caa a22 4500 606184414 CHVBK 20210128100826.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00405-014-3421-8 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3421-8 The relationship between preoperative tympanograms and intraoperative ear examination results in children [Elektronische Daten] [Steffen Knopke, Ekpemi Irune, Heidi Olze, Florian Bast] The tympanogram is an objective audiological method in adults and children which is often used in the evaluation of middle ear pathology. This should be alongside a thorough patient history and clinical examination prior to the decision to carry out a paracentesis or tympanostomy tube insertion. The goal of the study was to evaluate the relationship between the preoperative tympanogram and intraoperative ear examination results or middle ear findings. The retrospective study included 654 ears in 333 patients who underwent paracentesis with or without tympanostomy tube insertion between January and December 2011. The study cohort consisted of 206 male and 127 female patients with an average age of 3.7±2.5 years. The results of the preoperative tympanogram were compared to those of the intraoperative ear findings. In 18.4% of ears with a flat tympanogram, an air-filled middle ear was found intraoperatively (p<0.01). Thus, tympanometry results cannot serve as the only indication for surgical intervention. A decision to treat should always be based on the merits of the symptomatology of the patient in conjunction with tympanometry findings. Springer-Verlag Berlin Heidelberg, 2014 Tympanometry nationallicence Middle ear fluid nationallicence Seromucotympanum nationallicence Tubal ventilation disorder nationallicence Otitis media effusion nationallicence Knopke Steffen Department of Otorhinolaryngology, Campus Virchow-Klinikum, University Hospital Charité, Augustenburger Platz 1, 13353, Berlin, Germany aut Irune Ekpemi Department of Otorhinolaryngology, Royal Hallamshire Hospital, Sheffield, UK aut Olze Heidi Department of Otorhinolaryngology, Campus Virchow-Klinikum, University Hospital Charité, Augustenburger Platz 1, 13353, Berlin, Germany aut Bast Florian Craniofacial Surgery, Chelsea and Westminster Hospital, 369 Fulham Road, SW10 9NH, London, UK aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/12(2015-12-01), 3651-3654 0937-4477 272:12<3651 2015 272 405 https://doi.org/10.1007/s00405-014-3421-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3421-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Knopke Steffen Department of Otorhinolaryngology, Campus Virchow-Klinikum, University Hospital Charité, Augustenburger Platz 1, 13353, Berlin, Germany aut NATIONALLICENCE 700 1- Irune Ekpemi Department of Otorhinolaryngology, Royal Hallamshire Hospital, Sheffield, UK aut NATIONALLICENCE 700 1- Olze Heidi Department of Otorhinolaryngology, Campus Virchow-Klinikum, University Hospital Charité, Augustenburger Platz 1, 13353, Berlin, Germany aut NATIONALLICENCE 700 1- Bast Florian Craniofacial Surgery, Chelsea and Westminster Hospital, 369 Fulham Road, SW10 9NH, London, UK aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/12(2015-12-01), 3651-3654 0937-4477 272:12<3651 2015 272 405