Diagnostic Accuracy of Tympanogram in Pediatric patients with Otitis Media with Effusion Taking Myringotomy findings As Gold Standard

Aim: To determine the diagnostic accuracy of tympanogram for diagnosis otitis media with effusion in patients conductive hearing loss. Study design: Cross-sectional study Setting: Department ENT, Benazir Bhutto Hospital Rawalpindi. Duration dates: The was carried out over six months from 24-05-2018 to 23-11-2018. Methods: conducted on 150 patients. Clinical examination all done OME, then tympanograms were recorded and underwent myringotomy. OME myringotomy recorded. Results: average age 6.4±2.0 years. included 76 males (50.7%) 74 females (49.3%). averagelengthof disease (OME) is 18.5±10.3 months. Diagnostic findings taking as gold standard showeda sensitivity 99.2%, specificity 70%, a positive predictive value 97.8%, negative 87.5% an 97.3%. Stratification regard age, gender duration also out. This will help start early medication may us minimize number surgeries i.e. Conclusion: In conclusion, frequent group 6-12 children aged 2-12 years can be diagnosed using tympanometry more accurately. However, clinical other supportive audiological tests are necessary ultimate decision regarding treatment such chances false results exist. Keywords: Middle Ear ventilation; Tympanometry; Otitis Media With Effusion