Survey of Audiological Immittance Practices Purpose The purpose of this study was to examine current immittance practices and trends over time, reasons why multifrequency (MF) and multicomponent (MC) tympanometry have been underused, and the prevalence of negative patient reactions to acoustic reflex (AR) testing. Method Two audiological practice surveys were conducted regarding tympanometry ... Research Article
Research Article  |   June 01, 2012
Survey of Audiological Immittance Practices
 
Author Affiliations & Notes
  • Diana C. Emanuel
    Towson University, Towson, MD
  • Olivia E. C. Henson
    ENT and Allergy Specialists of VA, Ashburn
  • Rita R. Knapp
    Towson University, Towson, MD
  • Correspondence to Diana C. Emanuel: demanuel@towson.edu
  • Editor: Larry Humes
    Editor: Larry Humes×
Article Information
Hearing Disorders / Research Articles
Research Article   |   June 01, 2012
Survey of Audiological Immittance Practices
American Journal of Audiology, June 2012, Vol. 21, 60-75. doi:10.1044/1059-0889(2012/11-0037)
History: Received November 29, 2011 , Accepted February 4, 2012
 
American Journal of Audiology, June 2012, Vol. 21, 60-75. doi:10.1044/1059-0889(2012/11-0037)
History: Received November 29, 2011; Accepted February 4, 2012
Web of Science® Times Cited: 2

Purpose The purpose of this study was to examine current immittance practices and trends over time, reasons why multifrequency (MF) and multicomponent (MC) tympanometry have been underused, and the prevalence of negative patient reactions to acoustic reflex (AR) testing.

Method Two audiological practice surveys were conducted regarding tympanometry (2008, n = 156) and AR (2009, n = 90).

Results Most respondents conduct tympanometry and AR threshold (ART) testing. MF and MC tympanometry were rarely reported, generally due to a lack of equipment and training. ART testing was reported most often using both ipsilateral and contralateral presentation. Contralateral testing has decreased over time. Patient complaints of discomfort following AR testing were common. Complaints of tinnitus or hearing loss were present, although rare.

Conclusion Tympanometry and ART tests have remained popular for the past 30 years, whereas acoustic reflex decay (ARD) testing has decreased in popularity. MF and MC tympanometry are conducted infrequently. AR is frequently associated with discomfort but rarely associated with other symptoms. However, one respondent reported that AR testing had caused permanent tinnitus and hearing loss.

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