Knopke Steffen, Irune Ekpemi, Olze Heidi, Bast Florian
Department of Otorhinolaryngology, Campus Virchow-Klinikum, University Hospital Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Department of Otorhinolaryngology, Royal Hallamshire Hospital, Sheffield, UK.
Eur Arch Otorhinolaryngol. 2015 Dec;272(12):3651-4. doi: 10.1007/s00405-014-3421-8. Epub 2014 Dec 10.
The tympanogram is an objective audiological method in adults and children which is often used in the evaluation of middle ear pathology. This should be alongside a thorough patient history and clinical examination prior to the decision to carry out a paracentesis or tympanostomy tube insertion. The goal of the study was to evaluate the relationship between the preoperative tympanogram and intraoperative ear examination results or middle ear findings. The retrospective study included 654 ears in 333 patients who underwent paracentesis with or without tympanostomy tube insertion between January and December 2011. The study cohort consisted of 206 male and 127 female patients with an average age of 3.7 ± 2.5 years. The results of the preoperative tympanogram were compared to those of the intraoperative ear findings. In 18.4 % of ears with a flat tympanogram, an air-filled middle ear was found intraoperatively (p < 0.01). Thus, tympanometry results cannot serve as the only indication for surgical intervention. A decision to treat should always be based on the merits of the symptomatology of the patient in conjunction with tympanometry findings.
鼓室图是一种用于成人和儿童的客观听力检查方法，常用于评估中耳病变。在决定进行鼓膜穿刺术或插入鼓膜造孔管之前，应结合全面的患者病史和临床检查。本研究的目的是评估术前鼓室图与术中耳部检查结果或中耳检查结果之间的关系。这项回顾性研究纳入了2011年1月至12月期间333例接受鼓膜穿刺术（有无插入鼓膜造孔管）的患者的654只耳朵。研究队列包括206例男性和127例女性患者，平均年龄为3.7±2.5岁。将术前鼓室图的结果与术中耳部检查结果进行比较。在鼓室图呈平坦型的耳朵中，18.4%在术中发现中耳有气体充盈（p<0.01）。因此，鼓室测量结果不能作为手术干预的唯一指征。治疗决策应始终基于患者症状的实际情况并结合鼓室测量结果。
