Wideband Acoustic Immittance: Normative Study and Test-Retest Reliability of Tympanometric Measurements in Adults

J Speech Lang Hear Res. 2016 Aug 1;59(4):819-34. doi: 10.1044/2016_JSLHR-H-14-0322.

Abstract

Purpose: The purpose of this study was to present normative data of tympanometric measurements of wideband acoustic immittance and to characterize wideband tympanograms.

Method: Data were collected in 84 young adults with strictly defined normal hearing and middle ear status. Energy absorbance (EA) was measured using clicks for 1/12-octave frequencies (0.236 to 8 kHz), with the ear canal air pressure systematically varied (+200 to -300 daPa). In 40 ears, 7 consecutive trials and a trial of clinical 226-Hz acoustic admittance (Ya) tympanometry followed. A cavity test was also conducted.

Results: From the wideband EA tympanogram, several EA spectrums and EA tympanograms were derived. Descriptive statistics were performed, and population parameters were estimated. The immediate test-retest reliability was excellent. Effects of ear canal air pressure on EA were examined comprehensively. Differences in EA between tympanometric and ambient-pressure measurements were significant. Single-frequency EA tympanograms exemplified for half-octave frequencies were contrasted. The bandpass EA tympanogram, 0.236- and 1-kHz EA and Ya tympanograms, and 226-Hz Ya tympanogram were compared in 9 variables.

Conclusions: This study established a database of wideband tympanograms in healthy adults. The data analyses will promote our understanding of the middle ear transfer function. These data will serve as a reference for further studies in clinical populations.

MeSH terms

  • Acoustic Impedance Tests*
  • Acoustic Stimulation
  • Adolescent
  • Adult
  • Air Pressure
  • Ear Canal / physiology
  • Ear, Middle / physiology
  • Female
  • Humans
  • Male
  • Reproducibility of Results
  • Young Adult