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1000-hz mode, Tympanometry in young infants, Right ear – Welch Allyn MicroTymp 3 portable tympanometric instrument - User Manual User Manual

Page 37: Tympanograms with artifact

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Directions for use

Interpreting test results

37

Tympanograms with artifact

Conditions which cause artifact:

Patient movement

Practitioner movement

Vocalizing or crying

1000-Hz mode

Tympanometry in young infants

Tympanograms obtained with a 226-Hz probe tone have been found to be insensitive to
middle ear fluid in young infants. Recent studies using a 1000-Hz probe tone have shown
good sensitivity to middle ear disease in this population. Research suggests the age at
which 226-Hz tympanometry becomes an appropriate test is between four and six
months. An appropriate guideline for selecting the appropriate age-based frequency is to
use 1000-Hz tympanometry for infants below four months of age, 226-Hz for infants
above six months of age, and both frequencies for infants four to six months of age.

The “Quick-Interpretation” feature of this tympanometer enables clinicians to test infants
less than six months old and receive immediate interpretive feedback from the device.
The 1000-Hz interpretations are based on proven clinical criteria, including calculated
values in the shape of the curve.

Note

During the typanometric measurement, the clinician should keep a steady hand,
and the patient should not talk, chew gum, yawn, cry, or move. If the display
indicates too much artifact, the clinician must repeat the measurement.

-400

-200

0

200

2

0.5

0

1.0

1

1.5

PRESSURE - daPa

Ya - mmho

Vea

+200

RIGHT EAR

R