title: Characteristics of the type B tympanogram can predict the magnitude of the air-bone gap in otitis media with effusion.
abstract: Tympanometry is well established as a means of assessing the presence of fluid in the middle ear. The type B tympanogram is usually considered a unique entity. However, its shape may vary from a rounded type B with a "pseudopeak" to a completely flat response. The aim of this study was to compare the characteristics of the B curve (maximum admittance, tympanometric peak pressure, and area under the curve) to the viscosity of the middle ear fluid and to the air-bone gap (ABG). In 67 children (93 ears) who underwent ventilation tube insertion, no correlation was found between the viscosity of the middle ear fluid and the characteristics of the B curve. However, these characteristics were able to differentiate between a low ABG (0 to 20 dB) and a high ABG (>20 dB). A statistical difference was also found for the three parameters (maximum admittance, p < .0025; pressure, p < .025; and area under the curve, p < .0005). Tympanometry may be used as an objective measure to estimate the extent of conductive hearing loss, especially in young children.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Hadassah University Hospital, Jerusalem, Israel.
authors.forename: Jean-Yves
authors.initials: JY
authors.lastname: Sichel
authors.forename: Yerucham
authors.initials: Y
authors.lastname: Priner
authors.forename: Samuel
authors.initials: S
authors.lastname: Weiss
authors.forename: Haya
authors.initials: H
authors.lastname: Levi
authors.forename: Gregory
authors.initials: G
authors.lastname: Barshtein
authors.forename: Ron
authors.initials: R
authors.lastname: Eliashar
authors.forename: Josef
authors.initials: J
authors.lastname: Elidan
mesh_terms: D000158:Acoustic Impedance Tests / Q000379:methods*; D019540:Area Under Curve; D001299:Audiometry; D001844:Bone Conduction / Q000502:physiology*; D002648:Child; D006314:Hearing Loss, Conductive / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008876:Middle Ear Ventilation; D010034:Otitis Media with Effusion / Q000150:complications* / Q000503:physiopathology; D011312:Pressure; D013067:Speech Perception / Q000502:physiology; D014783:Viscosity