Diagnostic value of tympanometry in infants in clinical practice.

Abstract:

:One hundred and twenty-one visits of 58 infants (2-11 months of age) were evaluated in the Finnish Otitis Media Vaccine Trial. Infants were examined with tympanometry (Grason-Stadler GSI 38 Autotymp) and pneumatic otoscopy by one study doctor. Diagnosis of otitis media was verified by myringotomy in 74% of cases. Tympanometry was technically successful in 94% of ears. The success rate was statistically significantly higher (P < 0.05) among infants less than 7 months of age than those above 7 months. The sensitivity of tympanometry (type B) to detect ears with middle ear fluid was 0.70 and the specificity 0.98 with a positive predictive value of 0.93 and negative predictive value of 0.94. The sensitivity was somewhat lower in the younger age group (0.61); specificity and positive and negative predictive values were good in both age groups. The high success rate and high negative and positive predictive values of tympanometry make it a useful aid for assuring the correct diagnosis of otitis media in infants in routine clinical practice.

authors

Palmu A,Puhakka H,Rahko T,Takala AK

doi

10.1016/s0165-5876(99)00207-4

subject

Has Abstract

pub_date

1999-08-20 00:00:00

pages

207-13

issue

3

eissn

0165-5876

issn

1872-8464

pii

S0165587699002074

journal_volume

49

pub_type

杂志文章
  • Young cochlear implant users' auditory development as measured and monitored by the LittlEARS® Auditory Questionnaire: a Turkish experience.

    abstract:OBJECTIVE:This study aims to assess the usefulness of the LittlEARS(®) Auditory Questionnaire (LEAQ) in determining the audiological development of Turkish children who have received a cochlear implant. METHODS:20 children received a cochlear implant before their 3rd birthday. Each child's progress was evaluated with ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2013.05.036

    authors: Kosaner J,Sonuguler S,Olgun L,Amann E

    更新日期:2013-08-01 00:00:00

  • Patterns of Internet and smartphone use by parents of children attending a pediatric otolaryngology service.

    abstract:OBJECTIVES:To assess Internet use and the influence of smartphones on health-information seeking by parents and carers of children with ENT conditions. METHODS:A paper-based questionnaire was circulated to parents attending otolaryngology services in both the out-patient and day-case settings at a tertiary referral ce...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2013.01.021

    authors: Glynn RW,O'Duffy F,O'Dwyer TP,Colreavy MP,Rowley HM

    更新日期:2013-05-01 00:00:00

  • Development and characterization of a pooled Haemophilus influenzae genomic library for the evaluation of gene expression changes associated with mucosal biofilm formation in otitis media.

    abstract:UNLABELLED:Haemophilus influenzae is one of the most important respiratory pathogens of man. It has been etiologically associated with otitis media, otorrhea, and chronic obstructive pulmonary disease. Identification of new genomic elements will provide novel targets to fight chronic infections caused by this organism....

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(03)00093-4

    authors: Erdos G,Sayeed S,Antalis P,Hu FZ,Hayes J,Goodwin J,Dopico R,Post JC,Ehrlich GD

    更新日期:2003-07-01 00:00:00

  • Initial experience from a multidisciplinary pediatric salivary gland disorder clinic.

    abstract:OBJECTIVE:This study is the first in the literature to characterize and detail the clinical and surgical experience of one of the few multidisciplinary salivary gland disorder clinics in North America. METHODS:This is a retrospective chart review of a descriptive nature, including patient information from February 201...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2015.06.038

    authors: Ali SA,Haney J,Payne L,Grischkan JM

    更新日期:2015-09-01 00:00:00

  • Pediatric head and neck bone sarcomas: An analysis of 204 cases.

    abstract:OBJECTIVES:To analyze the demographics, survival, and treatment efficacy of pediatric sarcomas of the facial skeleton and skull. METHODS:Retrospective study of cases from the US National Cancer Institute's Surveillance, Epidemiology, and End Results database. Pediatric patients between the ages of 0 and 18 diagnosed w...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2017.06.003

    authors: Brady JS,Chung SY,Marchiano E,Eloy JA,Baredes S,Park RCW

    更新日期:2017-09-01 00:00:00

  • Problems in speech sound production in young children. An inventory study of the opinions of speech therapists.

