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CC BY-NC-ND 4.0 · Semin Hear 2023; 44(01): 046-064
DOI: 10.1055/s-0043-1763294
Original Article

Wideband Acoustic Immittance in Children

Navid Shahnaz 
1   School of Audiology and Speech Sciences, University of British Columbia, Vancouver, Canada
,
Sreedevi Aithal
2   Department of Audiology, Townsville University Hospital, Townsville, Australia
3   School of Rehabilitation Sciences, University of Queensland, Queensland, Australia
4   School of Rehabilitation, James Cook University, Queensland, Australia
,
Gabriel A. Bargen
5   Department of Communication Sciences and Disorders, Idaho State University, Meridian, Idaho
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Abstract

As wideband absorbance (WBA) gains popularity, it is essential to understand the impact of different middle ear pathologies on the absorbance patterns as a function of frequency in children with various middle ear pathologies. More recently, the use of wideband tympanometry has enabled clinicians to conduct WBA at ambient pressure (WBAamb) as well as the pressurized mode (WBATPP). This article reviews evidence for the ability of WBA measurements to accurately characterize the normal middle ear function across a wide range of frequencies and to aid in differential diagnosis of common middle ear disorders in children. Absorbance results in cases of otitis media with effusion, negative middle ear pressure, Eustachian tube malfunction, middle ear tumors, and pressure equalization tubes will be compared to age-appropriate normative data. Where applicable, WBAamb as well as WBATPP will be reviewed in these conditions. The main objectives of this article are to identify, assess, and interpret WBAamb and WBATPP outcomes from various middle ear conditions in children between the ages of 3 and 12 years.

Keywords

wideband acoustic immittance - wideband absorbance tympanometry - middle ear dysfunction - children - pediatric

Disclosures

We have no known conflict of interest to disclose.




