Case 3 Immittance

  • In the right ear, there appeared to be some notching of the Y trace in the first run tymp, but not in the second one. What changed between runs to account for the difference?
  • What are the Liden/Jerger types for these tymps? Do they suggest middle ear pathology?

Acoustic Reflex Data

Thresholds

500 1000 2000 4000
Right Ipsi Ab Ab Ab Ab
Right Contra
Left Ipsi Ab Ab Ab Ab
Left Contra

Reflex Decay

CNT

  • Are the absent ipsilateral acoustic reflexes (contra not tested) of concern to you? Why or why not?
  • Below the right ear multifrequency tympanograms are displayed. Why was it important to obtain these traces, and what do they add to the diagnostic picture?  Would you have liked to have the left multifrequency tympanograms? Why or why not?