Diagnostic value of microtympanometry in primary care.
- 11 January 1992
- Vol. 304 (6819) , 96-98
- https://doi.org/10.1136/bmj.304.6819.96
Abstract
OBJECTIVE--To determine the reliability, validity, and feasibility of a new hand held microtympanometer. DESIGN--Comparison of microtympanometry by two independent observations of a general practitioner and a nurse, and against a validated reference instrument. SETTING--Primary care health centre of a school for the deaf in the United States. SUBJECTS--111 schoolchildren receiving a regular check up. MAIN OUTCOME MEASURES--Tympanometry with the Grason Stadler 28, classified with a slightly modified Jerger's classification. RESULTS--Interobserver reliability was 0.95 (Cohen's kappa). Results of microtympanometry were highly comparable with results of the reference instrument (likelihood ratio of positive results, 161.2). CONCLUSIONS--The microtympanometer could be used in general practice: it is hand held, child friendly, easy to handle, and accurate.Keywords
This publication has 12 references indexed in Scilit:
- Otitis media with effusion in childrenThe Lancet, 1990
- A randomised controlled trial of surgery for glue ear.BMJ, 1990
- The occurrence of otitis media with effusion in Dutch pre-school childrenClinical Otolaryngology, 1990
- Epidemiology of Otitis Media and the Role of the General Practitioner in ManagementFamily Practice, 1988
- Persistent effusion following acute otitis media: tympanometry and pneumatic otoscopy in diagnosis.1988
- Screening Tympanometry: Criteria for Medical ReferralInternational Journal of Audiology, 1987
- Predictive Value of Tympanometry in Middle Ear EffusionAnnals of Otology, Rhinology & Laryngology, 1986
- Study of middle ear disease using tympanometry in general practice.BMJ, 1985
- Otitis media with effusion in preschool children.The Laryngoscope, 1985
- Design Factors in the Characterization and Identification of Otitis Media and Certain Related ConditionsAnnals of Otology, Rhinology & Laryngology, 1979