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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Method to Assess the Accuracy of Sonotubometry for Detecting Eustachian Tube Openings</title><author><name sortKey="Swarts, J Douglas" sort="Swarts, J Douglas" uniqKey="Swarts J" first="J. Douglas" last="Swarts">J. Douglas Swarts</name></author><author><name sortKey="Teixeira, Miriam S" sort="Teixeira, Miriam S" uniqKey="Teixeira M" first="Miriam S." last="Teixeira">Miriam S. Teixeira</name></author><author><name sortKey="Banks, Juliane" sort="Banks, Juliane" uniqKey="Banks J" first="Juliane" last="Banks">Juliane Banks</name></author><author><name sortKey="El Wagaa, Jenna" sort="El Wagaa, Jenna" uniqKey="El Wagaa J" first="Jenna" last="El-Wagaa">Jenna El-Wagaa</name></author><author><name sortKey="Doyle, William J" sort="Doyle, William J" uniqKey="Doyle W" first="William J." last="Doyle">William J. Doyle</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24710849</idno><idno type="pmc">4190102</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4190102</idno><idno type="RBID">PMC:4190102</idno><idno type="doi">10.1007/s00405-014-3031-5</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001740</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001740</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Method to Assess the Accuracy of Sonotubometry for Detecting Eustachian Tube Openings</title><author><name sortKey="Swarts, J Douglas" sort="Swarts, J Douglas" uniqKey="Swarts J" first="J. Douglas" last="Swarts">J. Douglas Swarts</name></author><author><name sortKey="Teixeira, Miriam S" sort="Teixeira, Miriam S" uniqKey="Teixeira M" first="Miriam S." last="Teixeira">Miriam S. Teixeira</name></author><author><name sortKey="Banks, Juliane" sort="Banks, Juliane" uniqKey="Banks J" first="Juliane" last="Banks">Juliane Banks</name></author><author><name sortKey="El Wagaa, Jenna" sort="El Wagaa, Jenna" uniqKey="El Wagaa J" first="Jenna" last="El-Wagaa">Jenna El-Wagaa</name></author><author><name sortKey="Doyle, William J" sort="Doyle, William J" uniqKey="Doyle W" first="William J." last="Doyle">William J. Doyle</name></author></analytic><series><title level="j">European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</title><idno type="ISSN">0937-4477</idno><idno type="eISSN">1434-4726</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">Sonotubometry is a simple test for Eustachian tube opening during a maneuver. Different sonotubometry configurations were suggested to maximize test accuracy, but no method has been described for comparing sonotubometry test results with those for a definitive measure of Eustachian tube opening. Here, we present such a method and exemplify is use by an accuracy assessment of a simple sonotubometry configuration.</p></sec><sec id="S2"><title>Methods</title><p id="P2">A total of 502 data-sequences from 168 test sessions in 103 adult subjects were analyzed. For each session, subjects were seated in a pressure chamber and relative middle ear over- and under-pressures created by changing chamber pressure. At each pressure, the test sequence of bilateral tympanometry, bilateral sonotubometry while the subject swallowed twice, and bilateral tympanometry was done. Tympanometric data were expressed as the fractional gradient equilibrated (FGE) by swallowing and sonotubometric signals were analyzed to record the shape of detected sound-signals. Tympanometric and sonotubometric tubal opening assignments were analyzed by cross-correlation.</p></sec><sec id="S3"><title>Results</title><p id="P3">For the data-sequences with FGE=0 (n=32) evidencing no tubal opening and 1 (n=249) evidencing definitive tubal opening, detection of a sonotubometry sound-signal during a swallow had a sensitivity and specificity of 74.2% and 65.6% for identifying ET openings and an accuracy of 73.3% for assigning ET opening/non-opening by swallowing. Measures of sound-signal shape were significantly different between those groups.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">This protocol allows a sonotubometry accuracy assessment for detecting Eustachian tube openings. For the test configuration used, accuracy was moderate, but this should improve as more sophisticated sonotubometry test configurations are evaluated.