{"id":1017,"date":"2019-01-29T12:14:10","date_gmt":"2019-01-29T11:14:10","guid":{"rendered":"https:\/\/icare-cro.com\/blog\/?p=1017"},"modified":"2020-01-28T10:43:38","modified_gmt":"2020-01-28T09:43:38","slug":"cosa-significa-timpanogramma-piatto","status":"publish","type":"post","link":"https:\/\/icare-cro.com\/blog\/2019\/01\/29\/cosa-significa-timpanogramma-piatto\/","title":{"rendered":"Cosa significa timpanogramma piatto."},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 3<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>\n<p class=\"wp-block-paragraph\">Quando un <a rel=\"noreferrer noopener\" href=\"https:\/\/www.icare-cro.com\/esameimpedenzometrico.html\" target=\"_blank\"><strong>esame impedenzometrico<\/strong><\/a> rileva la presenza di un timpanogramma piatto (anche definito di tipo B), le mamme iniziano a preoccuparsi. Ma qual \u00e8 il reale significato di questo reperto? Nella pratica clinica, mi accorgo sempre di pi\u00f9 che il concetto non \u00e8 ben compreso. In effetti, il nome dell&#8217;esame non aiuta. A tal proposito consiglio di leggere anche il Post &#8220;<strong><a href=\"https:\/\/icare-cro.com\/blog\/2017\/11\/02\/esame-audiometrico-ed-esame-impedenzometrico-mai-nome-fu-meno-indicato\/\">Esame Audiometrico ed impedenzometrico: mai nome fu meno indicato<\/a><\/strong>&#8220;.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><div id=\"text-2\" class=\"widget widget_text amr_widget\">\t\t\t<div class=\"textwidget\"><p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- Responsive --><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block;\" data-ad-client=\"ca-pub-2279281751910100\" data-ad-slot=\"5949845678\" data-ad-format=\"auto\" data-full-width-responsive=\"true\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<\/div>\n\t\t<\/div><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Piatto significa udito ridotto?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La maggior parte delle persone \u00e8 convinta che avere un timpanogramma di tipo B significhi non sentire bene. Anche se, spesso, le due cose vanno di pari passo, in realt\u00e0 non \u00e8 cos\u00ec. Il fatto che, graficamente, si ottenga una linea piatta, non significa che esiste una riduzione della capacit\u00e0 uditiva, ma semplicemente che la membrana timpanica non si muove in risposta a particolari variazioni di pressione esercitate all&#8217;interno del condotto uditivo esterno. La membrana del timpano risulta immobilizzata perch\u00e9 la cassa timpanica, situata subito dietro il timpano, \u00e8 piena di liquido. In queste condizioni, la membrana non riesce ad essere spostata dallo stimolo pressorio sonoro, cos\u00ec come non \u00e8 possibile schiacciare le pareti di una bottiglia di plastica quando essa \u00e8 piena. Di per s\u00e9, quindi, questo esame indica soltanto la presenza di catarro in orecchio medio (la cassa timpanica). Il calo dell&#8217;udito pu\u00f2 essere (e spesso lo \u00e8) presente, ma pu\u00f2 anche essere assente.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img wpfc-lazyload-disable=\"true\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"681\" src=\"https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/F4.large_-1024x681.jpg\" alt=\"\" class=\"wp-image-1018\" srcset=\"https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/F4.large_-1024x681.jpg 1024w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/F4.large_-300x199.jpg 300w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/F4.large_-768x511.jpg 768w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/F4.large_.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>Non necessariamente un paziente con timpanogramma Tipo B sente peggio di uno con timpanogramma Tipo C o A.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">L&#8217;accumulo di liquidi \u00e8 spesso prodotto da una <a rel=\"noreferrer noopener\" href=\"https:\/\/www.icare-cro.com\/disfunzionetubarica.html\" target=\"_blank\"><strong>disfunzione della tuba di Eustachio<\/strong><\/a> ed \u00e8 una delle condizioni che frequentemente conduce a <a rel=\"noreferrer noopener\" href=\"https:\/\/www.icare-cro.com\/disfunzionetubarica.html\" target=\"_blank\"><strong>otite media effusiva<\/strong><\/a> o ad <a rel=\"noreferrer noopener\" href=\"https:\/\/www.icare-cro.com\/otitemediaacuta.html\" target=\"_blank\"><strong>otite media acuta<\/strong><\/a>. L&#8217;unico modo per conoscere la reale capacit\u00e0 uditiva di un paziente \u00e8 eseguire, insieme all&#8217;esame impedenzometrico, anche un <a rel=\"noreferrer noopener\" href=\"https:\/\/it.semrush.com\/seo-content-template\/id\/5c501dbccc68e962f0d2dcf2\/esame%20audiometrico%20tonale\" target=\"_blank\"><strong>esame audiometrico tonale<\/strong><\/a> o un <a rel=\"noreferrer noopener\" href=\"https:\/\/it.semrush.com\/seo-content-template\/id\/5c501dbccc68e962f0d2dcf2\/esame%20audiometrico%20infantile\" target=\"_blank\"><strong>esame audiometrico infantile<\/strong><\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><div id=\"text-2\" class=\"widget widget_text amr_widget\">\t\t\t<div class=\"textwidget\"><p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- Responsive --><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block;\" data-ad-client=\"ca-pub-2279281751910100\" data-ad-slot=\"5949845678\" data-ad-format=\"auto\" data-full-width-responsive=\"true\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<\/div>\n\t\t<\/div><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Un reperto da non sottovalutare<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Una