Impedancemetry

Impedance testing helps evaluate the functioning of the middle ear, as well as the mobility of the eardrum and auditory ossicles.

This method does not measure hearing sensitivity. At the same time, it provides the doctor with important data about the state of the auditory system.

Best
specialists
Expert
equipment
Advanced diagnostic
treatment
Sign up
Fill out the entry form on the page and we will call you back
SUBMIT YOUR APPLICATION Позвонить
Download the application “Personal Account K+31”
Everything about your health in one click!
Subscribe to social networks K+31
To keep up to date with current offers and receive useful advice about your health.

Impedancemetry technique

The process uses a compact, portable impedance meter equipped with a pump (regulates pressure in the ear canal), a loudspeaker and a microphone (records sounds reflected from the eardrum).

During the examination, the patient should not speak, chew or move. Also, before the procedure, it is important to make sure that the ear canal is free of wax plugs (if there are any, they are first cleaned).

There are 3 types of impedance measurements - tympanometry, acoustic reflexometry and the study of the function of the auditory tube.

Impedancemetry technique
Tympanometry

Tympanometry is used to assess the condition of the middle ear. This happens by measuring its response to sound and changes in pressure.

During the procedure, a special probe is inserted into the ear canal. It creates small changes in air pressure in the ear and produces sound. The device then measures how this sound wave reflects off the eardrum.

Changes in the reflection of sound allow the doctor to determine whether there is fluid in the middle ear. He also checks how well the eardrum moves and whether there is air or other abnormalities behind it. This information helps diagnose otitis media, tubo-otitis, and eardrum perforations.

Acoustic reflexometry

In the process of acoustic reflexometry, a specialist measures the reflexive contraction of the middle ear muscle in response to sound stimuli. Acoustic reflex analysis allows the doctor to learn more about the functioning of the auditory nerve. The procedure also helps diagnose various hearing disorders - for example, acoustic neuromas.

Examination of the function of the auditory tube

This technique is aimed at assessing the functioning of the auditory tube. During the process, the specialist asks the patient to perform swallowing movements or puff out his cheeks.

In this case, the pressure in the ear canal is changed using a special device. This allows you to evaluate how well the eustachian tube opens and closes.

Indications for impedance testing

Impedansometry is prescribed if the presence of serous or purulent otitis is suspected. Additional indications:

  • Neuritis of the facial nerve
  • Chronic problems with the eustachian tube
  • Chronic diseases of the nasopharynx
  • Hearing impairment after head injury
  • Congenital or acquired anomalies of the eardrum
  • Persistent ringing in the ears
  • Unspecified headaches

Diagnosis should also be carried out by people who often have to ask their interlocutor again and increase the sound volume on the TV. Impedance testing is also prescribed when selecting a hearing aid - in this case it helps to determine the degree of sensorineural hearing loss.


Preparation for research

No special preparation is required to perform impedance measurements. Typically, the study is carried out in a clinic, in the office of an ENT specialist.

You should have a medical card, a referral from a doctor and the results of previous tests with you.

Contraindications

Impedance testing is not prescribed against the background of active inflammation of the eardrum. Additional contraindications:

  • Pus discharge from the ear canal
  • Acute pain in the ear
  • Presence of foreign objects in the ear cavity
  • Presence of sulfur plugs
  • Recent ear surgery

Also, the procedure is not prescribed for children under 7 months.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Polysinusotomy at the K+31 clinic

At the K+31 clinic, impedance measurements are carried out using high-tech equipment from global manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch & Lomb, Technolas, Zeiss, Topcon).

The clinic’s doctors have in-depth knowledge and experience in diagnosing and treating various pathological conditions. The priorities of our center are the convenience and peace of mind of our patients. Therefore, all procedures are carried out in the most comfortable conditions.

