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 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google 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 Google 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 Google 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.
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.