Question
Could you provide some suggestions of how to successfully perform immittance measures on a pediatric patient?
Answer
Immittance testing can provide important information to the pediatric evaluation, so it is imperative to make this a comfortable experience for the child. The first thing to remember is that the patient must remain still and quiet. Some children become afraid of the probe tip, the probe tone, or the change in pressure they may feel in their ear. In these instances, you can show the child how the test is performed by using a stuffed animal. If the child becomes agitated when something is placed in their ear, show them the probe tip and playfully touch their face or ear to demonstrate that it is soft and will not hurt. Sometimes it is helpful for the parent to hold the child in their lap while you perform the test. You can use distraction techniques, such as toys during the test for improved behavior. Maico offers a RaceCar Tympanometer which displays a visual distraction on the screen throughout the test to keep the patient occupied.
Jen Duffey, M.S., CCC-A has been an audiologist for Maico-Diagnostics (www.maico-diagnostics.com) for three years. She provides audiological support and education, input for new product design and function, and technical assistance. Previously, she worked for three years as an educational audiologist providing clinical services to students, ages 2 to 21 years old.