Polysinusotomy at the K+31 clinic

Our doctors

Spiranskaya Olga Aleksandrovna
Experience 18 years
Make an appointment
Spiranskaya
Olga Aleksandrovna
Head of the Otolaryngology Department, Otolaryngologist
Tetzoeva Zalina Muratovna
Experience 24 years
Make an appointment
Tetzoeva
Zalina Muratovna
Deputy chief physician for outpatient care, otolaryngologist, surgeon
Kochetkova (Minavnina) Yulia Vladimirovna
Experience 13 years
Make an appointment
Kochetkova (Minavnina)
Yulia Vladimirovna
Otorhinolaryngologist
Osipova Irina Andreevna
Experience 25 years
Make an appointment
Osipova
Irina Andreevna
Head of the center for otolaryngology and ENT rheumatology, otolaryngologist, surgeon, leading specialist, expert in ENT pathology in autoimmune diseases
Lapshina Anastasia Andreevna
Experience 11 years
Make an appointment
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Samarin Nikolay Evgenyevich
Experience 18 years
Make an appointment
Samarin
Nikolay Evgenyevich
ENT doctor
Lopatin Andrew Stanislavovich
Experience 45 years
Make an appointment
Lopatin
Andrew Stanislavovich
Otorhinolaryngologist, surgeon
Portnyagina Maria Pavlovna
Experience 13 years
Make an appointment
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya Galina Rustemovna
Experience 27 years
Make an appointment
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Koblova Tatyana Alexandrovna
Experience 22 years
Make an appointment
Koblova
Tatyana Alexandrovna
ENT doctor
Punkov Maxim Anatolevich
Experience 20 years
Make an appointment
Punkov
Maxim Anatolevich
ENT doctor
Varenkova Olga Vladimirovna
Experience 25 years
Make an appointment
Varenkova
Olga Vladimirovna
Otorhinolaryngologist
Budeikina Liliya Sergeevna
Experience 11 years
Make an appointment
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Kornienko Roman Anatolievich
Experience 27 years
Make an appointment
Kornienko
Roman Anatolievich
Otorhinolaryngologist
Budnitskaya Elena Vasilievna
Experience 12 years
Make an appointment
Budnitskaya
Elena Vasilievna
Otorhinolaryngologist
Varvyanskaya Anastasia Vladimirovna
Experience 21 year
Make an appointment
Varvyanskaya
Anastasia Vladimirovna
Otolaryngologist, surgeon, leading specialist, expert in olfactory dysfunction
Mamedov Vasif Eivaz ogly
Experience 8 years
Make an appointment
Mamedov
Vasif Eivaz ogly
Audiologist
Chekaldina Elena Vladimirovna
Experience 13 years
Make an appointment
Chekaldina
Elena Vladimirovna
Otorhinolaryngologist
Samusenkova Ksenia Vladislavovna
Experience 5 years
Make an appointment
Samusenkova
Ksenia Vladislavovna
Otorhinolaryngologist
Polivoda Anna Mikhailovna
Experience 19 years
Make an appointment
Polivoda
Anna Mikhailovna
Otorhinolaryngologist, audiologist, otoneurologist
Balybina Natalia Alekseevna
Experience 4 years
Make an appointment
Balybina
Natalia Alekseevna
Otorhinolaryngologist
Malyavina Ulyana Stanislavovna
Experience 27 years
Make an appointment
Malyavina
Ulyana Stanislavovna
Otorhinolaryngologist
All specialists
2GIS Award
2GIS Award

This award is given to clinics with the highest ratings according to user ratings, a large number of requests from this site, and in the absence of critical violations.

«Good place» according to Yandex
«Good place» according to Yandex

This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.

Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

Make an appointment at a convenient time on the nearest date

Price

Otorhinolaryngologist primary appointment
from 5 460 ₽
Otolaryngologist repeated appointment
from 5 460 ₽
Reception of an otorhinolaryngologist at home in Moscow within the Moscow Ring Road
from 18 810 ₽
Planned remote online consultation of an otorhinolaryngologist using telemedicine technologies
from 4 778 ₽

Appointment to the doctor

Fill out the form, our managers will contact you within 15 minutes
Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

