| Symptom/finding | 2 Points | 1 Point | 0 Point |
|---|---|---|---|
| Clicking sound when swallowing | Always | Occasionally | Never |
| Positive subjective Valsalva | Always | Occasionally | Never |
| Objective Valsalva | Immediate | Immediate weak and slow | Negative |
| Tympanometry | A | B | C |
| TMM 30 mbar | R≤1 | R>1 | No R |
| TMM 40 mbar | R≤1 | R>1 | No R |
| TMM 50 mbar | R≤1 | R>1 | No R |