Effect of Different Positions of the Head on Tympanometry Results: An Exploratory Study

Main Article Content

Indranil Chatterjee
Rabi Hembram
Arpita Chatterjee Shahi
Ashok Kumar Sinha

Abstract

Introduction


Tympanometry is an objective measure of middle ear function that has been an integral part of the audiological evaluation test battery, for nearly three decades. The parameters of the tympanogram obtained are influenced with many factors such as introduction of positive or negative air pressure, speed of recording tympanogram, etc. This study was aimed to explore the influence of head positioning on tympanometric findings in normal ears.


Materials and Methods


Thirty ears of fifteen normal hearing subjects (mean age 22.8 years) and five ears of subjects (mean age 23 years) with high negative middle ear pressure were selected for the study.Tympanometry was done in four postures: head erect, head bent forward (chin touching the chest), head in supine and head lateralized towards one side.


Results


Two different results were obtained. It was interesting to note that the results significantly changed when the tympanogram was recorded after ten minutes in different head positions compared to those taken immediately after changing the head position.


Discussion


The possible explanation for the effect of duration in different head positions on tympanogram is discussed.


Conclusion


No significant changes were observed on static compliance, middle ear pressure, ear canal volume and pressure gradient when the tympanogram were recorded immediately bringing head in the particular posture. When head was held in the changed position for ten minutes, significant reduction in the pressure gradient was observed. Further extensive studies may be required to document the relationship between head positioning and tympanometric results.

Article Details

How to Cite
1.
Chatterjee I, Hembram R, Chatterjee Shahi A, Sinha AK. Effect of Different Positions of the Head on Tympanometry Results: An Exploratory Study. BJOHNS [Internet]. 2017Apr.30 [cited 2024Nov.21];25(1):34-8. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/109
Section
Main article
Author Biographies

Indranil Chatterjee, Ali Yavar Jung National Institute for the Hearing Handicapped

Lecturer

AYJNISHD

Rabi Hembram, Medinipur Medical College

assistant professor

Arpita Chatterjee Shahi, AYJNISHD

AUDIOLOGIST AND SPEECH LANGUAGE PATHOLOGIST

Ashok Kumar Sinha, AYJNISHD

DIRECTOR

References

Ivey RG. Tympanometric Curves and Otosclerosis. Journal of Speech Hearing Research 1975; 18(3):554-8. DOI: 10.1044/jshr.1803.554

Koebsell KA, Margolis, RH. Tympanometric gradient measured from normal preschool children. Audiology 2004; 25(3):149-57

Utech-Smith P, Wiley T, Pyle M. Efficacy of ASHA guidelines for screening middle-ear function. American Speech and Hearing Association 1993; 35(10):114

Nozza RJ, Bluestone CD, Kardatzke D, Bachman R. Identification of middle ear effusion by aural acoustic admittance and otoscopy. Ear and Hearing 1994; 15(4):310-23

Wiley TL, Cruikshanks KG, Nondahl DM, Tweed TS, Klein R, Klein B. Tympanometric measures in older adults. Journal of American Academy of Audiology 1996; 7(4):260-8

Wiley T L, Utech-Smith P. Acoustic-immitance measures and middle-ear screening. Seminars in Hearing 1993; 16(1): 60-80

Ivarsson A, Tjernstrom O, Bylander A, Benrup S. High speed tympanometer and ipsilateral middle ear reflex measurements using a computerized impedance meter: A comparison with the results obtained by a conventional impedance meter. Scandinavian Audiology 1983; 12(3):157-63

Driscoll C, Kei J, Shyu J, Fukai N. The effects of body position on distortion product otoacoustic emission testing. Journal of American Academy of Audiology 2004; 15:566-73

Cinamon, U., Russo, E. and Levy, D. Middle ear pressure changes as a function of body position. The Laryngoscope 2009; 119: 347-50 doi:10.1002/lary.20051.

Shanks JE, Stelmachowica PG, Beauchaine KL, Schulte L. Equivalent ear canal volumes in children pre-and post-tympanostomy tube insertion. Journal of Speech and Hearing Research 1992; 35(4):936-41

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