Pneumatic otoscopy remains the standard examination technique for patients with suspected otitis media. When performed correctly, it is 90% sensitive and 80% specific for diagnosis of acute otitis media, and its findings are more accurate than those of myringotomy. However, accuracy of this examination takes experience; estimates suggest that a pediatrician needs approximately 5 years in practice before such accuracy is achieved. Tympanometry, acoustic reflectometry, and audiometry are important adjunctive techniques with which to evaluate patients with middle ear effusion.
For more on the use of pneumatic otoscopy for otitis media, read here.
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Cite this: Russell W. Steele. Fast Five Quiz: Do You Know How Best to Approach Otitis Media? - Medscape - Mar 23, 2015.