J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (4): 91-94.doi: 10.6040/j.issn.1673-3770.0.2018.150

Previous Articles     Next Articles

Wideband tympanometry test in infants

ZHOU Jialei, SUN Shibing, LI Xiaoyan   

  1. Department of Otolaryngology Head and Neck Surgery, Shanghai Childrens Hospital, Shanghai Jiao Tong University, Shanghai 200062, China
  • Received:2017-03-22 Online:2018-07-20 Published:2018-07-20

Abstract: The special anatomical and functional characteristics of the middle and outer ear of infants limit the usability of traditional single-frequency tympanometry testing in assessing middle ear function. The wideband tympanometry test can evaluate the reception and transmission of sound energy in a wide frequency range(0.2-8 kHz). Compared with the conventional single-frequency tympanometry, it does not require external pressure to the ear-canal and has the advantages of short test time and dynamic assessment of peripheral auditory development characteristics and middle ear function in infants. The wideband tympanometry test can improve the accuracy of hearing screening and middle ear function assessment in infants.

Key words: Wideband tympanometry, Middle ear, Infant

CLC Number: 

  • R764
[1] Keefe DH, Margolis RH. Wideband reflectance tympanometry in normal adults[J]. J Acoust Soc Am, 1999, 106(1):265-280.
[2] Pitaro J, AI Masaoudi L, Motallebzadeh H, et al. Wideband reflectance measurements in newborns: Relationship to otoscopic findings[J]. Int J Pediatr Otorhinolaryngol, 2016, 86:156-160. DOI: 10.1016/j.ijporl.2016.04.036.
[3] 周佳霖,黄振云,钟建文,等. 36个月内婴幼儿1 000 Hz和226 Hz探测音声导抗的特点和意义[J]. 中华耳科学杂志,2012,12(3):455-459. ZHOU Jialin, HUANG Zhengyun, ZHONG Jianwen, et al. Tympanometry at 1 000 Hz and 226 Hz in 1645 Infants[J]. Chin J Otol, 2014, 12(3):455-459.
[4] Carmo MP, Costa NT, Momensohn-Santos TM. Tympanometry in Infants:a study of the sensitivity and specificity of 226-hz and 1,000-hz probe tones[J]. Int Arch Otorhinolaryngol, 2013, 17(4):395-402.
[5] Baldwin M. Choice of probe tone and classification of trace patterns in tympanometry undertaken in early infancy[J]. Int J Audiol, 2006, 45(7):417-427.
[6] Keefe DH, Ling R, Bulen JC. Method to measure acoustic impedance and reflection coefficient[J]. J Acoust Soc Am, 1992, 91(1):470-485.
[7] Wali HA, Mazlan R, Kei J. Pressurized wideband absorbance findings in healthy neonates: a preliminary study[J]. J Speech Lang Hear Res, 2017, 60(10):2965-2973.
[8] 郝文洋,商莹莹,倪道凤,等. 正常新生儿宽频声导抗能量吸收率及其可重复性研究[J].听力学及言语疾病杂志,2016,24(1):10-14. HAO Wenyang, SHANG Yingying, NI Daofeng, et al. Test—retest relabiiity of the wideband absorbance in mormal hearing neonates[J]. J Audiol Speech Pathol, 2016, 24(1):10-14.
[9] Aithal S, Kei J, Aithal V, et al. Normative study of wideband acoustic immittance measures in newborn infants[J]. J Speech Lang Hear Res, 2017, 60(5):1417-1426.
[10] Shahnaz N, Feeney MP, Schairer KS. Wideband acoustic immittance normative data: ethnicity, gender, aging, and instrumentation[J]. Ear Hear, 2013, 34(4):S27-35. DOI: 10.1097/AUD.0b013e31829d5328.
[11] Beers AN, Shahnaz N, Westerberg BD, et al. Wideband reflectance in normal Caucasian and Chinese school-aged children and in children with otitis media with effusion[J]. Ear Hear, 2010, 31(2):221-233.
[12] Aithal S, Aithal V, Kei J. Effect of ear canal pressure and age on wideband absorbance in young infants[J]. Int J Audiol, 2017, 56(5):346-355.
[13] 雷一波,卢伟,莫玲燕. 外中耳正常汉族婴幼儿宽频声导抗能量反射值的观察[J]. 中华耳鼻咽喉头颈外科杂志,2014,49(6):441-445. LEI Yibo, LU Wei, MO Lingyan. Wide band typanometry energy reflectance in Chinese infants and children with normal outer and middle ears[J]. Chin J otorhinolaryngol Head Neck Surg, 2014, 49(6):441-445.
[14] 王素菊,商莹莹,倪道凤,等. 中耳功能正常与异常婴儿的宽频声导抗能量吸收率特性研究[J]. 听力学及言语疾病杂志,2016,24(6):539-544. WANG Suju, SHANG Yingying, NI Daofeng, et al. Wideband absorbance in infants with middle ear dysfunction[J]. J Audiol Speech Pathol, 2016, 24(6):539-544
[15] 黄孟捷,郑芸,王恺. 正常成人宽频声导抗能量反射的初步研究[J]. 听力学及言语疾病杂志,2010,18(5):433-436. HUANG Mengjie, ZHENG Yun, WANG Kai. Preliminary results of the energy reflectance measurement using wide band tympanometry in chinese adults with normal hearing[J]. J Audiol Speech Pathol, 2010, 18(5):433-436.
[16] Sanford CA, Feeney MP. Effects of maturation on tympanometric wideband acoustic transfer functions in human infants[J]. J Acoust Soc Am, 2008, 124(4):2106-2122.
[17] Hunter LL, Feeney MP, Lapsley Miller JA, et al. Wideband reflectance in newborns: normative regions and relationship to hearing-screening results[J]. Ear Hear, 2010, 31(5):599-610.
