The American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue of Otolaryngology-Head and Neck Surgery featuring the updated Clinical Practice Guideline: Earwax (Cerumen Impaction). To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 11 recommendations emphasize proper ear hygiene, diagnosis of cerumen impaction, factors that modify management, evaluating the need for intervention, and proper treatment. An updated guideline is needed due to new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials) and the need to add statements on managing cerumen impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care.
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| http://dx.doi.org/10.1177/0194599816678832 | DOI Listing |
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Article Synopsis
- - Age-related hearing loss (ARHL) is common but often goes undiagnosed in people over 50, leading to risks like dementia and falls, and there is a significant need for improved clinical focus on this issue.
- - The clinical practice guideline aims to improve the identification and management of ARHL by providing evidence-based recommendations for clinicians, targeting individuals aged 50 and older.
- - Key action statements emphasize the importance of screening for hearing loss, obtaining audiograms, offering appropriately fitted amplification, and evaluating candidates for cochlear implants.
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