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Tympanometric screening in elementary school children

A Page1, S Kramer, J Novak

  • 1San Diego State University, Calif., USA.

Audiology : Official Organ of the International Society of Audiology
|January 1, 1995
PubMed
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Revised American Speech Language Hearing Association guidelines aim to reduce middle ear disorder over-referrals. A large study found age-related changes in tympanometric measures, offering insights for improved hearing screenings.

Area of Science:

  • Audiology
  • Pediatric Hearing Assessment

Background:

  • The American Speech Language Hearing Association (ASHA) revised hearing screening guidelines in 1990.
  • Amended tympanometric measurements were introduced to decrease over-referrals for middle ear disorders.
  • A large-scale normative study was recommended to further refine referral rates.

Purpose of the Study:

  • To establish normative tympanometric values for children in kindergarten through third grade.
  • To investigate age-related changes in tympanometric measures (Peak Ytm and tympanometric width).
  • To provide data supporting the ASHA guidelines for more accurate hearing screenings.

Main Methods:

  • Tested 750 ears from 392 children (kindergarten to third grade).
  • Calculated normative values for Peak Ytm and tympanometric width, stratified by grade level.

Related Experiment Videos

  • Determined sensitivity and specificity at 65% and 80% with an 11% prevalence.
  • Main Results:

    • An orderly increase in mean Peak Ytm was observed with increasing grade level.
    • A corresponding decrease in mean tympanometric width was found as grade level increased.
    • Sensitivity and specificity were calculated to assess screening effectiveness.

    Conclusions:

    • Normative tympanometric data vary with age in school-aged children.
    • These findings support the refinement of ASHA hearing screening guidelines.
    • Further suggestions are discussed for enhancing the sensitivity and specificity of middle ear screenings.