[18] Sanford CA, Keefe DH, Liu YW, et al. Sound-conduction effects on distortion-product otoacoustic emission screening outcomes in newborn infants: test performance of wideband acoustic transfer functions and 1-kHz tympanometry[J]. Ear Hear, 2009, 30(6):635-652.
[19] Aithal S, Kei J, Driscoll C, et al. Wideband absorbance outcomes in newborns: a comparison with high-frequency tympanometry, automated brainstem response, and transient evoked and distortion product otoacoustic emissions[J]. Ear Hear, 2015, 36(5):237-250. DOI: 10.1097/AUD.0000000000000175.
[20] Voss SE, Merchant GR, Horton NJ. Effects of middle-ear disorders on power reflectance measured in cadaveric ear canals[J]. Ear Hear, 2012, 33(2):207-220.
[21] Keefe DH, Sanford CA, Ellison JC, et al. Wideband aural acoustic absorbance predicts conductive hearing loss in children[J]. Int J Audiol, 2012, 51(12):880-891.
[22] Ellison JC, Gorga M, Cohn E, et al. Wideband acoustic transfer functions predict middle ear effusion[J]. Laryngoscope, 2012, 122(4):887-894.
[23] Feeney MP, Grant IL, Marryott LP. Wideband energy reflectance measurements in adults with middle-ear disorders[J]. J Speech Lang Hear Res, 2003, 46(4):901-911.
[24] 黄孟捷,郑芸,王恺. 宽频声导抗测试[J].临床耳鼻咽喉头颈外科杂志,2010,24(13):620-622.
[25] 张鹏,王延飞,蒲章杰,等. 山东省滨州市儿童分泌性中耳炎流行病学调查[J]. 中华耳科学杂志,2009,7(4):367-370. ZHANG Peng, WANG Yanfei, PU Zhangjie. An epidemiological investigation of secretory otitis media in children at Binzhou City[J]. Chin J Otol, 2009, 7(4):367-370.
[1] MENG Wei, YU Zhenkun, ZHENG Yali, LI Guangfei, LIANG Longjun, WANG Xiaomin. Simulation of the biomechanical effects of deaf appendage implantation in mastoid cortical bone [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 27-30.
[2] MENG Lixin, LI Jian, WEI Shanwen. Insertion of microtubules in tympanic membrane for the treatment of middle ear atelectasis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 61-65.
[3] ZHOU Jialei, SUN Shibing, LI Jingyu, CHEN Fang, LI Xiaoyan. Comparison and significance of different automated auditory brainstem response testing times in infants [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 66-69.
[4] ZHANG Menglu, LI Yongtuan.. Expression of chemokine ligand 27 in secondary middle ear cholesteatoma. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 46-48.
[5] GUO Yingyuan, ZHANG Dejun, ZHU Lin, MA Shuaishuai, GUAN Guofang. Adenoma of the middle ear: a report of one case and review of the literature. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 111-114.
[6] WANG Xiaoyan, ZHENG Yanqing, ZHENG Hao, YE Qing. Bone ablation in middle ear with pulsed CO2 laser and Er:YAG laser: an experimental study. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(4): 75-79.
[7] LÜ Dan, YANG Hui, YIN Rui, GU Deying, ZHENG Yitao. The middle ear cerumen gland tumor of three cases and review of the literature [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 8-12.
[8] MIAO Gangyong, XIAO Xuping, TAN Zhiqiang. Application of low temperature radiofrequency volumetric tissue reduction in infant lingual thyroglossal duct cyst [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 52-55.
[9] LUAN Yanan, GUO Jingli, WANG Lihua. Outcome of artificial divergence surgery in patients with infantile nystagmus syndrome (6 cases report) [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 69-71.
[10] WANG Guoqiang, ZHAO Chunhong, HUO Hong, GONG Zhiyun, SONG Weiwei, YAN Lixia, LI Xuehua, WANG Weili. Hearing screening and risk factors of hearing impairment in premature infants. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(4): 7-10.
[11] YU Yan-ni, WANG Na, LU Hai-wei, FAN Xian-liang, XU An-ting. One cases of the middle ear congenital cholesteatoma [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 90-91.
[12] YU Chong-xian, YANG Ke-lin, ZHANG Xiao-min, WANG Ping. Objective hearing evaluation of infants failed in hearing screening [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6): 38-41.
[13] XU Feng-lei1, XIA Ming2, QIAN Ye2, SUN Rui-jie2, LIU Da-yu2, WEI Wei3.. 11 cases of oropharyngeal hairy polyp in infants [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6): 63-65.
[14] MEI Fang, CHEN Zhi-jun. Retinopathy of prematurity in extremely low birth weight infants and very low birth weight infants and its risk factors [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 76-78.
[15] HOU Dong-ming, CAO Rong-ping, MENG Guo-zhen, CHENG Lan. Diagnosis and endoscopic treatment of congenital nasal mass of infants [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(3): 36-38.
Full text



No Suggested Reading articles found!