Establishment of the Normative Value of Classical Bluestone’s Nine-Step Inflation/Deflation Tympanometric Eustachian Tube Function Test
2024

Normative Values for the Nine-Step Tympanometric Test for Eustachian Tube Function

Sample size: 160 publication Evidence: moderate

Author Information

Author(s): Wang Jing-Jie, Jiang Rong-San, Weng Chien-Hsiang

Primary Institution: Taichung Veterans General Hospital

Hypothesis

This study aimed to establish normative values for the nine-step test to facilitate the diagnosis of Eustachian tube dysfunction.

Conclusion

An MPD value of 4 was identified as a normative cutoff for screening Eustachian tube dysfunction in a Taiwanese population, but the test showed only moderate discriminative power.

Supporting Evidence

  • An MPD value of ≤4 yielded an AUC of 0.619, indicating moderate discriminative ability.
  • The median MPD value was 9.5 for fair ETF and 7.5 for poor ETF, with a statistically significant difference.
  • 34 participants (21.25%) had ETDQ-7 scores ≥14, all of whom were in the CRS group.

Takeaway

Doctors used a special test to check how well people's ears work, and they found a number that helps tell if someone has ear problems.

Methodology

The study involved 160 adults, including healthy volunteers and patients with chronic rhinosinusitis, who underwent the nine-step tympanometric test and completed the ETDQ-7 questionnaire.

Potential Biases

The participant pool primarily consisted of young females, which may have influenced the results.

Limitations

The sample size was relatively small and consisted mainly of Taiwanese participants, which may limit generalizability.

Participant Demographics

160 adults, including 70 healthy volunteers and 90 patients with chronic rhinosinusitis.

Statistical Information

P-Value

0.033

Confidence Interval

95% CI: 0.539–0.695

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/diagnostics14242810

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