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International Journal of Otolaryngology
Volume 2012, Article ID 269203, 4 pages
Clinical Study

Transiently Evoked Otoacoustic Emissions in Children with Otitis Media with Effusion

1ENT Department, Tzanion General Hospital of Pireaus, Afentouli 1 and Zanni, 18536 Pireaus, Greece
2ENT Department, Atticon University Hospital of Athens, 1 Rimini Street, Haidari, 12462 Athens, Greece
3ENT Department, Nicosia General Hospital, Nechrou Avenue, Southeastern Nicosia, 1102 Cyprus, Greece

Received 15 September 2011; Accepted 24 October 2011

Academic Editor: Jizhen Lin

Copyright © 2012 Dimitris G. Balatsouras et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Otitis media with effusion is a common pediatric disease whose diagnosis is based on pneumatic otoscopy, pure-tone audiometry, and tympanometry. The aim of this study was to evaluate transiently evoked otoacoustic emissions in the diagnosis of otitis media with effusion as compared to tympanometry. Patients and Methods. 38 children with bilateral otitis media with effusion were studied. 40 normal children of similar age and sex were used as controls. All subjects underwent pneumatic otoscopy, standard pure-tone audiometry, tympanometry, and transiently evoked otoacoustic emissions. Results. In the group of children with bilateral otitis media, transiently evoked otoacoustic emissions were absent in 51 ears (67%). In the remaining 25 ears (33%) the mean emission amplitude was reduced, as compared to the mean value of the control group. Conclusions. Transiently evoked otoacoustic emissions should be included in the diagnostic workup of otitis media with effusion because it is a fast, reliable, and objective test. Transiently evoked otoacoustic emissions should always be used in conjunction with tympanometry, because a more meaningful interpretation of transiently evoked otoacoustic emissions measures is possible.