Reviews 46

Olga Vladimirovna is a wonderful, attentive, and professional doctor. I was very pleased with my visit and received all the help and information I needed.
29.11.2025
Yu. Alexey Igorevich
Good approach to children. Everything is great.
29.11.2025
Ch. Roman Vitalievich
I express my deepest gratitude to Natalia Alekseevna for her exceptional professionalism and humane approach. I especially appreciate her rare combination of competence and tact. Natalia Alekseevna knows how to create an atmosphere of trust, where you feel more than just a patient, but someone whose opinion and comfort truly matter. Thank you for your attention to detail, personalized approach, and ability to convey information in accessible language. I recommend Natalia Alekseevna as a doctor with an inner intelligence, a keen interest, and enthusiasm for her work. Doctors like her are worth everything. I was also pleasantly surprised by the atmosphere in the clinic itself: all the staff are polite and attentive, and there's convenient parking. And the bright, inspiring music playing on the first floor reminded me of Kamila Valieva's Olympic short program—the same purity, grace, and sense of wonder. Thank you!
28.11.2025
K. Natalia Vladimirovna
Very attentive and qualified doctor
25.11.2025
A. Nadezhda Valerievna
I really liked the doctor, and I also really liked Zhanna Andreevna. You can tell she's experienced and competent, and the office had a wonderful, open atmosphere. Special thanks to Olesya, the administrator on the first floor. She's very friendly and helpful. Overall, I really liked the clinic.
23.11.2025
P. Daniil Vyacheslavovich
The doctor always listens and hears attentively, which is even unusual. He is genuinely interested in how the patient is feeling and sees them as people.
04.11.2025
O. Tatyana Alexandrovna
The best doctor. Thank you so much.
31.10.2025
Ya. Tatyana Petrovna

About doctor:

Osipova Irina Andreevna

Wonderful doctor! A top-class professional!
28.10.2025
I. Stanislav Arkadevich
A sensitive doctor, it's immediately obvious she's a true professional. She outlined the risks, and we're seeing great progress in treatment.
18.10.2025
E. Stanislav Yurievich
A very knowledgeable and responsible doctor.
16.10.2025
P. Evgeny Arnoldovich
Very attentive and professional doctor.
14.10.2025
R. Evgeniy Anatolyevich
Irina Andreevna is a professional and a master of her craft. That says it all.
14.10.2025
K. Andrey Maksimovich

About doctor:

Osipova Irina Andreevna

A true professional! Highly recommended.
10.10.2025
G. Irik Azamatovich
Tatyana Alexandrovna is a very attentive doctor. She prescribed treatment that helped immediately. She's a pleasant person to talk to. Thank you!
09.10.2025
T. Elena Nikolaevna
Irina Andreevna is a wonderful person, a professional, and what's called a "God-given doctor." The prescribed treatment produced immediate positive results. And despite my disappointing diagnosis, after every conversation with Irina Andreevna, I feel a boost of optimism!
06.10.2025
Sh. Lyudmila Alexandrovna

About doctor:

Osipova Irina Andreevna

Very pleasant to talk to, a professional in her field)
02.10.2025
L. Alexander Gennadievich
I've been seeing Zalina Muratovna for many years. She's a highly qualified doctor with an incredibly attentive and caring attitude toward her patients. Zalina Muratovna performed a septum correction surgery on me several years ago. I'd been advised to have this procedure for years, but it wasn't until I saw Zalina Muratovna that I decided to have it. And I'm so glad I did. My breathing is now free of difficulty, and I no longer suffer from lingering runny noses. Thank you, Zalina Muratovna.
02.10.2025
B. Nadezhda Sergeevna
Everything went great, the doctor was very kind and explained the reason for prescribing each drug.
01.10.2025
Ya. Sergey Sergeevich
Excellent specialist, very pleased with the visit, thank you
01.10.2025
E. Elena Vitalievna
This isn't my first time visiting Anastasia Vladimirovna. I feel like I'm visiting a relative. She's the best doctor. Everything is always delicate, precise, meticulous, and she shows immense care and love for her profession.
25.09.2025
B. Evgeniya Evgenievna
A very competent specialist
24.09.2025
S. Elena Vladimirovna
A very good doctor!) Unfortunately, there are few like him...
18.09.2025
K. Olesya Vyacheslavovna

