Diagnostic Accuracy of Tympanometry for Diagnosis of Fluid the Middle Ears of Children with Otitis Media with Effusion staking Myringotomy as Gold Standard
Objective: To determine the diagnostic accuracy of tympanometry for diagnosing fluid in the middle ears of children with Otitis Media with Effusion taking myringotomy as a gold standard. Study Design: Cross-sectional study Place and Duration of Study: Department of ENT & Head and Neck Sur...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Army Medical College Rawalpindi
2023-02-01
|
| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/7873 |
| _version_ | 1797856256563609600 |
|---|---|
| author | Syed Aoun Abbas Mehdi Sayed Nusrat Raza Zaheer Ul Hassan Amir Ali Khan Matahir Manzoor Mohammad Noman Karim |
| author_facet | Syed Aoun Abbas Mehdi Sayed Nusrat Raza Zaheer Ul Hassan Amir Ali Khan Matahir Manzoor Mohammad Noman Karim |
| author_sort | Syed Aoun Abbas Mehdi |
| collection | DOAJ |
| description |
Objective: To determine the diagnostic accuracy of tympanometry for diagnosing fluid in the middle ears of children with Otitis Media with Effusion taking myringotomy as a gold standard.
Study Design: Cross-sectional study
Place and Duration of Study: Department of ENT & Head and Neck Surgery, Combined Military Hospital, Peshawar Pakistan, from Oct 2018 to Sep 2020.
Methodology: A total of 201 patients who underwent tympanometry followed by myringotomy of aged between 3 to 12 years of either gender were included. All patients underwent tympanometry. After that, myringotomy was carried out through a radial incision in the anteroinferior quadrant using a general inhalational anaesthetic agent. The operative findings at myringotomy were recorded. The presence of fluid on intraoperative findings using myringotomy was considered positive for the presence of fluid in the middle ears of children.
Results: The age range of the patients was from 3-12 years, with a mean age of 7.35±2.41 years. Of these 207 patients,133(64.18%) were males, and 74(35.82%) were females. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of tympanometry for diagnosis of fluid in the middle ears of children with Otitis Media with Effusion taking myringotomy as the gold standard was 85.7%, 86.3%, 89.4%, 81.7% and 85.9% respectively.
Conclusion: This study concluded that the diagnostic accuracy of tympanometry for the diagnosis of fluid in the middle ears of children with Otitis Media with Effusion is quite high.
|
| first_indexed | 2024-04-09T20:37:25Z |
| format | Article |
| id | doaj.art-09d10d7619b342e3b781a59253ef9d4e |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-04-09T20:37:25Z |
| publishDate | 2023-02-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-09d10d7619b342e3b781a59253ef9d4e2023-03-30T06:25:32ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-02-0173110.51253/pafmj.v73i1.7873Diagnostic Accuracy of Tympanometry for Diagnosis of Fluid the Middle Ears of Children with Otitis Media with Effusion staking Myringotomy as Gold StandardSyed Aoun Abbas Mehdi0Sayed Nusrat Raza1Zaheer Ul Hassan2Amir Ali Khan3Matahir Manzoor4Mohammad Noman Karim5Combined Military Hospital Pano Aqil/National University of Medical Sciences (NUMS) PakistanArmy Medical College/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital, Kharian/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Pano Aqil/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital, Muzaffarabad/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital, Chor/National University of Medical Sciences (NUMS) Pakistan Objective: To determine the diagnostic accuracy of tympanometry for diagnosing fluid in the middle ears of children with Otitis Media with Effusion taking myringotomy as a gold standard. Study Design: Cross-sectional study Place and Duration of Study: Department of ENT & Head and Neck Surgery, Combined Military Hospital, Peshawar Pakistan, from Oct 2018 to Sep 2020. Methodology: A total of 201 patients who underwent tympanometry followed by myringotomy of aged between 3 to 12 years of either gender were included. All patients underwent tympanometry. After that, myringotomy was carried out through a radial incision in the anteroinferior quadrant using a general inhalational anaesthetic agent. The operative findings at myringotomy were recorded. The presence of fluid on intraoperative findings using myringotomy was considered positive for the presence of fluid in the middle ears of children. Results: The age range of the patients was from 3-12 years, with a mean age of 7.35±2.41 years. Of these 207 patients,133(64.18%) were males, and 74(35.82%) were females. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of tympanometry for diagnosis of fluid in the middle ears of children with Otitis Media with Effusion taking myringotomy as the gold standard was 85.7%, 86.3%, 89.4%, 81.7% and 85.9% respectively. Conclusion: This study concluded that the diagnostic accuracy of tympanometry for the diagnosis of fluid in the middle ears of children with Otitis Media with Effusion is quite high. https://www.pafmj.org/index.php/PAFMJ/article/view/7873AccuracyHearing impairmentOtitis media with effusionTympanometry |
| spellingShingle | Syed Aoun Abbas Mehdi Sayed Nusrat Raza Zaheer Ul Hassan Amir Ali Khan Matahir Manzoor Mohammad Noman Karim Diagnostic Accuracy of Tympanometry for Diagnosis of Fluid the Middle Ears of Children with Otitis Media with Effusion staking Myringotomy as Gold Standard Pakistan Armed Forces Medical Journal Accuracy Hearing impairment Otitis media with effusion Tympanometry |
| title | Diagnostic Accuracy of Tympanometry for Diagnosis of Fluid the Middle Ears of Children with Otitis Media with Effusion staking Myringotomy as Gold Standard |
| title_full | Diagnostic Accuracy of Tympanometry for Diagnosis of Fluid the Middle Ears of Children with Otitis Media with Effusion staking Myringotomy as Gold Standard |
| title_fullStr | Diagnostic Accuracy of Tympanometry for Diagnosis of Fluid the Middle Ears of Children with Otitis Media with Effusion staking Myringotomy as Gold Standard |
| title_full_unstemmed | Diagnostic Accuracy of Tympanometry for Diagnosis of Fluid the Middle Ears of Children with Otitis Media with Effusion staking Myringotomy as Gold Standard |
| title_short | Diagnostic Accuracy of Tympanometry for Diagnosis of Fluid the Middle Ears of Children with Otitis Media with Effusion staking Myringotomy as Gold Standard |
| title_sort | diagnostic accuracy of tympanometry for diagnosis of fluid the middle ears of children with otitis media with effusion staking myringotomy as gold standard |
| topic | Accuracy Hearing impairment Otitis media with effusion Tympanometry |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/7873 |
| work_keys_str_mv | AT syedaounabbasmehdi diagnosticaccuracyoftympanometryfordiagnosisoffluidthemiddleearsofchildrenwithotitismediawitheffusionstakingmyringotomyasgoldstandard AT sayednusratraza diagnosticaccuracyoftympanometryfordiagnosisoffluidthemiddleearsofchildrenwithotitismediawitheffusionstakingmyringotomyasgoldstandard AT zaheerulhassan diagnosticaccuracyoftympanometryfordiagnosisoffluidthemiddleearsofchildrenwithotitismediawitheffusionstakingmyringotomyasgoldstandard AT amiralikhan diagnosticaccuracyoftympanometryfordiagnosisoffluidthemiddleearsofchildrenwithotitismediawitheffusionstakingmyringotomyasgoldstandard AT matahirmanzoor diagnosticaccuracyoftympanometryfordiagnosisoffluidthemiddleearsofchildrenwithotitismediawitheffusionstakingmyringotomyasgoldstandard AT mohammadnomankarim diagnosticaccuracyoftympanometryfordiagnosisoffluidthemiddleearsofchildrenwithotitismediawitheffusionstakingmyringotomyasgoldstandard |