volta compreso il suo reale significato, non bisogna correre il rischio di sottovalutarne l&#8217;importanza. La presenza di catarro all&#8217;interno della cassa timpanica \u00e8 un fattore di rischio per lo sviluppo di otiti ed \u00e8 spesso associato, soprattuto nei bambini, ad un calo uditivo non trascurabile. Secondo le linee guida, un timpanogramma non dovrebbe mai restare piatto per pi\u00f9 di sei mesi. Per eliminare il catarro accumulato nell&#8217;orecchio \u00e8 quindi opportuno una terapia medica mirata. A tal proposito si legga il Post &#8220;<strong><a href=\"https:\/\/icare-cro.com\/blog\/2018\/06\/20\/come-togliere-il-catarro-dalle-orecchie\/\">Come togliere il catarro dalle orecchie<\/a><\/strong>&#8220;. Qualora con la semplice terapia medica non si riesca a risolvere il problema, pu\u00f2 essere indicato il trattamento chirurgico.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img wpfc-lazyload-disable=\"true\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/baby-390555_1280-1024x682.jpg\" alt=\"\" class=\"wp-image-1019\" srcset=\"https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/baby-390555_1280-1024x682.jpg 1024w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/baby-390555_1280-300x200.jpg 300w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/baby-390555_1280-768x512.jpg 768w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/baby-390555_1280.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>La cosa realmente importante \u00e8 la salute del bambino. Non dobbiamo curare un esame.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">La terapia chirurgica varia a seconda dei casi e pu\u00f2 prevedere la rimozione delle <a href=\"https:\/\/www.icare-cro.com\/adenoidi.html\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>adenoidi<\/strong><\/a> (vedi &#8220;<a href=\"https:\/\/icare-cro.com\/blog\/2019\/01\/25\/quando-togliere-le-adenoidi\/\"><strong>Quando togliere le adenoidi<\/strong><\/a>&#8220;) e\/o il posizionamento di un drenaggio trans-timpanico. Come sempre, \u00e8 opportuno una valutazione globale del paziente poich\u00e9 l&#8217;impronta terapeutica pu\u00f2 essere diversa da caso a caso. In caso di otiti recidivanti e\/o <a href=\"https:\/\/www.icare-cro.com\/ritardo-linguaggio.html\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>ritardo del linguaggio<\/strong><\/a>, qualora la terapia medica non sia efficace, non c&#8217;\u00e8 dubbio sul fatto che debba essere effettuata una valutazione chirurgica. A tal proposito consiglio di leggere anche il post &#8220;<a href=\"https:\/\/icare-cro.com\/blog\/2017\/12\/01\/le-ipoacusie-infantili-e-lo-sviluppo-psicosociale-del-bambino\/\"><strong>Le ipoacusie infantili e lo sviluppo psico-sociale del bambino<\/strong><\/a>&#8220;. Se un bambino non presenta queste problematiche, a mio giudizio, l&#8217;indicazione all&#8217;intervento \u00e8 molto meno evidente poich\u00e9 espone il bambino a rischi anestesiologici e chirurgici non pienamente giustificati.<\/p>\n","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 3<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>Quando un esame impedenzometrico rileva la presenza di un timpanogramma piatto (anche definito di tipo B), le mamme iniziano a preoccuparsi. Ma qual \u00e8 il reale significato di questo reperto? Nella pratica clinica, mi accorgo sempre di pi\u00f9 che il concetto non \u00e8 ben compreso. In effetti, il nome dell&#8217;esame non aiuta. A tal proposito&hellip;&nbsp;<a href=\"https:\/\/icare-cro.com\/blog\/2019\/01\/29\/cosa-significa-timpanogramma-piatto\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Cosa significa timpanogramma piatto.<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":"","_wpscppro_dont_share_socialmedia":false,"_wpscppro_custom_social_share_image":0,"_facebook_share_type":"","_twitter_share_type":"","_linkedin_share_type":"","_pinterest_share_type":"","_linkedin_share_type_page":"","_instagram_share_type":"","_medium_share_type":"","_threads_share_type":"","_google_business_share_type":"","_bluesky_share_type":"","_mastodon_share_type":"","_selected_social_profile":[],"_wpsp_enable_custom_social_template":false,"_wpsp_social_scheduling":{"enabled":false,"datetime":null,"platforms":[],"status":"template_only","dateOption":"","timeOption":"","customDays":"","customHours":"","customDate":"","customTime":"","schedulingType":""},"_wpsp_active_default_template":true},"categories":[23,22],"tags":[1685,58,76],"class_list":["post-1017","post","type-post","status-publish","format-standard","hentry","category-orecchio","category-otorinolaringoiatria","tag-audiometria","tag-bambino","tag-ipoacusia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Cosa significa timpanogramma piatto<\/title>\n<meta name=\"description\" content=\"C&#039;\u00e8 spesso molta confusione sul reale significato di &quot;timpanogramma piatto&quot;. Scopriamo insieme quali sono le reali implicazioni di questo reperto.\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/icare-cro.com\/blog\/2019\/01\/29\/cosa-significa-timpanogramma-piatto\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:type\" content=\"article\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:title\" content=\"Cosa significa timpanogramma piatto.\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:description\" content=\"Quando un esame impedenzometrico rileva la presenza di un timpanogramma piatto (anche definito di tipo B), le mamme iniziano a preoccuparsi. 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