    abstract:OBJECTIVE:Analysis of examination procedure and diagnosis of articulation problems by speech therapists. STUDY DESIGN:Survey study. MATERIALS AND METHODS:Eighty-five Dutch speech therapists (23% response), working in private practises or involved in language screening procedures in Youth Health Care, were questioned ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2009.04.014

    authors: Priester GH,Post WJ,Goorhuis-Brouwer SM

    更新日期:2009-08-01 00:00:00

  • Endoscopic percutaneous suture lateralization for neonatal bilateral vocal fold immobility.

    abstract:OBJECTIVE:Bilateral vocal-fold immobility (BFVI) is a rare but significant cause of severe respiratory distress in neonates. The primary aim of treatment is to provide an adequate airway while minimizing adverse effects such as aspiration and dysphonia. Our objective here is to describe the outcomes of a series of neon...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2018.02.032

    authors: Montague GL,Bly RA,Nadaraja GS,Conrad DE,Parikh SR,Chan DK

    更新日期:2018-05-01 00:00:00

  • Unusual laryngeal cysts in the newborn.

    abstract::In the newborn, severe airway obstruction is a rare occurrence. The possible etiologies include a broad spectrum of diseases with laryngeal cysts an unusual cause. If diagnosed and properly managed, however, the prognosis for this entity is excellent. Three cases presenting with airway obstruction secondary to unusual...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/0165-5876(96)01407-3

    authors: Forte V,Warshawski J,Thorner P,Conley S

    更新日期:1996-11-01 00:00:00

  • Difference of antrochoanal polyp between children and adults.

    abstract:OBJECTIVE:The purpose of this study was to review the clinical characteristics of the antrochoanal polyp (ACP) and to compare the differences between children and adults. PATIENTS AND METHODS:This study was performed in 56 patients who underwent endoscopic surgery for ACP between 2004 and 2014. The study population wa...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2016.03.004

    authors: Lee DH,Yoon TM,Lee JK,Lim SC

    更新日期:2016-05-01 00:00:00

  • Simulation-based education to improve emergency management skills in caregivers of tracheostomy patients.

    abstract:INTRODUCTION:Children with tracheostomies are medically complex and may be discharged with limited and variably trained home nursing support. When faced with emergencies at home, caregivers must often take the lead role in management, and many lack experience with troubleshooting these emergencies prior to initial disc...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2019.01.020

    authors: Prickett K,Deshpande A,Paschal H,Simon D,Hebbar KB

    更新日期:2019-05-01 00:00:00

  • Congenital dacryocystocele: is there a familial predisposition?

    abstract::Congenital impatency of the nasolacrimal drainage system is relatively common. Dacryocystocele formation is an infrequent variant of such congenital nasolacrimal duct obstruction (NLDO). Congenital dacryocystocele typically manifests as a mass in the medial canthal region; alternatively the nasolacrimal expansion may ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2010.11.026

    authors: Wang JC,Cunningham MJ

    更新日期:2011-03-01 00:00:00

  • Nutritional supplements as adjunctive therapy for children with chronic/recurrent sinusitis: pilot research.

    abstract:OBJECTIVE:Inflammation and edema of the sinonasal mucosa are important in the pathophysiology of sinusitis. Based on the similarities between otitis media (OM) and sinusitis, and our previous research on OM, we hypothesized that nutritional supplements would be effective adjunctive therapy for the treatment of children...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.ijporl.2004.01.009

    authors: Linday LA,Dolitsky JN,Shindledecker RD

    更新日期:2004-06-01 00:00:00

  • Rigid endoscope-assisted orotracheal intubation for vallecular cyst surgery in neonates and young infants.

    abstract:OBJECTIVES:To investigate the outcomes of rigid endoscope-assisted orotracheal intubation (REI) in neonates and young infants with difficult airway conditions as an alternative intubation technique when more specific airway instruments are not available in most developing countries, and to evaluate the safety and advan...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2018.04.023

    authors: Tan H,Huang Q,Paul A,Wang W,Li J,Jia H

    更新日期:2018-07-01 00:00:00

  • Auditory neuropathy in siblings with Waardenburg's syndrome.

