No, the Wispr does not support pneumatic otoscopy. Pneumatic otoscopy involves blowing an air stream at the ear drum under visualization to see if movement occurs. Some experienced providers feel strongly that pneumatic otoscopy is central to the correct diagnosis of Acute Otitis Media (AOM). However, UpToDate information on diagnosis of AOM includes the following observations:
- Pneumatic otoscopy can be painful in children with AOM. It is not necessary in children with bulging tympanic membranes because all bulging tympanic membranes have decreased or absent mobility.
- A bulging tympanic membrane is the hallmark of AOM and differentiates AOM from otitis media with effusion (OME). A bulging tympanic membrane indicates both acute inflammation and middle ear effusion (MEE, and thus decreased or absent mobility).
- Decreased or absent mobility cannot be used in isolation to make a diagnosis of AOM because it does not distinguish infected from uninfected middle ear fluid. In a study correlating examination findings with a diagnosis of AOM by experienced otoscopists, decreased mobility of the tympanic membrane was present in all 50 cases of AOM and 23 of 34 cases of OME.
Acute Otitis Media Otitis Media with Effusion
In addition to the above UpToDate points, it is becoming increasingly rare for physicians outside of a select group of highly-trained pediatricians to be facile with the skill and coordination required to perform pneumatic otoscopy.
Proper diagnosis of ear conditions requires having a good view of the ear. For this reason, WiscMed focused on optimizing the geometry of the speculum and digital camera to obtain the easiest and most reliable access possible.
Read more about pneumatic otoscopy at Wispr University.
We offer a two-week trial program after an approved evaluation form is received by WiscMed.
We also offer a quick, live, and insightful 15-minute demonstration. This is a great way to have any questions answered and see firsthand some of the benefits of the Wispr Digital Otoscope.