Tympanogram
ARTs
Reflex Decay
100

What type? Normal middle ear pressure and normal compliance

Type A

100

What muscle contracts during ART? 

Stapedius muscle

100

What instructions should be given to patient when conducting reflex decay? 

You will hear a loud sound but don't need to respond. Please remain still and quiet. 

200

What type? Normal middle ear pressure and increased compliance

Type Ad

200

What are the two types of ARTs? 

ipsilateral and contralateral

200

What does reflex decay measure? 

how well/how long the stapedius muscle can remain contracted when the stimulus is continuous

300

What type? Abnormal middle ear pressure and abnormal compliance

Type B

300

Why do we have acoustic reflexes?  

prevent loud sounds from damaging our ears/hearing

300

Reflex decay is measured at 500 and 1,000 Hz at 10 dB SL (re: ________ ARTs)

Contralateral

400

What type? Negative pressure and normal compliance 

Type C

400

What type of reflex? Stimulus in presented in the RIGHT ear and measured in the RIGHT ear

Right ipsilateral ART

400

What is the desired response? 

Negative decay

500

What three things are measured on a tympanogram?

Compliance, Ear canal volume, ME pressure 

500

What type of reflex? Stimulus is presented in the LEFT ear and measured in the RIGHT ear

Left contralateral ART

500

What should you do if you see a positive decay and what can a positive decay be indicative of? 

Refer to ENT; retrocochlear pathology

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