Pregnancy SmartSite^TM

Tympanometry

Ear anatomyEar anatomy
Otoscope examinati...Otoscope examination

Previous image Enlarge Close Next image

schedule An Appointment

Tympanogram; Otitis media - tympanometry; Effusion - tympanometry; Immittance testing

Definition

Tympanometry is a test used to detect problems in the ear drum and middle ear.

How the Test is Performed

Before the test, your health care provider will look inside your ear to make sure nothing is blocking the eardrum.

Next, a device is placed into your ear. This device changes the air pressure in your ear and makes the eardrum move back and forth. A machine records the results on graphs called tympanograms.

How to Prepare for the Test

You should not move, speak, or swallow during the test. Such movements can change the pressure in the middle ear and give incorrect test results.

The sounds heard during the test may be loud. This may be startling. You will need to try very hard to stay calm and not get startled during the test. If your child is to have this test done, it may be helpful to show how the test is done using a doll. The more your child knows what to expect and why the test is done, the less nervous your child will be.

How the Test will Feel

There may be some discomfort while the probe is in the ear, but no harm will result. You will hear a loud tone and feel pressure in your ear as the measurements are taken.

Why the Test is Performed

This test measures how your ear reacts to sound and different pressures.

Normal Results

The pressure inside the middle ear can vary by a very small amount. The eardrum should look smooth.

What Abnormal Results Mean

Tympanometry may reveal any of the following:

A tumor in the middle ear
Fluid in the middle ear
Impacted ear wax
Lack of contact between the conduction bones of the middle ear
Perforated eardrum
Scarring of the eardrum
Eustachian tube dysfunction

Risks

There are no risks with this test.

References

Player B. Otitis media. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 680.

Woodson E, Mowry S. Otologic symptoms and syndromes. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 137.

Schedule An Appointment

Review Date: 5/2/2024

Reviewed By: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.