About doctor:

Punkov Maxim Anatolevich

A professional in his field. An excellent doctor.
16.09.2025
M. Natalia Vladimirovna
Wonderful doctor, simply wonderful! Tactful, kind, very responsive!
08.09.2025
E. Ekaterina Alexandrovna
Good afternoon! I would like to express my gratitude to Maria Pavlovna Portnyagina. A competent doctor, an impeccable appointment, an examination was conducted, an ultrasound was immediately agreed upon, a full examination and a set of measures to identify the problem were conducted. Thanks to Maria Pavlovna's appointment, we found out what was going on. I left with an understanding of my health condition and exhaled after the examinations, this rarely happens when you think - this is a doctor, it was not in vain that I came to her. I ask the management to note according to the procedures and policies of the Clinic. I left the appointment with a feeling that you were heard, the problem was considered, the most valuable thing is quickly, efficiently, and not indifferently. That very case when you think - it was not in vain that I went to the doctor. Everything is clear, precise, competent. Time is always very precious, you can spend a lot of time and leave with nothing. Whether you were or were not at the doctor, with the same questions, fears, uncertainty. The best ENT doctor in my life! Maria Pavlovna - thank you. Sincerely, Elena
07.09.2025
K. Elena Vladimirovna
I was extremely satisfied. The doctor was very attentive and competent. Thank you very much.
01.09.2025
L. Vladislava Vasilievna

About doctor:

Osipova Irina Andreevna

Excellent professional, attentive, neat.
28.08.2025
L. Alexander Sergeevich
After the injury, I started having serious hearing problems. I didn't go to the doctor right away and let the disease get worse. I made an appointment with audiologist-otorhinolaryngologist M.P. Portnyagina. The doctor is experienced, responsive, with a lot of work experience. She identified my problem from the first minutes of the appointment and was generally very pleasant to talk to. The doctor showed me all possible hearing aid options - the consultation was clear and understandable. Thank you for the opportunity to be observed by such competent specialists.
25.08.2025
Anonymously
I was very pleased with my visit to Doctor Varvyanskaya A.V. The doctor listened to me attentively, examined my larynx in the most thorough manner, asked me in detail about the symptoms, compared the data from various tests, sorted out my problem, gave detailed explanations of the diagnosis and recommendations for treatment. I left calm and confident that everything would be fine with me.
18.08.2025
Goryunov M. A.
I express my heartfelt gratitude to the ENT doctor Tetsoeva Z.M. for her professionalism, attentiveness and kindness. The doctor carefully examined my throat, explained everything and gave recommendations for treatment. At the appointment, I felt a sincere desire to find the cause of my illness and help with the solution of this health problem. I confidently recommend this specialist.
18.08.2025
Goryunov M. A.
I liked everything, the doctor examined me and explained everything within the framework of my request, and the doctor was also very pleasant to talk to!
12.08.2025
D. Dmitry Vladimirovich

About doctor:

Punkov Maxim Anatolevich

The best clinic I've ever been to! Doctor Osipova I.A. is the best ENT!!! I had an appointment with Fotina E.V. A real female doctor, a wonderful specialist and person❤️
11.08.2025
Vasilisa M.
I visited the ENT doctor Varvyanskaya A.V. twice. I liked everything, the appointments are very comfortable, I will be happy to recommend the clinic and the doctor to my friends.
08.08.2025
Anonymously
Appointment with Dr. Samarin. The only otolaryngologist in Moscow that I trust. Thank you for your professionalism and sensitivity.
08.08.2025
Anonymously
Amazing doctor, helped me to understand my ear and nose issues, explained everything and prescribed adequate treatment
06.08.2025
K. Andrey Yuryevich

About doctor:

