Prospective comparison of handheld pneumatic otoscopy, binocular microscopy, and tympanometry in identifying middle ear effusions in children

International Journal of Pediatric Otorhinolaryngology
Derek J RogersMarc H Hohman

Abstract

To compare pneumatic otoscopy, binocular microscopy, and tympanometry in identifying middle ear effusions in children and to determine if a significant difference exists in sensitivity and specificity based on patient age and/or experience of the examiner. A prospective study of 102 patients, or 201 ears, enrolled over a 1-year period in a tertiary medical center. Sensitivity, specificity, positive predictive value, and negative predictive value were determined for staff and resident-performed pneumatic otoscopy, staff and resident-performed binocular microscopy, and tympanometry. Tympanometry data were stratified for age. A kappa correlation was used to compare each tool to myringotomy result (gold standard) and to compare staff versus resident. Binocular microscopy by staff pediatric otolaryngologist was the most sensitive, 88.0% (95% CI 81.4-94.7), and specific, 89% (95% CI 83.1-94.9). Resident binocular microscopy revealed a sensitivity of 81.5% (95% CI 73.6-89.5) and specificity 78.9% (95% CI 71.2-86.6). Staff was more sensitive and specific than resident at pneumatic otoscopy, sensitivity 67.9% (95% CI 57.6-78.3) and specificity 81.4% (95% CI 73.8-88.9) versus 57.7% (95% CI 46.7-68.7) and 78.4% (95% CI 70.4-86.4). Tympano...Continue Reading

References

Apr 1, 1990·Clinical Otolaryngology and Allied Sciences·J G Toner, B Mains
Jan 1, 1986·The Annals of Otology, Rhinology, and Laryngology·G A GatesG R Holt
Jun 1, 1994·Clinical Otolaryngology and Allied Sciences·M L SassenJ J Grote
Jun 20, 1997·International Journal of Pediatric Otorhinolaryngology·A B Silva, A J Hotaling
Aug 1, 1997·Clinical Otolaryngology and Allied Sciences·G W WattersA P Freeland
Nov 5, 1997·The Journal of Pediatrics·P KoivunenJ Luotonen
Jul 9, 1998·The Pediatric Infectious Disease Journal·P E Brookhouser
Dec 19, 2002·Otolaryngologic Clinics of North America·Karen C Johnson
Dec 22, 2004·Archives of Otolaryngology--head & Neck Surgery·Christopher M DiscoloPeter J Koltai
Sep 5, 2007·Archives of Pediatrics & Adolescent Medicine·Jennifer ChianeseMarcia Kurs-Lasky

❮ Previous
Next ❯

Citations

Apr 26, 2013·Journal of the Association for Research in Otolaryngology : JARO·Jennifer L ThorntonDaniel J Tollin
Feb 7, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Leigh BiagioBart Vinck
Mar 10, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·A Al-HussainiA Tomkinson
Jun 4, 2013·International Journal of Pediatric Otorhinolaryngology·Annette HoffmannClaus-Michael Schmidt
Aug 13, 2015·Veterinary Dermatology·Lynette K ColePäivi J Rajala-Schultz
Mar 1, 2012·The Laryngoscope·John C EllisonDouglas H Keefe
Nov 12, 2013·International Journal of Pediatric Otorhinolaryngology·Armin Bidarian-MoniriHasse Ejnell
Dec 4, 2014·International Journal of Pediatric Otorhinolaryngology·Mina ParkJun Ho Lee
May 18, 2016·Acta otorrinolaringológica española·Eduardo A Mena-DomínguezM Fe Muñoz-Moreno
Dec 27, 2019·The Pediatric Infectious Disease Journal·Elena ChiappiniUNKNOWN and the Italian Panel for the Management of Acute Otitis Media in Children
Jun 17, 2020·Journal of Speech, Language, and Hearing Research : JSLHR·Christopher G Brennan-JonesSarra E Jamieson
Sep 29, 2018·International Journal of Pediatric Otorhinolaryngology·Tulio A ValdezMoungi Bawendi
Jul 7, 2021·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Mohd AftabSachin Singh
Nov 12, 2020·ACS Sensors·Joshua J YimTulio A Valdez

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Pediatrics
American Academy of Family PhysiciansAmerican Academy of Pediatrics Subcommittee on Otitis Media With Effusion
International Journal of Pediatric Otorhinolaryngology
Meagan P LewisAdele K Evans
© 2021 Meta ULC. All rights reserved