Scribd Logo
Upload

Welcome to Scribd!

  • 47 views

    Tympanogram: Rebecca Mundahl

    Uploaded by

    Madalina Dutan
    Tympanometry tests the mobility of the eardrum and bones of the middle ear by introducing air pressures into the ear canal. A probe transmits a test tone while varying pressures, and a microphone detects the returning sound. The test provides measurements of ear canal volume, maximum mobility, peak pressure, and curve width. Type A is normal, Type B indicates fluid or stiffness, and Type C shows negative middle ear pressure. Tympanometry is useful for diagnosing ear fluid and distinguishing conductive from sensorineural hearing loss.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Tympanogram: Rebecca Mundahl

    Uploaded by

    Madalina Dutan
    47 views15 pages
    Tympanometry tests the mobility of the eardrum and bones of the middle ear by introducing air pressures into the ear canal. A probe transmits a test tone while varying pressures, and a microphone detects the returning sound. The test provides measurements of ear canal volume, maximum mobility, peak pressure, and curve width. Type A is normal, Type B indicates fluid or stiffness, and Type C shows negative middle ear pressure. Tympanometry is useful for diagnosing ear fluid and distinguishing conductive from sensorineural hearing loss.

    Original Title

    Copy of TympanogramsRebeccaMundahlGroup9

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Tympanometry tests the mobility of the eardrum and bones of the middle ear by introducing air pressures into the ear canal. A probe transmits a test tone while varying pressures, and a microphone detects the returning sound. The test provides measurements of ear canal volume, maximum mobility, peak pressure, and curve width. Type A is normal, Type B indicates fluid or stiffness, and Type C shows negative middle ear pressure. Tympanometry is useful for diagnosing ear fluid and distinguishing conductive from sensorineural hearing loss.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    47 views15 pages

    Tympanogram: Rebecca Mundahl

    Uploaded by

    Madalina Dutan
    Tympanometry tests the mobility of the eardrum and bones of the middle ear by introducing air pressures into the ear canal. A probe transmits a test tone while varying pressures, and a microphone detects the returning sound. The test provides measurements of ear canal volume, maximum mobility, peak pressure, and curve width. Type A is normal, Type B indicates fluid or stiffness, and Type C shows negative middle ear pressure. Tympanometry is useful for diagnosing ear fluid and distinguishing conductive from sensorineural hearing loss.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 15

    Tympanogram

    ENT
    Rebecca Mundahl
    Tympanometry
    • Tympanometry is an exam used to test the
    condition of the middle ear, the mobility of
    the tympanic membrane and the conduction
    bones by creating various air pressures in the
    ear canal
    • It is an objective test of middle-ear function
    that measures the energy transmission
    through the middle ear – not a hearing test
    Using the Tympanometer
    • A pnuematic otoscopic exam should be
    performed prior to visualize particularities of ear
    • The probe of the tympanometer is placed in the
    external ear canal
    • The sound stimulus generator transmits a test
    tone (220hz for adults, 1000hz for children) while
    a vacuum pump introduced positive and negative
    pressures (-400 to +300daPa) into the ear canal
    • A microphone in the instrument detects the
    amount of returning sound
    Data Obtained from Tympanometer
    • The tympanometer collects 4 pieces of data:
    – Estimated volume of air in front of probe
    (equivalent ear canal volume)
    • The range is normal and age dependent
    – Maximum mobility of middle ear system (static
    admittance)
    • Mobility of the membrane is max when air pressures
    are equal of both sides. Static admittance is the
    greatest amount of acoustic energy absorbed by the
    middle ear system – vertical peak on tracing
    Data Obtained from Tympanometer
    – Pressure at which the middle ear system has the
    greatest absorption of sound energy, or mobility
    (Tympanic peak pressure)
    • Value is an estimation of middle ear pressure and is
    normally around 0 – point of horizontal axis where
    vertical peak is highest
    – Width of the Tympanic curve
    • The tympanometer will generate a tympanogram
    tracing of these parameters
    Tympanogram - Types
    • Type A: normal, tent shaped, max compliance
    peak around 0 daPa (-99 to +50daPa)
    – Type As: Reduced compliance, some fluid or
    ossicular fixation that partially reduced mobility
    – Type Ad: Increased compliance, disarticulation of
    bony structures or thinly healed over perforation
    Type A
    Tympanogram - Types
    • Type B: Flattened, clearly abnormal, low static
    admittance
    – Decreased mobility of tympanic membrane due to
    fluid in the middle ear (OME) (normal canal)
    – TM perforation (large canal)
    – Impacted cerumen (small canal)
    – Stiffness from scarring
    – Tympanosclerosis
    – Cholsteatoma
    – Middle ear tumor
    Type B
    Tympanogram - Types
    • Type C: tent shaped, shifted negatively on the
    graph, significant negative pressure inside ear
    – Just prior to resolution of OME
    – Sinus/allergy congestion
    – Eustachian tube dysfunction
    – Inability to aerate middle ear efficiently
    Type C
    Usefulness
    • Mainly used to diagnose Acute Otits Media
    (AOM) and Otitis Media with Effusion (OME)
    by demonstrating effusion
    • Also useful to distinguish sensorineural from
    conductive hearing loss

    You might also like