Publikationsverlauf

Artikel online veröffentlicht:
01. März 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Keefe DH, Bulen JC, Arehart KH, Burns EM. Ear-canal impedance and reflection coefficient in human infants and adults. J Acoust Soc Am 1993; 94 (05) 2617-2638
    CrossrefPubMedSuche in Google Scholar
  • 2 Beers AN, Shahnaz N, Westerberg BD, Kozak FK. Wideband reflectance in normal Caucasian and Chinese school-aged children and in children with otitis media with effusion. Ear Hear 2010; 31 (02) 221-233
    CrossrefPubMedSuche in Google Scholar
  • 3 Keefe DH, Sanford CA, Ellison JC, Fitzpatrick DF, Gorga MP. Wideband aural acoustic absorbance predicts conductive hearing loss in children. Int J Audiol 2012; 51 (12) 880-891
    CrossrefPubMedSuche in Google Scholar
  • 4 Ellison JC, Gorga M, Cohn E, Fitzpatrick D, Sanford CA, Keefe DH. Wideband acoustic transfer functions predict middle-ear effusion. Laryngoscope 2012; 122 (04) 887-894
    CrossrefPubMedSuche in Google Scholar
  • 5 Merchant GR, Al-Salim S, Tempero RM, Fitzpatrick D, Neely ST. Improving the differential diagnosis of otitis media with effusion using wideband acoustic immittance. Ear Hear 2021; 42 (05) 1183-1194
    CrossrefPubMedSuche in Google Scholar
  • 6 Prieve BA, Feeney MP, Stenfelt S, Shahnaz N. Prediction of conductive hearing loss using wideband acoustic immittance. Ear Hear 2013; 34 (Suppl. 01) 54S-59S
    CrossrefPubMedSuche in Google Scholar
  • 7 Hunter LL, Prieve BA, Kei J, Sanford CA. Pediatric applications of wideband acoustic immittance measures. Ear Hear 2013; 34 (Suppl. 01) 36S-42S
    CrossrefPubMedSuche in Google Scholar
  • 8 Sanford CA, Brockett JE. Characteristics of wideband acoustic immittance in patients with middle-ear dysfunction. J Am Acad Audiol 2014; 25 (05) 425-440
    Thieme ConnectPubMedSuche in Google Scholar
  • 9 Won J, Monroy GL, Huang PC. et al. Assessing the effect of middle ear effusions on wideband acoustic immittance using optical coherence tomography. Ear Hear 2020; 41 (04) 811-824
    CrossrefPubMedSuche in Google Scholar
  • 10 Voss SE, Merchant GR, Horton NJ. Effects of middle-ear disorders on power reflectance measured in cadaveric ear canals. Ear Hear 2012; 33 (02) 195-208
    CrossrefPubMedSuche in Google Scholar
  • 11 Aithal V, Aithal S, Kei J, Anderson S, Wright D. Predictive accuracy of wideband absorbance at ambient and tympanometric peak pressure conditions in identifying children with surgically confirmed otitis media with effusion. J Am Acad Audiol 2020; 31 (07) 471-484
    PubMedSuche in Google Scholar
  • 12 Hunter LL, Margolis RH. Effects of tympanic membrane abnormalities on auditory function. J Am Acad Audiol 1997; 8 (06) 431-446
    PubMedSuche in Google Scholar
  • 13 Piskorski P, Keefe DH, Simmons JL, Gorga MP. Prediction of conductive hearing loss based on acoustic ear-canal response using a multivariate clinical decision theory. J Acoust Soc Am 1999; 105 (03) 1749-1764
    CrossrefPubMedSuche in Google Scholar
  • 14 Aithal S, Aithal V, Kei J, Manuel A. Effect of negative middle ear pressure and compensated pressure on wideband absorbance and otoacoustic emissions in children. J Speech Lang Hear Res 2019; 62 (09) 3516-3530
    CrossrefPubMedSuche in Google Scholar
  • 15 Margolis RH, Saly GL, Keefe DH. Wideband reflectance tympanometry in normal adults. J Acoust Soc Am 1999; 106 (01) 265-280
    CrossrefPubMedSuche in Google Scholar
  • 16 Liu YW, Sanford CA, Ellison JC, Fitzpatrick DF, Gorga MP, Keefe DH. Wideband absorbance tympanometry using pressure sweeps: system development and results on adults with normal hearing. J Acoust Soc Am 2008; 124 (06) 3708-3719
