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Hearing Loss

Daniel Jason Frasca, D.O. Reviewed 06/2022
 


BASICS

DESCRIPTION

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

    • Typically defined as a deficit of greater than 25 dB

  • Types of heari...

DIAGNOSIS

HISTORY

  • Social problems and comments from friends and family are often the first presentation of presbycusis (age-related hearing loss); patients are often not aware of the degree of hearing ...

TREATMENT

MEDICATION

  • Clinical practical guidelines for sudden hearing loss include the following:

    • Distinguishing SNHL from CHL; testing for bilateral sudden hearing loss in patients with unilateral sudd...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Audiogram and clinical exam are the primary means of monitoring patient. 

DIET

  • Salt restriction to 2 g/day is helpful for patients with Ménière di...

REFERENCES

1
Michels TC, Duffy MT, Rogers DJ.Hearing loss in adults: differential diagnosis and treatment.Am Fam Physician. 2019;100(2):98-108.
2
Rahne T, Plontke S, Keyßer G. Vasculitis and the ear: a l...

ADDITIONAL READING

SEE ALSO

Michaudet C, Malaty J. Cerumen Impaction: Diagnosis and Management. Am Fam Physician. 2018;98(8):525-529.  

CODES

ICD10

  • H91.11 Presbycusis, right ear

  • H91 Other and unspecified hearing loss

  • H91.09 Ototoxic hearing loss, unspecified ear

  • H91.90 Unspecified hearing loss, unspecified ear

  • H91.93 Unspecified hearing lo...

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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