OBJECTIVES The diagnosis in children with middle ear symptoms is often difficult. Tympanometry is recommended as a supplementary diagnostic tool with a high predictive value for fluid or no fluid in the middle ear. The aim of this study was to examine how tympanometry was used in Danish general practice in 2009, to report common problems general practitioners (GPs) and GP nurses encounter in ty...

This critical review examines whether multifrequency tympanometry is more effective than standard tympanometry for detecting otosclerosis in adults with middle ear disorders. Study designs included: one Non-randomized Clinical Trial(between and within groups), four Non-randomized Clinical TrialMixed (between). Overall, the evidence indicates that multifrequency tympanometry provides a more effi...

OBJECTIVE The aim of this study was to evaluate the role of tympanometry for diagnosis, treatment and follow-up of otitis media in general practice. METHODS The results from otoscopy performed by 40 physicians in general practice in Vejle County, Denmark were combined with the clinical condition and this was recorded as the preliminary decision about diagnosis, treatment and follow-up. Subseq...

AIM Previous research has shown that general practitioners (GPs) rarely use pneumatic otoscopy or tympanometry as recommended by best practice guidelines for diagnosing otitis media. The purpose of this study was to determine whether a multimodal, interactive training workshop on the techniques of pneumatic otoscopy and tympanometry would improve the confidence of GPs for the diagnosis of otit...

BACKGROUND Tympanometry and pneumatic otoscopy are recommended for diagnosis of otitis media, but are not frequently used by general practitioners (GPs). We examined how, after targeted short training, GP diagnosis and management of childhood ear disease was changed by the addition of these techniques to non-pneumatic otoscopy. We further explored factors influencing the uptake of these techniq...

Otitis media is a frequent problem in preschool children and one of the most common reasons for treatment with antibiotics in children. The exact diagnosis is important for proper management. The diagnosis of otitis media is often difficult. Pneumatic otoscopy, otomicroscopy, and tympanometry can improve the diagnostic quality by indicating fluid or no fluid in the middle ear and thus improve t...

BACKGROUND Otitis media with effusion (OME) is one of the most frequently met pathologies in small children. Long-term persistence of the liquid in the middle ear cavity correlates with the impairment in speech acquisition and poor results in school. AIM To evaluate the predictive value of impedancemetry in recovery of the normal middle ear status. METHODS 30 children (age 4 month-9 years) ...