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Gradient (width) measurements (226 hz only), Hz mode, Normative values – Welch Allyn MicroTymp 3 portable tympanometric instrument - User Manual User Manual

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Interpreting test results

Welch Allyn MicroTymp3 portable tympanometric instrument

Gradient (width) measurements (226 Hz only)

When a tympanometric tracing is complete, the device measures the gradient or width of
the tympanogram. If the gradient is abnormal, an asterisk will appear on the LCD under
GR/A for the adult's ear (greater than 10 years of age), or GR/C for the child's ear (10 years
of age or younger). A sample of the Liquid Crystal Display appears below.

226-Hz mode

Normative values

The normative values presented in the table below are taken from a study by Margolis and
Heller (1987) and from the "Guidelines for Screening for Hearing Impairments and Middle
Ear Disorders" (1990).

-400

-200

0

200

2

0.5

0

1.0

1

GR

A

GR

C

PRESSURE - daPa

Ya - mmho

+200 Vea - cc

Normal static
admittance and
TPP (Adults)

Normal static
admittance and
TPP (Children)

Admittance
axis

Pressure
axis

Gradient
(Width) Adult

Gradient
(Width) Child

Note

For purposes of tympanometric norms, an adult is defined as a person 10 years of
age or older, and a child as under age 10.

Normative tympanometric values (226 Hz)

Tympanometric Measurement

Child's Ear
(Under Age 10)
90% Range

Adult's Ear
(Age 10 & Over)
90% Range

Peak Ya
(Positive Tail Compensation)

0.2 to 0.9 mmho

0.3 to 1.4 mmho

Gradient (GR)
(Tympanometric Width)

60 to 150 daPa

50 to 110 daPa

Tympanometric
Peak Pressure (TPP)

-139 to +11 daPa

-83 to 0 daPa

Equivalent Ear Canal
Volume (Vea)

0.4 to 1.0 cc

0.6 to 1.5 cc