CLINICAL CASE 8 OF 8

An ambiguous refer with two possible causes

Vignette

An adult is referred after an absent OAE on a workplace screen. Otoscopy shows partial cerumen occlusion. Tympanometry could not be completed because of the wax. The audiogram is not yet available.

Findings

0 ms20 ms
— Normal ear— this case
Simulated TEOAE comparison. Educational signal model — not recorded patient data.

Diagnostic question

Before this absent OAE can be interpreted, what is the most appropriate next step?

References