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What is Tympanometry?

Updated: Jun 6

Tympanometry is an objective test that measures the movement of the eardrum in response to changes in air pressure. By evaluating how the eardrum reacts to varying pressures, audiologists can determine the presence of fluid in the middle ear, eustachian tube dysfunction, and other middle ear abnormalities. The results of tympanometry are typically recorded on a graph called a tympanogram.

Tympanometry: A Crucial Tool in Diagnosing Middle Ear Issues

Tympanometry is a valuable diagnostic procedure used in audiology to assess the condition of the middle ear. This test provides crucial information about the functionality of the eardrum (tympanic membrane) and the middle ear space behind it, which is vital for diagnosing various auditory conditions. In this article, we’ll delve into what tympanometry is, how it works, its clinical applications, and what patients can expect during the test.

How Does Tympanometry Work?

During a tympanometry test, a small probe is inserted into the ear canal, creating a seal. The probe is equipped with three components: a speaker that emits a pure tone, a microphone that picks up the sound reflected back from the eardrum, and a pump that varies the air pressure in the ear canal. Here’s a step-by-step breakdown of the process:

  1. Probe Insertion: The audiologist gently inserts the probe into the ear canal, ensuring a snug fit to prevent air leakage.

  2. Pressure Variation: The device changes the air pressure within the ear canal, ranging from positive to negative pressures.

  3. Eardrum Movement: As the pressure changes, the probe emits a sound, and the microphone measures the sound waves that bounce back from the eardrum.

  4. Graph Recording: The tympanometer records the eardrum's movement at different pressures, producing a tympanogram.

Interpreting a Tympanogram

A tympanogram is a visual representation of the eardrum's compliance (mobility) as a function of air pressure changes. There are three main types of tympanogram results, each indicating different middle ear conditions:

  1. Type A: This indicates normal middle ear function, with a peak compliance at or near atmospheric pressure. The eardrum moves freely in response to pressure changes.

  2. Type B: This suggests restricted eardrum movement, often due to fluid in the middle ear, a perforated eardrum, or impacted earwax. There is no clear peak, indicating little to no movement of the eardrum.

  3. Type C: This indicates negative middle ear pressure, usually due to eustachian tube dysfunction. The peak compliance occurs at negative pressure, showing that the eardrum is retracted.

Clinical Applications of Tympanometry

Tympanometry is used to diagnose and monitor a variety of middle ear conditions, including:

  • Otitis Media: Middle ear infection with fluid buildup.

  • Eustachian Tube Dysfunction: Poor function of the tube that connects the middle ear to the back of the nose.

  • Perforated Eardrum: A hole or tear in the eardrum.

  • Cholesteatoma: An abnormal skin growth in the middle ear.

  • Otosclerosis: Abnormal bone growth in the middle ear.

What to Expect During a Tympanometry Test

Tympanometry is a quick, non-invasive, and generally painless procedure. Here’s what patients can expect:

  1. Preparation: The audiologist will examine the ear to ensure there is no obstruction (like earwax) that could affect the test.

  2. Test Procedure: The probe is placed in the ear, and the patient may feel slight pressure changes and hear a tone.

  3. Duration: The test typically takes just a few minutes per ear.

  4. Results: The audiologist will explain the tympanogram results and discuss any necessary follow-up or treatment.


Tympanometry is an essential tool in audiology, providing valuable insights into middle ear health. By understanding how tympanometry works and what the results indicate, patients can better appreciate the importance of this diagnostic procedure in maintaining auditory health. If you experience symptoms such as hearing loss, ear pain, or fullness in the ear, consult with an audiologist who may recommend tympanometry as part of a comprehensive evaluation.

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