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J Audiol Otol > Epub ahead of print
DOI: https://doi.org/10.7874/jao.2021.00633    [Epub ahead of print] Published online May 12, 2022.
Can Wideband Tympanometry Predict the Prognosis of Otitis Media With Effusion?
Mehmet Ilhan Şahin1  , Duygu Demirkan Özyürek2  , Alperen Vural1  , Gökmen Zararsız3  , Ibrahim Ketenci1  , Yaşar Ünlü1 
1Department of Otorhinolaryngology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
2Department of Otorhinolaryngology, Kayseri Education and Research Hospital Kayseri, Kayseri, Turkey
3Department of Biostatistics, Erciyes University, Kayseri, Turkey
Correspondence  Mehmet Ilhan Şahin ,Tel: +90 532 7626210, Fax: +90 352 4375273, Email: misahin@yahoo.com
Submitted: November 3, 2021  Accepted after revision: March 12, 2022
Abstract
Background and Objectives
This study aims to evaluate the capacity of wideband tympanometry (WBT) in predicting the prognosis of otitis media with effusion (OME).
Subjects and Methods
Sixty-one ears with effusion and 30 healthy ears of children were enrolled. The patients were followed up monthly using WBT. After the completion of measurements, the ears were separated into four groups according to the duration of recovery; Group 1: Good prognosis (≤1-month, n=18), Group 2: Worse prognosis (>1-month, n=29), Group 3: Surgical (no recovery, n=14), and Group 4: Control (healthy ears, n=30). Tympanometric peak pressure (TPP), resonance frequency (RF), and absorbance levels were compared within and between the groups.
Results
The TPP and RF values of the study group were lower than those of the controls (p<0.001). The ears with OME had lower absorbance measures than the controls at all frequencies; the differences were significant at 250, 500, and 1,000 Hz (p<0.001). However, at 2,000 Hz, the absorbance levels of the ears with OME were similar with those of the control group only in the good prognosis group (p>0.05). The receiver-operating characteristic analysis revealed that absorbance measures over 0.237 and 0.311 at 1,000 Hz and 2,000 Hz, respectively, have sensitivities and specificities over 70% for prediction of good prognosis, and the calculated odd ratio for these measures were 6 (p<0.05).
Conclusions
WBT measurement is promising in predicting the recovery of OME in children.
Keywords: Middle ear; Otitis media; Hearing loss; Tympanometry; Prognosis


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