Hearing Loss

Susan L. Steffans, DO Reviewed 06/2018
 


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

MEDICATION

  • Depends on cause

  • Any sudden SNHL (usually unilateral) is a medical emergency; obtain audiologic testing and start steroid therapy.

  • Treatment should begin ASAP, ideally within 1 to 2 ...

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

1 Spear SA, Schwartz SR. Intratympanic steroids for sudden sensorineural hearing loss: a systematic review. Otolaryngol Head Neck Surg.  2011;145(4):534–543.
2 Han X, Yin X, Du X, et ...

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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