Tympanometry Flashcards

1
Q

Impedance:
Admittance:

A
  • The opposition of the flow of sound energy

- The ease of sound flow

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2
Q

If sound pressure level is high, admittance is _

If sound pressure level is low, admittance is _

A

If sound pressure level is high, admittance is low

If sound pressure level is low, admittance is high

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3
Q

What is acoustic immittance measuring?

A

The mobility of the TM in response to air pressure (tympanometry) or in response to loud sound (acoustic reflex)

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4
Q

What are the 3 components of typanometry?

A

Static compliance (admittance)
Peak pressure
Ear Canal Volume

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5
Q

Acoustic transmission (sound traveling through TM) is most efficient when:

A

Air pressure in the middle ear cavity is the same as ambient pressure

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6
Q

If there is an increase or decrease of ear canal pressure relative to ambient pressure, acoustic transmission is:

A

Less efficient (less compliant)

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7
Q

In tympanometry, initially start with a positive air pressure at:

A

+200 daPa

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8
Q

The more positive or negative pressure that is introduced, the more _ the TM becomes

A

Stiff

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9
Q

On a tympanogram, the x-axis is:

A

Units of air pressure in daPa

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10
Q

On a tympanogram, the y-axis is:

A

Compliance in mmho

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11
Q

What is the normal range for static compliance?
What is the normal range for peak admittance?
What is the normal range for ear canal volume?

A

Static compliance: 0.3 - 1.7 mmho
Peak admittance: -100 to +100 daPa
ECV: 0.9 to 2 cc

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12
Q

Peak admittance is when the TM is:

A

Maximally compliant

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13
Q

Type A tympanogram is when:

A

Peak admittance is at ambient pressure and the static admittance is normal

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14
Q

Type B tympanogram is when:

What might cause type B?

A
There is no peak pressure in the tympanogram aka no point when the TM is mobile (completely stiff)
Causes:
Normal ECV = Otitis media
Smal ECV = Impacted cerumen
Large BCV = Perforation or open PE tube
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15
Q

Type C tympanogram is when:

What might cause type C?

A

Peak compliance is negative and the pressure in the middle ear is negative (peak pressure is less than -100 daPa)
Cause: Going up in an airplane

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16
Q

Type As tympogram is:

What might cause type As?

A

Peak compliance is normal but the TM is not as mobile as a normal ear
Cause: Tympanosclerosis (scar tissue)

17
Q

Type Ad tympanogram is when:

What might cause type Ad?

A

Peak compliance is normal but the TM is much more mobile than a normal ear (huge variance)
Cause: Tissue that was ruptured and grew back thin