ENT, Ear

Feb 1, 2004 Issue
Tinnitus [Clinical Evidence Handbook]

What are the effects of treatments for chronic tinnitus?

Jan 1, 2004 Issue
Diagnostic Approach to Tinnitus [Article]

Tinnitus is a common disorder with many possible causes. Most cases of tinnitus are subjective, but occasionally the tinnitus can be heard by an examiner. Otologic problems, especially hearing loss, are the most common causes of subjective tinnitus. Common causes of conductive hearing loss include e...

Sep 15, 2003 Issue
Differential Diagnosis and Treatment of Hearing Loss [Article]

Hearing loss is a common problem that can occur at any age and makes verbal communication difficult. The ear is divided anatomically into three sections (external, middle, and inner), and pathology contributing to hearing loss may strike one or more sections. Hearing loss can be categorized as condu...

Jul 15, 2003 Issue
Necrotizing (Malignant) External Otitis [Article]

Necrotizing (malignant) external otitis, an infection involving the temporal and adjacent bones, is a relatively rare complication of external otitis. It occurs primarily in immunocompromised persons, especially older persons with diabetes mellitus, and is often initiated by self-inflicted or iatrog...

Sep 1, 2002 Issue
A Hearing Problem [Curbside Consultation]

This brief vignette raises questions about the biopsychosocial aspects of presbycusis. The answers to these questions can help guide clinical strategies for patients with hearing loss and their family members.

Mar 1, 2001 Issue
Otitis Externa: A Practical Guide to Treatment and Prevention [Article]

Otitis externa is most commonly caused by infection (usually bacterial, although occasionally fungal), but it may also be associated with a variety of noninfectious systemic or local dermatologic processes. The most characteristic symptom is discomfort that is limited to the external auditory canal,...

Oct 15, 2000 Issue
Topical Fluoroquinolones for Eye and Ear [Article]

Topical fluoroquinolones are now available for use in the eye and ear. Their broad spectrum of activity includes the common eye and ear pathogens Staphylococcus aureus and Pseudomonas aeruginosa. For the treatment of acute otitis externa, these agents are as effective as previously available otic pr...

May 1, 2000 Issue
Noise-Induced Hearing Loss [Article]

Hearing loss caused by exposure to recreational and occupational noise results in devastating disability that is virtually 100 percent preventable. Noise-induced hearing loss is the second most common form of sensorineural hearing deficit, after presbycusis (age-related hearing loss). Shearing force...

Apr 15, 2000 Issue
Acute Otitis Media: Part II. Treatment in an Era of Increasing Antibiotic Resistance [Article]

Antibiotic resistance is increasing among the pathogens that commonly cause acute otitis media. This development may merit changes in the traditional antibiotic treatment of acute otitis media. Risk factors for resistant pathogens include recent antibiotic treatment of acute otitis media, children i...

Apr 1, 2000 Issue
Acute Otitis Media: Part 1. Improving Diagnostic Accuracy [Article]

Acute otitis media is overdiagnosed. Symptoms are neither sensitive nor specific for the diagnosis of otitis media; fever and ear pain are present in only one half of patients. Undue reliance on one feature--redness of the tympanic membrane--and failure to assess tympanic membrane mobility with pneu...

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