Tympanometry

If you are interested in tympanometry in Moscow, one of the recommended places is the K+31 clinic. Here, patients are served by highly qualified specialists who have all the necessary equipment for accurate diagnosis and effective treatment of ear diseases. The clinic offers modern methods, including tympanometry, in comfortable conditions and with an individual approach to each patient.
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About the service

Tympanometry, also referred to as impedancemetry, is a technique that helps identify diseases of the middle ear and eardrum. The principle of the procedure is based on creating specific pressure in the ear canal and studying the reaction of the eardrum to audio waves.

This diagnostic approach is aimed at identifying disturbances in the transmission of sounds through the bony structures of the middle ear. In a healthy state, the eardrum along with three bones (hammer, incus and stirrup) transmit vibrations to the inner ear. There is an organ of Corti with hair cells that turns these vibrations into nerve impulses that the brain interprets as sounds.

Dangerous anomalies include:

  • Damage to the eardrum
  • Fluid accumulation in the middle ear
  • Defects of bone structures

New growths or changes in the function of the eustachian tube can also lead to hearing loss.

To identify such disorders, doctors can prescribe tympanometry in combination with audiometry, which allows them to accurately assess the level of hearing loss and choose the most appropriate treatment method.

About the service

When is tympanometry prescribed?

  • Difficulty in perceiving sounds when the cause is not clear, especially in children
  • Deterioration of hearing after illness
  • Hearing problems resulting from head injury
  • Recurrent ear infections
  • Regular colds or sinus infections. Infections easily spread from the nasopharynx to the ear through the Eustachian tube, causing otitis media
  • Suspicions of the presence of polyps or other formations in the ear
  • Inflammation of the adenoids
  • This method is often used in addition to audiometry to clarify the diagnosis, since by itself it cannot determine the degree of hearing loss

Tympanometry procedure: what you need to know

Tympanometry is a painless way to assess the functions of the middle ear, which does not require special training and is suitable for all age groups.

Before the procedure, you need to make sure that there are no:

  • Sulfur plugs
  • Acute infection
  • Fevers
  • Violations of the integrity of the eardrum

And also fresh injuries or bleeding in the ear cavity.

Diagnostics takes place on an outpatient basis and is distinguished by its accessibility. It is important that it does not cause pain or severe discomfort, although some patients may experience discomfort due to brief loud noises during the examination. However, the procedure only lasts a few minutes, making it easy to tolerate even for the most sensitive people.

Diseases detected by tympanometry

This procedure helps diagnose various conditions that affect hearing. Here are some diseases that can be recognized using tympanometry:

  • Tympanometry for adenoids can detect impaired ventilation in the Eustachian tubes caused by enlarged adenoids. This condition often leads to hearing loss due to fluid accumulation in the middle ear
  • Tympanometry for otitis media is used to confirm the presence of fluid behind the eardrum. This method is especially important for diagnosis in children
  • Tympanometry for sensorineural hearing loss helps to exclude the presence of organic problems in the middle ear
  • Tympanometry for tubo-otitis makes it possible to assess the function of the Eustachian tube and identify its blockage or dysfunction
  • Tympanometry for perforation of the eardrum allows you to determine disturbances in acoustic impedance measurements caused by the presence of holes in the eardrum

Where is tympanometry done? This procedure can be performed in many medical institutions, including hospital ENT departments and specialized clinics. Tympanometry according to compulsory medical insurance is also available in public medical centers.

General information about the procedure

When is tympanometry prescribed

Tympanometry is carried out on the recommendation of a doctor in the following cases:

  • Difficulty in perceiving sounds when the cause is not clear, especially in children
  • Deterioration of hearing after illness
  • Hearing problems resulting from head injury
  • Recurrent ear infections
  • Regular colds or sinus infections. Infections easily spread from the nasopharynx to the ear through the Eustachian tube, causing otitis media
  • Suspicions of the presence of polyps or other formations in the ear
  • Inflammation of the adenoids

This method is often used in addition to audiometry to clarify the diagnosis, since by itself it cannot determine the degree of hearing loss.

Tympanometry process

Before starting the procedure, the specialist examines the ear canal using an otoscope. This allows you to assess the condition of the eardrum, and also identifies contamination, wax plugs or inflammatory processes. After making sure that there are no restrictions, the doctor begins the main phase of the procedure.

