Fernandes D, Gupta S, Sly R M, Frazer M
Ann Allergy. 1978 Mar;40(3):181-4.
The results of pneumatic otoscopy and tympanometry were compared in 102 children who were being followed in allergy clinic for allergic rhinitis or asthma. Forty-five abnormal tympanograms were found in 30 children, including six type B tympanograms, 20 type C and 19 with reduced compliance. Acoustic reflexes were absent or elicited only at thresholds greater than or equal to 100 DbHL in 45 ears of 34 children. Agreement between two examiners and tympanometry improved significantly during the study from 62% to 75% and from 62% to 79%, respectively. Tympanometry is an important adjunct to the evaluation of allergic children and supplies objective information useful in teaching proper evaluation of signs of middle ear disease.
对102名因过敏性鼻炎或哮喘在过敏门诊接受随访的儿童进行了鼓气耳镜检查和鼓室图检查结果的比较。在30名儿童中发现了45个异常鼓室图，包括6个B型鼓室图、20个C型和19个顺应性降低的鼓室图。34名儿童的45只耳朵中，声反射缺失或仅在阈值大于或等于100分贝听力级时引出。在研究期间，两位检查者之间的一致性以及鼓室图检查的一致性分别从62%显著提高到75%和从62%提高到79%。鼓室图检查是评估过敏儿童的重要辅助手段，可提供有助于正确评估中耳疾病体征教学的客观信息。
