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Hearing Loss

Susan L. Steffans, DO Reviewed 06/2019
 


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

  • Clinical practical guidelines for sudden hearing loss include the following (1)[C]:

    • Distinguishing SNHL from CHL; testing for bilateral sudden hearing loss in patien...

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
Stachler RJ, Chandrasekhar SS, Archer SM, et al. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg.  2012;146(Suppl 3):S1–S35. [View Abstract on OvidMedline...

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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