ENT, Ear

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...

Jun 15, 2012 Issue
Hearing Loss in Older Adults [Article]

Hearing loss affects approximately one-third of adults 61 to 70 years of age and more than 80 percent of those older than 85 years. Men usually experience greater hearing loss and have earlier onset compared with women. The most common type is age-related hearing loss; however, many conditions can i...

Nov 1, 2009 Issue
Diagnosis and Management of Cerumen Impaction [Practice Guidelines]

Cerumen, or earwax, is normally expelled from the ear canal by a self-cleaning mechanism assisted by jaw movement. Physicians should diagnose impaction only when an accumulation of cerumen is associated with symptoms (e.g., otalgia, tinnitus, vertigo) or prevents necessary assessment of the ear.

Mar 1, 2008 Issue
Diagnosis of Ear Pain [Article]

Many patients in primary care present with ear pain (otalgia). When the ear is the source of the pain (primary otalgia), the ear examination is usually abnormal. When the ear is not the source of the pain (secondary otalgia), the ear examination is typically normal. The cause of primary otalgia is u...

Dec 1, 2007 Issue
Diagnosis and Treatment of Otitis Media [Article]

Diagnostic criteria for acute otitis media include rapid onset of symptoms, middle ear effusion, and signs and symptoms of middle ear inflammation. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are the most common bacterial isolates from the middle ear fluid of children...

May 15, 2007 Issue
Cerumen Impaction [Article]

Cerumen is a naturally occurring, normally extruded product of the external auditory canal. It is usually asymptomatic, but when it becomes impacted it can cause complications such as hearing loss, pain, or dizziness. It also can interfere with examination of the tympanic membrane. Depending on avai...

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