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9002937</journal-id><journal-id journal-id-type="pubmed-jr-id">1603</journal-id><journal-id journal-id-type="nlm-ta">Eur Arch Otorhinolaryngol</journal-id><journal-id journal-id-type="iso-abbrev">Eur Arch Otorhinolaryngol</journal-id><journal-title-group><journal-title>European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</journal-title></journal-title-group><issn pub-type="ppub">0937-4477</issn><issn pub-type="epub">1434-4726</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24710849</article-id><article-id pub-id-type="pmc">4190102</article-id><article-id pub-id-type="doi">10.1007/s00405-014-3031-5</article-id><article-id pub-id-type="manuscript">NIHMS584272</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>A Method to Assess the Accuracy of Sonotubometry for Detecting Eustachian Tube Openings</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Swarts</surname><given-names>J. Douglas</given-names></name><degrees>Ph.D.</degrees></contrib><contrib contrib-type="author"><name><surname>Teixeira</surname><given-names>Miriam S.</given-names></name><degrees>M.D., Ph.D.</degrees></contrib><contrib contrib-type="author"><name><surname>Banks</surname><given-names>Juliane</given-names></name><degrees>B.A.</degrees></contrib><contrib contrib-type="author"><name><surname>El-Wagaa</surname><given-names>Jenna</given-names></name></contrib><contrib contrib-type="author"><name><surname>Doyle</surname><given-names>William J.</given-names></name><degrees>Ph.D.</degrees></contrib><aff id="A1">Department of Otolaryngology, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA</aff></contrib-group><author-notes><corresp id="FN1">Address Correspondence to: J. Douglas Swarts, Ph.D., 3420 5th Ave, Oakland Medical Bldg, Room 118, Pittsburgh PA, 15213 USA, Phone: +1 412 692-3594, FAX: +1 412 692-7555, <email>dswarts@pitt.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>15</day><month>5</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>08</day><month>4</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>9</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>9</month><year>2016</year></pub-date><volume>272</volume><issue>9</issue><fpage>2111</fpage><lpage>2119</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s00405-014-3031-5</pmc-comment>
<abstract><sec id="S1"><title>Objective</title><p id="P1">Sonotubometry is a simple test for Eustachian tube opening during a maneuver. Different sonotubometry configurations were suggested to maximize test accuracy, but no method has been described for comparing sonotubometry test results with those for a definitive measure of Eustachian tube opening. Here, we present such a method and exemplify is use by an accuracy assessment of a simple sonotubometry configuration.</p></sec><sec id="S2"><title>Methods</title><p id="P2">A total of 502 data-sequences from 168 test sessions in 103 adult subjects were analyzed. For each session, subjects were seated in a pressure chamber and relative middle ear over- and under-pressures created by changing chamber pressure. At each pressure, the test sequence of bilateral tympanometry, bilateral sonotubometry while the subject swallowed twice, and bilateral tympanometry was done. Tympanometric data were expressed as the fractional gradient equilibrated (FGE) by swallowing and sonotubometric signals were analyzed to record the shape of detected sound-signals. Tympanometric and sonotubometric tubal opening assignments were analyzed by cross-correlation.</p></sec><sec id="S3"><title>Results</title><p id="P3">For the data-sequences with FGE=0 (n=32) evidencing no tubal opening and 1 (n=249) evidencing definitive tubal opening, detection of a sonotubometry sound-signal during a swallow had a sensitivity and specificity of 74.2% and 65.6% for identifying ET openings and an accuracy of 73.3% for assigning ET opening/non-opening by swallowing. Measures of sound-signal shape were significantly different between those groups.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">This protocol allows a sonotubometry accuracy assessment for detecting Eustachian tube openings. For the test configuration used, accuracy was moderate, but this should improve as more sophisticated sonotubometry test configurations are evaluated.</p></sec></abstract><kwd-group><kwd>Eustachian tube</kwd><kwd>Adults</kwd><kwd>Sonotubometry</kwd><kwd>Methodology</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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