    abstract::We report two siblings with a family history of Waardenburg's syndrome (WS) for whom the audiological profile corresponds to auditory neuropathy (AN). They have; (1) bilateral severe to profound hearing loss, (2) robust oto-acoustic emissions (OAEs) in both ears, and (3) no auditory evoked responses at 95 dBnHL bilate...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(03)00200-3

    authors: Jutras B,Russell LJ,Hurteau AM,Chapdelaine M

    更新日期:2003-10-01 00:00:00

  • Peritonsillar abscess in children in the southern district of Israel.

    abstract:OBJECTIVE:Peritonsillar abscess is the most common deep neck infection and still provides a challenge to care givers in terms of diagnosis and treatment in the pediatric population. This study reviews our experience over the years 2004-2007 at the Soroka University Medical Center in the southern district of Israel in t...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2009.04.021

    authors: Segal N,El-Saied S,Puterman M

    更新日期:2009-08-01 00:00:00

  • Pass/fail criteria in screening for otitis media in children with learning disorders.

    abstract::A group of 75 children with language/learning disorders were screened for middle ear problems using serial tympanometry and otoscopy. Using a fail criterion of -200 mm H2O for tympanometry, 68% of the ears identified as pathological by otoscopy were identified by two serial tympanometry screens. The concurrence of oto...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(83)80116-5

    authors: Dermody P,Curotta J,Mackie K

    更新日期:1983-11-01 00:00:00

  • The effectiveness of nasal saline irrigation (seawater) in treatment of allergic rhinitis in children.

    abstract:OBJECTIVE:To evaluate the effect of nasal saline irrigation in the treatment of allergic rhinitis (AR) in children and to assess whether nasal saline irrigation could be used as a complementary therapy for AR in children in combination with the intranasal corticosteroids (INS). METHOD:In total, 61 children with AR wer...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ijporl.2014.04.026

    authors: Chen JR,Jin L,Li XY

    更新日期:2014-07-01 00:00:00

  • Gene expression profiles of early pneumococcal otitis media in the rat.

    abstract:OBJECTIVE:To define the gene expression patterns during the early phases of a bacterial middle ear infection in the rat model. METHOD:Using cDNA gene array technology, we profiled the mRNA expression of 1176 genes in a rat model of acute otitis media. We identified changes in gene expression two-fold or greater 12 and...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2005.03.033

    authors: Chen A,Li HS,Hebda PA,Zeevi A,Swarts JD

    更新日期:2005-10-01 00:00:00

  • Temporal bone histopathologic findings in a case of interstitial deletion of the long arm of chromosome 2 [del(2) (q31q33)].

    abstract::The temporal bones of a 24-day-old female neonate with an interstitial deletion of the long arm of chromosome 2 [del(2)(q31q33)] were studied histopathologically, focusing mainly on the inner ear. This is, to our knowledge, the first report of a temporal bone study in a case of this chromosomal aberration. The abnorma...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(99)00003-8

    authors: Kondo K,Kaga K,Ogawa Y,Fukushima Y

    更新日期:1999-04-25 00:00:00

  • Reliability of pediatric reach test in children with hearing impairment.

    abstract:OBJECTIVE:The objective of this study was to evaluate the reliability of pediatric reach test in children with hearing impairment. METHODS:A total of 65 hearing impaired children completed the standing section of PRT. Two raters evaluated all the included children in standing section of PRT on two separate occasions. ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2012.02.068

    authors: Rajendran V,Roy FG,Jeevanantham D

    更新日期:2012-06-01 00:00:00

  • Persistent petrosquamosal sinus: underlying cause of otitic hydrocephalus with lateral sinus thrombosis.

    abstract::Lateral sinus thrombosis (LST) occurs when a middle ear infection disseminates directly via bone erosion or disseminates indirectly through the venous networks. The petrosquamosal sinus (PSS) is the residual accessory dural sinus connecting intracranial to extracranial drainage. This report describes a case of a patie...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijporl.2013.08.034

    authors: Inokuchi G,Tsutsumi N,Komatsu H,Fujita T,Sawada N,Kumoi K

    更新日期:2013-11-01 00:00:00

  • Brainstem evoked response audiometry in the premature infant population.

    abstract::Auditory brainstem response (ABR) audiometry was performed on 76 non-selected premature infants from 32 to 40 weeks conceptional age. Follow-up ABR was completed on 45 infants at 4 months of age. The results were compared to data from selected, relatively low risk infants of comparable age. No significant differences ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/0165-5876(81)90005-7

    authors: Cox LC,Hack M,Metz DA

    更新日期:1981-09-01 00:00:00

  • Nontuberculous mycobacterial cervicofacial lymphadenitis--a review and proposed classification system.

