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Examination of children with otitis media

Options for diagnosing middle ear disease include static and pneumatic otoscopy (i.e., visualisation of the ear canal, with or without assessment of the mobility of the ear drum, by means of air insufilation), pure-tone audiometry and impedance audiometry. The predictive value and usefulness of each method will vary with such factors as the availability of a soundproof room, the experience of testers, the prevalence of OM, and patient age.