chinn K, Brown O (1992) Tympanometry and otoscopy prior to myringotomy: issues in diagnosis of otitis media. Int J Pediatr Otorhinolaryngol 24:101–110PubMedCrossRef
10.
go back to reference Gaihede M, Marker F (1998) Agreement between two tympanometers: a methodological study of instrument comparison. Scand Audiol 27(2):113–119 Gaihede M, Marker F (1998) Agreement between two tympanometers: a methodological study of instrument comparison. Scand Audiol 27(2):113–119
11.
go back to reference Himelfarb MZ, Popelka GR, Shanon E (1979) Tympanometry in normal neonates. J Speech Hear Res 22:179–191 Himelfarb MZ, Popelka GR, Shanon E (1979) Tympanometry in normal neonates. J Speech Hear Res 22:179–191
12.
go back to reference Harris PK, Hutchison KM, Moravec J (2005) The use of tympanometry and pneumatic otoscopy for predicting middle ear disease. Am J Audiol 14:3–13PubMedCrossRef Harris PK, Hutchison KM, Moravec J (2005) The use of tympanometry and pneumatic otoscopy for predicting middle ear disease. Am J Audiol 14:3–13PubMedCrossRef
13.
go back to reference Holte L, Margolis RH, Cavanaugh R (1991) Developmental changes in multifrequency tympanograms. Audiology 30:1–24PubMedCrossRef Holte L, Margolis RH, Cavanaugh R (1991) Developmental changes in multifrequency tympanograms. Audiology 30:1–24PubMedCrossRef
14.
go back to reference Keefe DH, Bulen JC, Arehart KH, Burns EM (1993) Ear-canal impedance and reflection coefficient in human infants and adults. J Acoust Soc Am 94:2617–2638PubMedCrossRef Keefe DH, Bulen JC, Arehart KH, Burns EM (1993) Ear-canal impedance and reflection coefficient in human infants and adults. J Acoust Soc Am 94:2617–2638PubMedCrossRef
15.
go back to reference Kei J, Allison-Levick J, Dockray J, Harrys R, Kirkegard C, Wong J, Maurer M, Hegarty J, Young J, Tudehope D (2003) High-frequency (1000 Hz) tympanometry in normal neonates. J Am Acad Audiol 14:20–28PubMedCrossRef Kei J, Allison-Levick J, Dockray J, Harrys R, Kirkegard C, Wong J, Maurer M, Hegarty J, Young J, Tudehope D (2003) High-frequency (1000 Hz) tympanometry in normal neonates. J Am Acad Audiol 14:20–28PubMedCrossRef
16.
go back to reference Kenna MA (1990) Embryology and developmental anatomy of the ear. In: Bluestone CD, Stool SE, Sheetz MD (eds) Pediatric otolaryngology, 2nd edn. Saunders, Philadelphia Kenna MA (1990) Embryology and developmental anatomy of the ear. In: Bluestone CD, Stool SE, Sheetz MD (eds) Pediatric otolaryngology, 2nd edn. Saunders, Philadelphia
17.
go back to reference Lyra e Silva Kde A, Novaes Bde A, Lewis DR, Carvallo RM (2007) Tympanometry in neonates with normal otoacoustic emissions: measurements and interpretation. Rev Bras Otorrinolaringol 73(5):633–639 Lyra e Silva Kde A, Novaes Bde A, Lewis DR, Carvallo RM (2007) Tympanometry in neonates with normal otoacoustic emissions: measurements and interpretation. Rev Bras Otorrinolaringol 73(5):633–639
18.
go back to reference Margolis RH, Bass-Ringdahl S, Hanks WD, Holte L, Zapala DA (2003) Tympanometry in newborn infants: 1 kHz norms. J Am Acad Audiol 14:383–392PubMed Margolis RH, Bass-Ringdahl S, Hanks WD, Holte L, Zapala DA (2003) Tympanometry in newborn infants: 1 kHz norms. J Am Acad Audiol 14:383–392PubMed
19.
