Hearing Loss

Susan L. Steffans, DO Reviewed 06/2017
 


BASICS

DESCRIPTION

  • Decrease in the ability to perceive and comprehend sound. It can be partial, complete, unilateral, or bilateral.

  • Types of hearing loss include conductive hearing loss (CHL or air-bone...

DIAGNOSIS

HISTORY

  • The U.S. Preventive Services Task Force concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for hearing loss in asymptomatic a...

TREATMENT

Hearing rehabilitation: 
  • Personal amplifiers, situation-specific amplification (e.g., amplified phone), or personal hearing aids can be considered for any individual who has significant commu...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Audiogram and clinical exam are the primary means of monitoring patient. Patients with hearing assistive devices benefit from audiology involvem...

REFERENCES

Spear  SA, Schwartz  SR. Intratympanic steroids for sudden sensorineural hearing loss: a systematic review. Otolaryngol Head Neck Surg.  2011;145(4):534–543. [View Abstract on OvidIns...

CODES

ICD10

  • H91.90 Unspecified hearing loss, unspecified ear

  • H90.2 Conductive hearing loss, unspecified

  • H90.5 Unspecified sensorineural hearing loss

  • H90.8 Mixed conductive and sensorineural hearing loss, ...

CLINICAL PEARLS

  • In sudden hearing loss, if a 512-Hz tuning fork test (Weber test) lateralizes to the unaffected ear, suspect sensorineural causes (emergent evaluation needed), but if it lateralizes to...

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