Using of Tympanometry In Secretory Otitis Media

This investigation was done for using of tympanometry in secretory otitis media. This prospective study was conducted at medical clinic in Baghdad city at a period of 2021-2022. The study included 71 Patients who met the inclusion criteria and presented to the OPD were randomly enrolled. Patients with secretory otitis media of any age or gender were considered for inclusion. Thorough history, otoscopic examination, tuning fork tests, and the results of audiological studies such a pure tone audiogram and tympanogram led to the diagnosis of secretory otitis media. There were 32 patients (45.1% of the total) between the ages of 5 and 10, 19 (40.8% of the total) were less than 5 years old, and 9 (12.7%) were older than 15 years old. The male to female ratio was 1.6:1, with 45 men (63.4% of the total) to 26 women (36.6% of the total). Decreased hearing or ear obstruction was the most prevalent presenting symptom at the time of diagnosis, followed by discomfort, otalgia, and delayed speech development. The most frequent observation during otoscopy was an air-fluid level (60.6%), followed by increased vasculature, dullness, and tympanic membrane retraction. It was more typical for both ears to be affected than just one. Tympanograms were performed on all 71 patients. The vast majority (69/97.2%) had a flat type B curve whereas just 2 patients (2.8%) had a type C curve.
In conclusion, the secretory Otitis media was occurred in male than female especially at age 5-10 years.