ENT, Ear

Jan 1, 2018 Issue
Ear Pain: Diagnosing Common and Uncommon Causes [Article]

When patients present with otalgia, the first step is to determine whether the pain is originating from inside or outside the ear. Review the history and physical examination findings that can help identify the diagnosis, as well as the risk factors that may indicate a more serious condition.

Aug 15, 2017 Issue
Cerumen Impaction: An Updated Guideline from the AAO—HNSF [Practice Guidelines]

This update from the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO–HNSF) provides guidance for persons older than six months diagnosed with cerumen impaction.

Jul 1, 2015 Issue
AAO-HNSF Releases Guideline on Managing Tinnitus [Practice Guidelines]

Tinnitus, the perception of sound without an external source, can be caused by a variety of conditions. Prevalence in the United States is approximately 10% to 15%. It can be categorized as primary (idiopathic and accompanied by or not by sensorineural hearing loss) and secondary (caused by a specif...

Nov 15, 2014 Issue
AAO-HNSF Releases Clinical Practice Guideline on Acute Otitis Externa [Practice Guidelines]

A diagnosis of acute otitis externa (AOE) requires sudden onset (e.g., within 48 hours) within the past three weeks of symptoms (e.g., otalgia, itching, fullness, hearing loss, jaw pain) and signs (e.g., tenderness of the tragus or pinna) indicating inflammation of the ear canal. Because there is a ...

May 1, 2014 Issue
AAO-HNSF Releases Guideline on Tympanostomy Tubes in Children [Practice Guidelines]

The American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO–HNSF) has released a guideline on the indications for tube placement in children, as well as perioperative counseling.

Mar 15, 2014 Issue
Tinnitus [Clinical Evidence Handbook]

What are the effects of treatments for chronic tinnitus?

Jan 15, 2014 Issue
Diagnostic Approach to Patients with Tinnitus [Article]

Tinnitus, a common symptom encountered in family medicine, is defined as the perception of noise in the absence of an acoustic stimulus outside of the body. Because tinnitus is a symptom and not a disease, its underlying cause must be determined to best help patients. Although tinnitus is often idio...

Oct 1, 2013 Issue
Otitis Media: Diagnosis and Treatment [Article]

Acute otitis media is diagnosed in patients with acute onset, presence of middle ear effusion, physical evidence of middle ear inflammation, and symptoms such as pain, irritability, or fever. Acute otitis media is usually a complication of eustachian tube dysfunction that occurs during a viral upper...

Oct 1, 2013 Issue
Should Children with Acute Otitis Media Routinely be Treated with Antibiotics? No: Most Children Older Than Two Years Do Not Require Antibiotics [Editorials: Controversies in Family Medicine]

The evidence supports the use of antibiotics only in certain clinical situations and avoidance of antibiotics in certain children with AOM.

Oct 1, 2013 Issue
Should Children with Acute Otitis Media Routinely Be Treated with Antibiotics? Yes: Routine Treatment Makes Sense for Symptomatic, Emotional, and Economic Reasons [Editorials: Controversies in Family Medicine]

The demonstrated benefits of antibiotic use are an average of one less day of pain and fever, which is about evenly offset by the risk of adverse effects. Benefits warrant discussion with parents for shared decision making regarding treatment.

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