Author/Authors :
Karlı, Rıfat Ondokuz Mayıs Üniversitesi - Tıp Fakültesi - KBB ve Baş Boyun Cerrahisi Anabilim Dalı, Türkiye , Karlı, Arzu Ondokuz Mayıs University - Faculty of Medicine - Division of Pediatric Infectious Diseases, Turkey , Aksoy, Ahmet Ondokuz Mayıs Üniversitesi - Tıp Fakültesi - Kulak Burun Boğaz Anabilim Dalı, Turkey , Açıkgöz, Sevil Ondokuz Mayıs Üniversitesi - Çocuk Enfeksiyon Kliniği, Türkiye , Ayhan, Emre Ondokuz Mayıs Üniversitesi - Çocuk Enfeksiyon Kliniği, Türkiye
Abstract :
Objective: The aim of this study was to investigate the role of tympanogram test in routine use comparing the tympanogram findings and otoscopic examination findings in patients with suspicious otitis media with effusion. Materials and methods: 64 outpatients with suspicious otitis media with effusion presented at our Otorhinolaryngology clinic and first otoscopic examination and then tympanometric examination was performed for their 128 ears. Predictions of the physicians who performed otoscopic examination for outcomes from tympanogram and actual tympanogram outcomes were compared. Results: Predictions of the physician for otoscopic examination were different from tympanogram outcomes in 22.6 percent (n=29) of 128 otoscopic examinations in total. However, the physician predicted Type A tympanogram suggesting no effusion in only four of these otoscopic examinations yet Type B or Type C outcomes suggesting existence of effusion were obtained from tympanogram. Conclusion: Application of tympanogram test routinely as part of otologic examination to each patient is a cause of material loss. Our first choice should be otoscopic examination.
