Ambient pressure tympanometry in the workup of patulous eustachian tube and neurotologic disorders

Thai, Anthony; Lee, Jennifer Y.; Sayyid, Zahra N.; Hosseini, Davood K; Swanson, Austin; Fitzgerald, Matthew B.; Vaisbuch, Yona

doi:10.1111/coa.13686

Cited by 2 publications

(1 citation statement)

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“…Ambient pressure tympanometry is another diagnostic tool used for PET patients. It can objectively show respiration-synchronous wave patterns and has been reported to have 53.3% sensitivity and 93.9% specificity [14,15]. This is comparable to the diagnostic performance of the nine-step test in this study.…”

Section: Discussionsupporting

confidence: 82%

Revisiting the Diagnostic Performance of the Modified Nine-Step Test for Obstructive and Patulous Eustachian Tube Dysfunction

et al. 2022

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The nine-step test is a classical method for evaluating Eustachian tube function. It directly assesses the patient’s capacity to equilibrate middle ear pressure by swallowing. However, there are insufficient studies to appraise its diagnostic performance. The purpose of this study is to evaluate the sensitivity, specificity, and cut-off value of the nine-step test in patients with obstructive Eustachian tube dysfunction (oETD) and patulous Eustachian tube (PET). Enrolled subjects were divided into three groups. Control (50 ears of healthy volunteers), oETD (19 ears with oETD), and PET (29 ears with PET). Receiver operating characteristics curve analysis was conducted to evaluate the diagnostic performance of maximal peak pressure difference (ETTmd) in the nine-step test. Both the oETD group and the PET group showed decreased ETTmd. The nine-step test showed moderate accuracy when used to diagnose oETD (area under the curve = 0.875) and PET (area under the curve = 0.769). The highest diagnostic performance was observed when the cut-off value was 13 daPa for both the oETD group (sensitivity = 73.7%, specificity = 90.0%) and the PET group (sensitivity = 58.6%, specificity = 90.0%). The nine-step test has moderate diagnostic performance for oETD and PET.

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Section: Discussionsupporting

confidence: 82%