Middle Ear Pressure Probe
Puff Test Unlocks Ear Dynamics
Healthy hearing depends on the eardrum and middle ear moving freely as air pressure changes. When this movement is restricted, people may feel fullness, blockage, muffled hearing, or pressure that does not clear. Symptoms often worsen during colds, sinus problems, allergies, or after flying, and may occur without pain or obvious infection.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Compliance Curve Capture
Air Seal Scans Drum Deficits
Tympanometry evaluates how well the eardrum and middle ear respond to changes in air pressure. During the test, a small probe is placed at the ear opening, gently altering pressure while measuring eardrum movement. This provides objective information about middle-ear pressure, fluid, stiffness, or ventilation issues.
At Harley AVM, tympanometry is performed as part of a wider audiological assessment. The test is quick, non-invasive, and painless, taking only a few seconds per ear. Results help distinguish middle-ear problems from inner-ear or nerve-related hearing changes, ensuring further investigation or treatment is appropriately directed.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 105 reviews Posted on shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!Posted on Monika HlavkovaTrustindex verifies that the original source of the review is Google. A really good experience with the whole clinic - quick and efficient booking process, coordination between various teams, and generally a smooth operation. The consultation with Dr Rudy was very informative - he takes the time to understand the issue and answer questions, the tests seem to be very comprehensive and he is clear on the path forward. Would definitely recommend.Posted on Hughie ClarkTrustindex verifies that the original source of the review is Google. I recommend Harley AVC for anyone struggling with dizziness/pppd who isn’t sure what their next steps should be
Pinpointing the Cause
Middle Ear Methodical Map
Focused Expertise in Ear Health
Assessment begins with a detailed history, ear examination, and hearing tests, including tympanometry where appropriate. We explore symptom triggers, duration, and whether pressure or hearing changes fluctuate.
Management is usually conservative. Results guide medical treatment, monitoring, or reassurance, depending on findings. Further investigation or referral is considered only when symptoms persist, worsen, or significantly affect comfort, hearing, or daily activities despite appropriate first-line care.
Clear Insight Into Middle-Ear Health
At Harley Street Audiovestibular Clinic, tympanometry is interpreted within an expert audiovestibular framework rather than as an isolated test. Our team focuses exclusively on hearing and balance disorders, allowing us to explain how middle-ear findings relate to symptoms and whether further assessment is needed. We prioritise clarity, shared decision-making, and proportionate care.
Assessment, testing, and follow-up are coordinated through one clinic, ensuring continuity throughout your care pathway. If ear pressure, blockage, or muffled hearing persists, we invite you to book an assessment, request a call back, or submit an enquiry to discuss the most appropriate next steps with our team.
Major Insurance Providers Accepted
our services
Conditions We Are Treating At Harley Street Audiovestibular Clinic
Expert Medical Care for Hearing, Tinnitus & Balance
Request An Appointment With One of Our Consultants
If you are living with dizziness, vertigo or unsteadiness, our team can help identify the cause. Your consultant will carry out the right combination of tests, explain the results in clear language and agree a treatment plan with you - so you know exactly what is happening and what can be done.