    abstract:OBJECTIVE:To describe a clinical staging system for nontuberculous mycobacterial (NTM) cervicofacial lymphadenitis that has both diagnostic and therapeutic implications. METHODS:A Medline database search was performed using key words "nontuberculous mycobacteria". All articles pertaining to nontuberculous mycobacteria...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijporl.2011.09.018

    authors: Penn R,Steehler MK,Sokohl A,Harley EH

    更新日期:2011-12-01 00:00:00

  • Diagnostic tools in pseudohypacusis in children.

    abstract::Pseudohypacusis is the term used for a non-organic or functional hearing loss. The mainstay of diagnosis is a lack of consistency in audiological testing. It is usually easier to diagnose in children than in adults, as children are less able to reproduce consistently erroneous results on repeated testing. Nevertheless...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2005.03.039

    authors: Saravanappa N,Mepham GA,Bowdler DA

    更新日期:2005-09-01 00:00:00

  • What parents are reading about laryngomalacia: Quality and readability of internet resources on laryngomalacia.

    abstract:OBJECTIVE:The goal of this study is to measure the quality and readability of websites related to laryngomalacia, and to compare the quality and readability scores for the sites accessed through the most popular search engines. INTRODUCTION:Laryngomalacia is a common diagnosis in children but is often difficult for pa...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2018.02.036

    authors: Corredera E,Davis KS,Simons JP,Jabbour N

    更新日期:2018-05-01 00:00:00

  • ENG findings of shunt-treated hydrocephalus in children.

    abstract::Thirty-eight hydrocephalic children (mean age 11.5 years; range 5.1-17.9) were examined on average 7.9 years after initial shunting. The etiology of the hydrocephalus was divided into 5 groups: perinatal intraventricular hemorrhage 14, congenital obstructive hydrocephalus 14, central nervous system infections 4, intra...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/0165-5876(92)90077-3

    authors: Löppönen H,Sorri M,Serlo W,von Wendt L

    更新日期:1992-01-01 00:00:00

  • Modest benefit of frenotomy for infants with ankyloglossia and breastfeeding difficulties.

    abstract:INTRODUCTION:With nationwide effort to increase breastfeeding rates in newborns and infants in recent years, there has been a dramatic increase in the diagnosis of ankyloglossia, and the resultant otolaryngology referral for frenotomy. Overall, there is a paucity of data on the expected benefit of frenotomy in this pop...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2020.109985

    authors: Bundogji N,Zamora S,Brigger M,Jiang W

    更新日期:2020-06-01 00:00:00

  • Myringoplasty in children with cleft palate and craniofacial anomaly.

    abstract:OBJECTIVES:Analyze the anatomical and audiological success rates of myringoplasty in children with craniofacial anomaly, cleft palate and compare them to a control group. METHODS:Retrospective review of medical records for all children who underwent myringoplasty between 1997 and 2007. The following data was recorded:...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2011.11.021

    authors: Knapik M,Saliba I

    更新日期:2012-02-01 00:00:00

  • 500Hz logon versus click ABR maturation.

    abstract:OBJECTIVES:To provide age-equivalent norms for a 500Hz logon evoked ABR obtained in a group of children ranging 40 weeks-4 years old and compare these 500Hz tonal norms to age-equivalent norms for click-evoked ABR. METHODS:Seventy-seven infants and children ranging from conceptional age of 40 weeks (term babies) to 4 ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2007.01.016

    authors: Külekçi S,Terlemez S,Ciprut A,Akdaş F

    更新日期:2007-05-01 00:00:00

  • Dimensions of internal jugular veins in Turkish children aged between 0 and 6 years in resting state and during Valsalva maneuver.

    abstract:OBJECTIVE:We aimed to establish the values of the internal jugular vein (IJV) sizes in Turkish children aged between 0 and 6 years. METHODS:Ninety-four normal children included in this study. All of the children were imaged by ultrasonography (USG) at the level of the cricoid cartilage. The maximal antero-posterior (A...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2007.04.016

    authors: Karazincir S,Akoğlu E,Balci A,Sangün O,Okuyucu S,Ozbakiş C,Karazincir O

    更新日期:2007-08-01 00:00:00