Reply to D. W. Teele's Comments We thank Dr. Teele for the critique of our paper regarding the use of acoustic reflectometry versus tympanometry in pediatric middle ear screenings and appreciate the opportunity to reply to his comments. Dr. Teele’s letter is of particular interest because he was the initial investigator along with John Teele, ... Letter to the Editor
Letter to the Editor  |   April 01, 1990
Reply to D. W. Teele's Comments
 
Author Affiliations & Notes
  • Alice E. Holmes
    Dept. of Communication Processes and Disorders University of Florida Gainesville, FL 32611
  • Katherine C. Jones Muir
    Medical Gardens Hearing Center, Inc. Venice, FL 34285
  • F. Joseph Kemker
    Dept. of Communicative Disorders University of Florida Gainesville, FL 32611
Article Information
Hearing & Speech Perception / Acoustics / Hearing Disorders / School-Based Settings / Letters to the Editor
Letter to the Editor   |   April 01, 1990
Reply to D. W. Teele's Comments
Language, Speech, and Hearing Services in Schools, April 1990, Vol. 21, 122. doi:10.1044/0161-1461.2102.122
History: Received June 27, 1989 , Accepted July 24, 1989
 
Language, Speech, and Hearing Services in Schools, April 1990, Vol. 21, 122. doi:10.1044/0161-1461.2102.122
History: Received June 27, 1989; Accepted July 24, 1989
We thank Dr. Teele for the critique of our paper regarding the use of acoustic reflectometry versus tympanometry in pediatric middle ear screenings and appreciate the opportunity to reply to his comments. Dr. Teele’s letter is of particular interest because he was the initial investigator along with John Teele, M.S. who designed and built the acoustic reflectometer prototype.
Our study was undertaken to assess the effectiveness of the acoustic reflectometer in standard school screenings. The accepted means of measuring middle ear status by the American Speech-Language-Hearing Association is immittance (ASHA, 1979); therefore, tympanometry was chosen as the standard reference in our investigation. Tympanometry provides an objective method of identifying otitis media effusion (Bluestone & Cantekin, 1979). Use of a “gold standard” such as myrinotomy and tympanocentesis is impractical in a school setting and therefore, could not be included in this study. Our pass/fail criterion for tympanometry (flat or peak outside −200 to + 100mm H2O) was obtained from the ASHA (1979)  guidelines for acoustic immittance.
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