Accuracy of otoscopy, tympanic membrance mobility and tympanometry in the diagnosis of otitis media with effusion

KC, S; Guragain, RPS; Sinha, BK

Publication:
Accuracy of otoscopy, tympanic membrance mobility and tympanometry in the diagnosis of otitis media with effusion

creativeworkseries.issn	ISSN (Print) : 1993-2979 \| ISSN (Online) : 1993-2987
dc.contributor.author	KC, S
dc.contributor.author	Guragain, RPS
dc.contributor.author	Sinha, BK
dc.date.accessioned	2026-06-29T05:27:56Z
dc.date.available	2026-06-29T05:27:56Z
dc.date.issued	2007
dc.description	S. KC Department of Otorhinolaryngology and Head & Neck Surgery, Tribhuvan University, Institute of Medicine, Maharajgunj, Kathmandu, Nepal R.P.S Guragain Department of Otorhinolaryngology and Head & Neck Surgery, Tribhuvan University, Institute of Medicine, Maharajgunj, Kathmandu, Nepal B.K. Sinha Department of Otorhinolaryngology and Head & Neck Surgery, Tribhuvan University, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
dc.description.abstract	Abstract Background: To determine the accuracy of otoscopy, pneumatic otoscopy and tympanometry in the diagnosis of otitis media with effusion. Materials and Methods: A total of 71 patients (121 ears) suffering from Otitis Media with Effusion (OME) diagnosed clinically were subjected to myringotomy and ventilation tube insertion (VTI). The finding of presence of fluid in middle ear after myringotomy was correlated with Tympanic Membrane (TM) color, fluid level, air bubble, TM mobility and tympanometric curve recorded preoperatively. Results: Otoscopic findings revealed pink TM in 78.5%, prominent landmarks in 98.3%, generalized retraction 73.6%, fluid level in 14% and air bubble in 2.5% of cases. On pneumatic otoscopy, decreased or absent mobility was found in 85.1%. Tympanometry with ‘B’ curve was the most sensitive finding (98.9%), whereas pneumatic otoscopy was found to be the most specific amongst all the three tools. Combination of tympanometry with either otoscopy or pneumatic otoscopy or combination of all three modalities was found to be highly significant . Conclusion: Tympanometry is the most sensitive tool for the diagnosis of OME and combination of tympanometry with either otoscopy or pneumatic otoscopy is highly significant. Keywords: otitis media with effusion (OME), pneumatic otoscopy, tympanometry
dc.identifier	https://doi.org/10.59779/jiomnepal.274
dc.identifier.uri	https://hdl.handle.net/20.500.14572/6791
dc.language.iso	en_US
dc.publisher	Institute of Medicine
dc.subject	otitis media with effusion (OME)
dc.subject	pneumatic otoscopy
dc.subject	tympanometry
dc.title	Accuracy of otoscopy, tympanic membrance mobility and tympanometry in the diagnosis of otitis media with effusion
dc.type	Article
dspace.entity.type	Publication
local.article.type	Original Article
oaire.citation.endPage	20
oaire.citation.startPage	17
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