For tympanometry, specialized equipment is used - a tympanometer equipped with a probe with a soft silicone tip. An individual probe tip is selected for each patient to achieve tight closure of the external auditory canal. This provides an isolated environment for accurate measurements.

The tympanometry process includes several stages:

  • The probe creates a certain pressure in the ear canal thanks to the pump
  • Built-in sound generator produces waves of a certain frequency
  • The probe's microphone picks up sounds reflected from the eardrum

The collected data is sent to the tympanometer, which analyzes it and presents the results in the form of graphs on the screen or prints them out. Based on the information received, the doctor prepares a conclusion and explains it to the patient.

Tympanometry in children: what is important to know

Tympanometry is suitable for patients of any age and usually does not cause discomfort or complications. The main condition is calm and stillness during the procedure, which can be difficult for children. It is important that the child does not swallow, does not talk and, in the case of babies, does not cry.

To prepare older children for the procedure, it is recommended to explain to them in advance what will happen. You can show the process using the example of a toy or educational video.

Young children should be calmed and distracted before starting the test. In the arms of the parents, the baby will feel comfortable and safe.

Pros and cons

Tympanometry stands out for its significant advantages, making it an important part of the diagnosis of ear diseases. The procedure does not require preparation, is carried out quickly and safely for pregnant women and newborns. This is due to the non-invasive nature of the method, which eliminates any risks associated with violating the integrity of the skin. In addition, tympanometry can be performed as many times as needed to monitor the patient's condition, since it does not impose restrictions on the frequency of use.

Key benefits include:

  • Outpatient procedure without the need for special preparation
  • No risks associated with damage to the integrity of the skin
  • Suitable for patients of all ages, including pregnant women and newborns
  • Possibility of frequent repetition without restrictions
  • Fast - about 5 minutes for both ears

Despite many advantages, the method has its limitations. The main one is relative accuracy. Tympanometry can only suggest the presence of the disease, based on the nature of the obtained graphs. Therefore, doctors consider its results in combination with other examinations and the clinical picture to make an accurate diagnosis. There are no complications observed during tympanometry, which makes it one of the safest diagnostic methods in otolaryngology.

Interpretation of tympanometry results

Tympanometry presents the results in the form of diagrams, where the main markers are the vertices. The presence or absence of these peaks, their number and size make it possible to assess the health of the middle ear. There are six basic types of diagrams:

1

Type A:One central peak symbolizes the normal functioning of the ear. This means that the eardrum and auditory ossicles are working properly, and the pressure in the cavity is normal

2

Type B:No peaks on the graph may indicate problems including scarring on the eardrum, fluid in the ear, or tumors

3

Type C:A peak located in an area of low pressure may indicate partial or complete blockage of the eustachian tube

4

Type D: The presence of two peaks is a sign of excessive mobility of the eardrum, possibly due to thinning or damage

5

Type E:Multiple peaks or one peak with a peak split into two parts may indicate a disturbance in the sound transmission system, possibly due to damage to the auditory ossicles or inflammation

6

Type Ad: An excessively high peak, beyond the normal values, indicates increased mobility of the eardrum when probing at low frequencies

Such data requires professional interpretation. An attempt at decryption on your own may be incorrect. The doctor takes into account not only the type of chart, but also general symptoms, as well as the results of other tests.

Consultation with a specialist before tympanometry

Tympanometry is a detailed examination of the ear, prescribed and analyzed by an otolaryngologist. This specialist not only conducts the examination, but also interprets its results, makes a diagnosis and develops a treatment plan. In addition to the ENT doctor, other medical specialists may also resort to the procedure, depending on the situation:

  • Audiologists deal with hearing problems and may prescribe tympanometry if there are complaints of hearing loss
  • Hear-prosthetists use the research results to accurately select hearing aids
  • Otolaryngologist oncologists use tympanometry to diagnose ear tumors
  • Oral and maxillofacial surgeons can use tympanometry data in preparation for facial or maxillary surgery, including rhinoplasty
Our doctors
Sadikov
Ilya Sergeyevich
Head of the Clinic for Otorhinolaryngology, Otorhinolaryngologist
Tetzoeva
Zalina Muratovna
Head of the department of otorhinolaryngology, otorhinolaryngologist
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Lopatin
Andrew Stanislavovich
Chief Specialist in Otorhinolaryngology
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
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