Punkov Maxim Anatolevich

I would like to express my sincere gratitude to the ENT doctor Irina Andreevna Osipova. She is a true professional with extensive experience and deep knowledge in the field of ENT rheumatology. She listened carefully to all the complaints, and approached my case — Wegener's vasculitis — very competently. She gave clear, well-founded recommendations, explained everything in understandable language, and instilled confidence. It is obvious that the doctor works with soul and sincerely cares about her patients. Thank her for her sensitivity, attentiveness, and high professionalism!
06.08.2025
K. Sergey Alexandrovich

About doctor:

Osipova Irina Andreevna

The doctor is very attentive and professional. I really enjoyed the visit.
30.07.2025
V. Yulia Nikolaevna
Excellent doctor, very competent in resolving the issue. Listened to the complaint, provided due assistance.
29.07.2025
D. Nikolai Dmitrievich
Everything is great as always, I hope the treatment will be beneficial!
23.07.2025
K. Ekaterina Alexandrovna
Everything is great, they prescribed treatment, we will continue!
01.07.2025
N. Roman Gennadievich
Irina Andreevna, simply the best! The problem I have lived with for the last 15 years has been solved! In January 2025, an operation was performed, after which life became easier. I visited a lot of doctors, they all advised the same thing: washing, rinsing, etc. And only Irina Andreevna said that surgery was necessary. After the operation, I was a little nervous about how everything would heal. Thanks to the doctor, I didn't have any of this. Everything was explained in detail. I am incredibly grateful to her!!!!!
05.02.2025
Khazhar Ruslanovna K.

About doctor:

Osipova Irina Andreevna

Zalina Muratovna, super professional doctor. I am being observed and had surgery with her two weeks ago to remove tonsils. With her light hand, healing is going very well. I definitely recommend the doctor. In addition to her professionalism, she is also a very pleasant doctor to talk to! Thank you, Zalina Muratovna! Elena P.
29.07.2024
Pogibelnaya Elena Anatolyevna
Nikolai Nikolaevich performed surgery on my tear ducts. In this review I want to once again convey to him my deepest gratitude. He is a surgeon from God. I am glad for all future patients with the problem of dacryocystology (and on its basis, for example, dangerous purulent processes), if they end up being treated by Nikolai Nikolaevich.
12.07.2024
Tamara Veniaminovna
Many thanks to Zalina Muratovna!!! I had severe otitis media. Other doctors in other clinics whom I initially contacted could not help. Life has become a nightmare. Pain, deafness, panic attacks, deterioration in health. And when I finally found this wonderful doctor, I came back to life. In 2 days of intensive I came back to life, and then competent treatment returned everything to its place. Thank you for a full and bright life. Good luck and happiness to everyone
30.05.2024
Tatyana Grigorievna Sokolova
Zalina Muratovna is a doctor from God! Thanks to her, my entire family’s noses can breathe, their ears can hear, and their throats don’t hurt)))
23.05.2024
Stepanova Oksana Nikolaevna
I would like to express my gratitude to my attending physician - the wonderful otorhinolaryngologist Anastasia Vladimirovna Varvyanskaya for his professionalism, attentiveness and kindness! And also to all employees of the K+31 West clinic who took part in the operation and the pre/postoperative period, these are: head of the ENT department Zalina Muratovna Tetsoeva, anesthesiologist Kristina Inalovna Siukaeva, head of the anesthesiology and resuscitation department Zarina Igorevna Sypkova, all nurses, secondary and to the junior medical staff, Alexander, who drove me to the operating room and back, hospitalization managers, administrators and everyone, everyone, everyone! I had surgery on March 14, 2024 for a deviated nasal septum and hypertrophied nasal turbinates (septoplasty + osteoconchotomy). I have been suffering from difficulty breathing through my nose for a long time. I got an appointment with Dr. A.V. Varvyanskaya. I immediately realized that I was ready for surgery with this specialist. The surgery and recovery went flawlessly. Finally, after many years of torment, my nose could breathe freely. Thank you!
Write a review

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
By a car
Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

Subway
3
Molodezhnaya
By a car
Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
Opening hours on holidays

01.11: 09:00—20:00

02.11—04.11: 09:00—18:00

Didn't find the service you were looking for?

Экстренная помощь