go back to reference Mazlan R, Kei J, Hickson L, Stapleton C, Grant S, Lim S, Linning R, Gavranich J (2007) High-frequency immittance findings: newborn versus six-week-old infants. Int J Audiol 46:711–717PubMedCrossRef Mazlan R, Kei J, Hickson L, Stapleton C, Grant S, Lim S, Linning R, Gavranich J (2007) High-frequency immittance findings: newborn versus six-week-old infants. Int J Audiol 46:711–717PubMedCrossRef
20.
go back to reference McKinley AM, Grose JH, Roush J (1997) Multi-frequency tympanometry and evoked otoacoustic emissions in neonates during the first 24 hours of life. J Am Acad Audiol 8(218):23 McKinley AM, Grose JH, Roush J (1997) Multi-frequency tympanometry and evoked otoacoustic emissions in neonates during the first 24 hours of life. J Am Acad Audiol 8(218):23
21.
go back to reference Mills RP (1987) Persistent middle ear effusions in children with recurrent acute otitis media. Clin Otolaryngol 12:97–101PubMedCrossRef Mills RP (1987) Persistent middle ear effusions in children with recurrent acute otitis media. Clin Otolaryngol 12:97–101PubMedCrossRef
22.
go back to reference Moody S, Alper C, Doyle W (1998) Daily tympanometry in children during the cold season: association of otitis media with upper respiratory tract infections. Int J Pediatr Otorhinolaryngol 45(2):143–150 Moody S, Alper C, Doyle W (1998) Daily tympanometry in children during the cold season: association of otitis media with upper respiratory tract infections. Int J Pediatr Otorhinolaryngol 45(2):143–150
23.
go back to reference Paradise JL, Smith CG, Bluestone CD (1976) Tympanometric detection of middle ear effusion in infants and young children. Pediatrics 58:198–210PubMed Paradise JL, Smith CG, Bluestone CD (1976) Tympanometric detection of middle ear effusion in infants and young children. Pediatrics 58:198–210PubMed
24.
go back to reference Purdy SC, Williams MJ (2000) High frequency tympanometry: A valid and reliable immittance test protocol for young infants? New Z Audiol Soc Bull 10:9–24 Purdy SC, Williams MJ (2000) High frequency tympanometry: A valid and reliable immittance test protocol for young infants? New Z Audiol Soc Bull 10:9–24
25.
go back to reference Rhodes MC, Margolis RH, Hirsch JE, Napp AP (1999) Hearing screening in the newborn intensive care nursery: comparison of methods. Otolaryngol Head Neck Surg 120:799–808PubMedCrossRef Rhodes MC, Margolis RH, Hirsch JE, Napp AP (1999) Hearing screening in the newborn intensive care nursery: comparison of methods. Otolaryngol Head Neck Surg 120:799–808PubMedCrossRef
26.
go back to reference Swanepoel DW, Werner S, Hugo R, Louw B, Owen R, Swanepoel A (2007) High frequency immittance for neonates: a normative study. Acta Otolaryngol 127:49–56PubMedCrossRef Swanepoel DW, Werner S, Hugo R, Louw B, Owen R, Swanepoel A (2007) High frequency immittance for neonates: a normative study. Acta Otolaryngol 127:49–56PubMedCrossRef
27.
go back to reference Shurin PA, Pelton SI, Finkelstein J (1977) Tympanometry in the diagnosis of middle-ear effusion. N Engl J Med 296:412–417PubMedCrossRef Shurin PA, Pelton SI, Finkelstein J (1977) Tympanometry in the diagnosis of middle-ear effusion. N Engl J Med 296:412–417PubMedCrossRef
28.
29.
go back to reference Williams MJ, Purdy SC, Barber C (1995) High frequency probe tone tympanometry in infants with middle ear effusion. Aust J Otolaryngol 2:169–173 Williams MJ, Purdy SC, Barber C (1995) High frequency probe tone tympanometry in infants with middle ear effusion. Aust J Otolaryngol 2:169–173
Metadata
Title
High Frequency Tympanometry in Neonates with Normal Otoacoustic Emissions: Measurements and Interpretations
Authors
Arvinder Singh Sood
Charanjit Singh Bons
Gursharan Singh Narang
Publication date
01-07-2013
Publisher
Springer India
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 3/2013
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-012-0554-1

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