H. Stephenson et al., PREVALENCE OF TYMPANOGRAM ASYMMETRIES AND FLUCTUATIONS IN OTITIS-MEDIA WITH EFFUSION - IMPLICATIONS FOR BINAURAL HEARING, Audiology, 32(3), 1993, pp. 164-174
It has been suggested that asymmetric or fluctuating hearing in otitis
media with effusion (OME) could lead to abnormal binaural hearing. In
a cohort of children with tympanogram data obtained at 3-monthly inte
rvals from 2 to 4 years, 6.4% had asymmetric or unilateral B tympanogr
ams on more than half the test occasions, or had 5 or more fluctuation
s between symmetric and asymmetric tympanograms. Hence there are suffi
cient cases for studies of sequelae or treatment in unilateral and flu
ctuating OME. Few of these cases would have received medical attention
under a bilateral referral criterion.