• There is positive middle ear pressure present in each ear.  Is it concerning to you?
• What is the Vanhuyse labeling for the 678 Hz left tympanogram? Are the results normal or not normal?
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• Would you rule out the diagnosis of otosclerosis based on these tympanograms? Why or why not?

Acoustic Reflex Data

Thresholds

Could not test – too much artifact present and difficulty maintaining a seal

• What technique(s) can be done to reduce the movement artifacts during acoustic reflex testing when they arise because of flaccidity of the middle ear system?