    CrossrefPubMedSuche in Google Scholar
  • 17 Sanford CA, Hunter LL, Feeney MP, Nakajima HH. Wideband acoustic immittance: tympanometric measures. Ear Hear 2013; 34 (Suppl. 01) 65S-71S
    Suche in Google Scholar
  • 18 Sun XM. Wideband acoustic immittance: normative study and test-retest reliability of tympanometric measurements in adults. J Speech Lang Hear Res 2016; 59 (04) 819-834
    CrossrefPubMedSuche in Google Scholar
  • 19 Shahnaz N, Bork K. Wideband reflectance norms for Caucasian and Chinese young adults. Ear Hear 2006; 27 (06) 774-788
    CrossrefPubMedSuche in Google Scholar
  • 20 Schilder AG, Chonmaitree T, Cripps AW. et al. Otitis media. Nat Rev Dis Primers 2016; 2 (01) 16063
    CrossrefPubMedSuche in Google Scholar
  • 21 Tong S, Amand C, Kieffer A, Kyaw MH. Trends in healthcare utilization and costs associated with acute otitis media in the United States during 2008-2014. BMC Health Serv Res 2018; 18 (01) 318
    CrossrefPubMedSuche in Google Scholar
  • 22 Friel-Patti S, Finitzo-Hieber T, Conti G, Brown KC. Language delay in infants associated with middle ear disease and mild, fluctuating hearing impairment. Pediatr Infect Dis 1982; 1 (02) 104-109
    CrossrefPubMedSuche in Google Scholar
  • 23 Hubbard TW, Paradise JL, McWilliams BJ, Elster BA, Taylor FH. Consequences of unremitting middle-ear disease in early life. Otologic, audiologic, and developmental findings in children with cleft palate. N Engl J Med 1985; 312 (24) 1529-1534
    CrossrefPubMedSuche in Google Scholar
  • 24 Roark R, Berman S. Continuous twice daily or once daily amoxicillin prophylaxis compared with placebo for children with recurrent acute otitis media. Pediatr Infect Dis J 1997; 16 (04) 376-381
    CrossrefPubMedSuche in Google Scholar
  • 25 Conti-Ramsden G, Friel-Patti S. Mother-child dialogues: considerations of cognitive complexity for young language learning children. Br J Disord Commun 1986; 21 (02) 245-255
    CrossrefPubMedSuche in Google Scholar
  • 26 Roland PS, Finitzo T, Friel-Patti S. et al. Otitis media. Incidence, duration, and hearing status. Arch Otolaryngol Head Neck Surg 1989; 115 (09) 1049-1053
    CrossrefPubMedSuche in Google Scholar
  • 27 Sak RJ, Ruben RJ. Effects of recurrent middle ear effusion in preschool years on language and learning. J Dev Behav Pediatr 1982; 3 (01) 7-11
    PubMedSuche in Google Scholar
  • 28 Teele DW, Klein JO, Rosner BA. Otitis media with effusion during the first three years of life and development of speech and language. Pediatrics 1984; 74 (02) 282-287
    CrossrefPubMedSuche in Google Scholar
  • 29 Tomlin D, Rance G. Long-term hearing deficits after childhood middle ear disease. Ear Hear 2014; 35 (06) e233-e242
    CrossrefPubMedSuche in Google Scholar
  • 30 Wallace IF, Gravel JS, McCarton CM, Stapells DR, Bernstein RS, Ruben RJ. Otitis media, auditory sensitivity, and language outcomes at one year. Laryngoscope 1988; 98 (01) 64-70
    CrossrefPubMedSuche in Google Scholar
  • 31 Margolis RH, Saly GL, Hunter LL. High-frequency hearing loss and wideband middle ear impedance in children with otitis media histories. Ear Hear 2000; 21 (03) 206-211
    CrossrefPubMedSuche in Google Scholar
  • 32 Haggard M, Hughes E. A Review of the Literature and Implications of Otitis Media. HMSO; 1991. ISBN-13: ‎ 978–0113212101
    Suche in Google Scholar
  • 33 Tos M. Epidemiology and natural history of secretory otitis. Am J Otol 1984; 5 (06) 459-462
