Choosing Wisely:
Don’t order CT scan of the head/brain for sudden hearing loss.
Rationale and Comments: | CT scanning is expensive, exposes the patient to radiation, and offers no useful information that would improve initial management. CT scanning may be appropriate in patients with focal neurologic findings, a history of trauma, or chronic ear disease. |
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References: | • Stachler RJ, et al. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg. 2012;146(3 suppl):S1-35. |
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