title: Open-ended tympanometric screening: A new concept.
abstract: We introduce the concept of open-ended, successive-day, tympanometric screening. In impedance screening of children for middle ear disorders, there is a serious risk of over-referral if decisions are made on the basis of a single tympanogram. Serial tympanometric studies of Australian aboriginal children show that, whereas the type B tympanogram is usually stable, type A and type C patterns are prone to vary from day to day, inviting inappropriate referral decisions unless the classifications are confirmed by tests on successive days.
mesh_terms: D000293:Adolescent; D001299:Audiometry / Q000379:methods* / Q000592:standards; D002648:Child; D006311:Hearing Disorders / Q000175:diagnosis*; D006801:Humans; D013997:Time Factors; D014432:Tympanic Membrane