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Interpreting 226-hz tympanogram results, Normal middle ear low admittance tympanograms, Normal middle ear – Welch Allyn MicroTymp 3 portable tympanometric instrument - User Manual User Manual

Page 33: Low admittance tympanograms, Right ear, Left ear

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Directions for use

Interpreting test results

33

Interpreting 226-Hz tympanogram results

Normal middle ear

A tympanogram with normal Peak Ya, gradient (width), and tympanometric peak pressure
appears below.

Low admittance tympanograms

Tympanogram with normal Peak Ya and abnormal gradient (width)

Conditions which cause tympanograms with normal height and increased width:

Otitis media with effusion

Tympanosclerosis

-400

-200

0

200

2

0.5

0

1.0

1

1.5

PRESSURE - daPa

Ya - mmho

Vea

+200

RIGHT EAR

R

Note

Low Peak Ya of the middle ear is produced by space-occupying lesions in various
ways. A lesion that displaces air in the middle ear space causes low admittance
by reducing the middle ear volume. The lesion also may interfere with the
vibration of the ossicular chain, contributing to the low admittance. If the lesion is
in contact with the eardrum, low admittance is a result of interference with
eardrum vibration.

-400

-200

0

200

2

0.5

0

1.0

1

1.5

PRESSURE - daPa

Ya - mmho

Vea

+200

LEFT EAR

L