    PubMedSuche in Google Scholar
  • 34 Williamson IG, Dunleavey J, Bain J, Robinson D. The natural history of otitis media with effusion – a three-year study of the incidence and prevalence of abnormal tympanograms in four South West Hampshire infant and first schools. J Laryngol Otol 1994; 108 (11) 930-934
    CrossrefPubMedSuche in Google Scholar
  • 35 Zielhuis GA, Rach GH, Van den Broek P. The occurrence of otitis media with effusion in Dutch pre-school children. Clin Otolaryngol Allied Sci 1990; 15 (02) 147-153
    CrossrefPubMedSuche in Google Scholar
  • 36 Klein JO. The burden of otitis media. Vaccine 2000; 19 (Suppl. 01) S2-S8
    CrossrefPubMedSuche in Google Scholar
  • 37 Pichichero ME, Poole MD. Comparison of performance by otolaryngologists, pediatricians, and general practitioners on an otoendoscopic diagnostic video examination. Int J Pediatr Otorhinolaryngol 2005; 69 (03) 361-366
    CrossrefPubMedSuche in Google Scholar
  • 38 Nozza RJ, Bluestone CD, Kardatzke D, Bachman R. Towards the validation of aural acoustic immittance measures for diagnosis of middle ear effusion in children. Ear Hear 1992; 13 (06) 442-453
    CrossrefPubMedSuche in Google Scholar
  • 39 Nozza RJ, Bluestone CD, Kardatzke D, Bachman R. Identification of middle ear effusion by aural acoustic admittance and otoscopy. Ear Hear 1994; 15 (04) 310-323
    CrossrefPubMedSuche in Google Scholar
  • 40 Anwar K, Khan S, Rehman HU, Javaid M, Shahabi I. Otitis media with effusion: accuracy of tympanometry in detecting fluid in the middle ears of children at myringotomies. Pak J Med Sci 2016; 32 (02) 466-470
    PubMedSuche in Google Scholar
  • 41 Jerger J. Clinical experience with impedance audiometry. Arch Otolaryngol 1970; 92 (04) 311-324
    CrossrefPubMedSuche in Google Scholar
  • 42 Margolis RH, Hunter LL, Giebink GS. Tympanometric evaluation of middle ear function in children with otitis media. Ann Otol Rhinol Laryngol Suppl 1994; 163: 34-38
    CrossrefPubMedSuche in Google Scholar
  • 43 Al-Salim S, Tempero RM, Johnson H, Merchant GR. Audiologic profiles of children with otitis media with effusion. Ear Hear 2021; 42 (05) 1195-1207
    CrossrefPubMedSuche in Google Scholar
  • 44 Rosenfeld RM, Shin JJ, Schwartz SR. et al. Clinical practice guideline: otitis media with effusion (update). Otolaryngol Head Neck Surg 2016; 154 (1, Suppl): S1-S41
    PubMedSuche in Google Scholar
  • 45 Sassen ML, van Aarem A, Grote JJ. Validity of tympanometry in the diagnosis of middle ear effusion. Clin Otolaryngol Allied Sci 1994; 19 (03) 185-189
    CrossrefPubMedSuche in Google Scholar
  • 46 Voss SE. Resource review. Ear Hear 2019; 40 (06) 1481
    CrossrefPubMedSuche in Google Scholar
  • 47 Margolis RH, Paul S, Saly GL, Schachern PA, Keefe DH. Wideband reflectance tympanometry in chinchillas and human. J Acoust Soc Am 2001; 110 (3, Pt 1): 1453-1464
    CrossrefPubMedSuche in Google Scholar
  • 48 Bluestone CD, Keline JO. Otitis Media in Infants and Children. 4th ed.. Hamilton, Ontario, Canada: BC Decker; 2007
    Suche in Google Scholar
  • 49 Lildholdt T. Negative middle ear pressure. Variations by season and sex. Ann Otol Rhinol Laryngol Suppl 1980; 89 (3, Pt 2): 67-70
    CrossrefPubMedSuche in Google Scholar
  • 50 Aithal S, Aithal V, Kei J, Anderson S, Liebenberg S. Eustachian tube dysfunction and wideband absorbance measurements at tympanometric peak pressure and 0 daPa. J Am Acad Audiol 2019; 30 (09) 781-791
    Suche in Google Scholar
  • 51 Alper C, Olszewska E. Assessment and management of retraction pockets. Otolaryngol Pol 2017; 71 (01) 1-21
