ENT, Ear

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.

Jun 15, 2013 Issue
Pharmacologic Therapy for Eustachian Tube Dysfunction [FPIN's Clinical Inquiries]

There are no medications that improve patient-oriented outcomes in children or adults with eustachian tube dysfunction. Oral corticosteroids, with or without antibiotics, improve pneumatic otoscopy and tympanometry findings in the short term, but these agents have no long-term benefit.

Mar 1, 2013 Issue
AAO-HNS Releases Guideline on Sudden Hearing Loss [Practice Guidelines]

This guideline from the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) focuses on sudden sensorineural hearing loss (SNHL), which affects 5 to 20 per 100,000 persons in the United States. Early diagnosis is essential for effective management.

Jan 1, 2013 Issue
Audiometry Screening and Interpretation [Article]

The prevalence of hearing loss varies with age, affecting at least 25 percent of patients older than 50 years and more than 50 percent of those older than 80 years. Adolescents and young adults represent groups in which the prevalence of hearing loss is increasing and may therefore benefit from scre...

Dec 1, 2012 Issue
Acute Otitis Externa: An Update [Article]

Acute otitis externa is a common condition involving inflammation of the ear canal. The acute form is caused primarily by bacterial infection, with Pseudomonas aeruginosa and Staphylococcus aureus the most common pathogens. Acute otitis externa presents with the rapid onset of ear canal inflammation...

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