Computational Simulation and Experimental Validation of Acoustic Reflectometry in Otitis Media.
Karl Nyberg1, Manfred Lindmark1, Mimmi Werner2
1Departament of Diagnostics and Intervention, Biomedical Engineering and Radiation Physics, Umeå University, 90187 Umeå, Sweden.
Sensors (Basel, Switzerland)
|December 31, 2025
Summary
Acoustic Reflectometry (AR) shows promise for diagnosing childhood Otitis Media (OM). Computational simulations accurately reproduced human AR measurements, distinguishing between healthy and infected ears.
Area of Science:
- Biomedical Engineering
- Medical Diagnostics
- Acoustics
Background:
- Otitis Media (OM) is a common childhood illness causing hearing loss and high healthcare costs.
- Current diagnostic methods for OM face challenges with accuracy and cost, especially in developing nations.
- Acoustic Reflectometry (AR) is a potential low-cost, non-invasive alternative but requires improved accuracy.
Purpose of the Study:
- To develop and validate a computational simulation and experimental model for Acoustic Reflectometry (AR).
- To assess the feasibility of AR for diagnosing Otitis Media (OM) in children.
- To analyze the impact of user error on AR measurements.
Main Methods:
- Developed a computational simulation model to replicate AR measurements.
- Created an experimental setup to perform AR on human ears.
- Validated both models against human subjects with and without OM.
- Conducted a sensitivity analysis on AR instrument user error.
Main Results:
- The computational simulation successfully reproduced human AR measurements and differentiated between healthy and OM ears.
- The experimental model provided satisfactory OM measurements but was less accurate for normal ears.
- Both simulation and experiment tended to overpredict sound reflection in OM cases.
- Sensitivity analysis indicated good robustness of AR measurements concerning user error.
Conclusions:
- Computational simulation is a valuable tool for researching AR and can complement experimental approaches.
- AR shows potential for improved OM diagnostics, particularly with further refinement of models.
- Future research should prioritize pediatric ear models and simulations of partially filled middle ears for clinical relevance.