    CrossrefPubMedSuche in Google Scholar
  • 52 Rosito LPS, Sperling N, Teixeira AR, Selaimen FA, da Costa SS. The role of tympanic membrane retractions in cholesteatoma pathogenesis. BioMed Res Int 2018; 2018: 9817123
    PubMedSuche in Google Scholar
  • 53 Sadé J, Avraham S, Brown M. Atelectasis, retraction pockets and cholesteatoma. Acta Otolaryngol 1981; 92 (5-6): 501-512
    CrossrefPubMedSuche in Google Scholar
  • 54 Wells MD, Michaels L. Role of retraction pockets in cholesteatoma formation. Clin Otolaryngol Allied Sci 1983; 8 (01) 39-45
    CrossrefPubMedSuche in Google Scholar
  • 55 Zheng Y, Ou Y, Yang H, Liu X, Chen S, Liu W. [Clinical manifestation of attic retraction pocket]. Lin Chuang Er Bi Yan Hou Ke Za Zhi 2005; 19 (16) 737-739
    PubMedSuche in Google Scholar
  • 56 Pau HW, Punke C, Just T. Tympanometric experiments on retracted ear drums–does tympanometry reflect the true middle ear pressure?. Acta Otolaryngol 2009; 129 (10) 1080-1087
    CrossrefPubMedSuche in Google Scholar
  • 57 Isaacson G. Diagnosis of pediatric cholesteatoma. Pediatrics 2007; 120 (03) 603-608
    CrossrefPubMedSuche in Google Scholar
  • 58 Aquino JE, Cruz Filho NA, de Aquino JN. Epidemiology of middle ear and mastoid cholesteatomas: study of 1146 cases. Rev Bras Otorrinolaringol (Engl Ed) 2011; 77 (03) 341-347
    PubMedSuche in Google Scholar
  • 59 Kemppainen HO, Puhakka HJ, Laippala PJ, Sipilä MM, Manninen MP, Karma PH. Epidemiology and aetiology of middle ear cholesteatoma. Acta Otolaryngol 1999; 119 (05) 568-572
    CrossrefPubMedSuche in Google Scholar
  • 60 Kuo CL, Shiao AS, Yung M. et al. Updates and knowledge gaps in cholesteatoma research. BioMed Res Int 2015; 2015: 854024
    PubMedSuche in Google Scholar
  • 61 Tos M. Incidence, etiology and pathogenesis of cholesteatoma in children. Adv Otorhinolaryngol 1988; 40: 110-117
    PubMedSuche in Google Scholar
  • 62 Martins O, Victor J, Selesnick S. The relationship between individual ossicular status and conductive hearing loss in cholesteatoma. Otol Neurotol 2012; 33 (03) 387-392
    CrossrefPubMedSuche in Google Scholar
  • 63 Rosito LP, Teixeira AR, Netto LS, Selaimen FA, da Costa SS. Cholesteatoma growth patterns: are there audiometric differences between posterior epitympanic and posterior mesotympanic cholesteatoma?. Eur Arch Otorhinolaryngol 2016; 273 (10) 3093-3099
    CrossrefPubMedSuche in Google Scholar
  • 64 Aithal S, Aithal V, Kei J, Anderson S. Wideband absorbance in ears with retraction pockets and cholesteatomas: a preliminary study. J Am Acad Audiol 2020; 31 (10) 708-718
    Thieme ConnectPubMedSuche in Google Scholar
  • 65 Nakajima HH, Rosowski JJ, Shahnaz N, Voss SE. Assessment of ear disorders using power reflectance. Ear Hear 2013; 34 Suppl 1 (701) 48S-53S
    CrossrefPubMedSuche in Google Scholar
  • 66 Manickam V, Shott GS, Heithaus D, Shott SR. Hearing loss in Down syndrome revisited - 15 years later. Int J Pediatr Otorhinolaryngol 2016; 88: 203-207
    CrossrefPubMedSuche in Google Scholar
  • 67 Park AH, Wilson MA, Stevens PT, Harward R, Hohler N. Identification of hearing loss in pediatric patients with Down syndrome. Otolaryngol Head Neck Surg 2012; 146 (01) 135-140
    CrossrefPubMedSuche in Google Scholar
  • 68 Hunter LL, Keefe DH, Feeney MP. et al. Wideband acoustic immittance in children with Down syndrome: prediction of middle-ear dysfunction, conductive hearing loss and patent PE tubes. Int J Audiol 2017; 56 (09) 622-634
    CrossrefPubMedSuche in Google Scholar