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Ear practice exam update#

Another purpose of the guideline is to highlight needs and management options in special populations or in patients who have modifying factors. Purpose The primary purpose of this guideline is to help clinicians identify patients with cerumen impaction who may benefit from intervention and to promote evidence-based management. Changes from the prior guideline include a consumer added to the development group new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials) enhanced information on patient education and counseling a new algorithm to clarify action statement relationships expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion an enhanced external review process to include public comment and journal peer review and 3 new key action statements on managing cerumen impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care. Cerumen impaction is defined as an accumulation of cerumen that causes symptoms, prevents assessment of the ear, or both.

Ear practice exam update#

Objective This update of the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation cerumen impaction clinical practice guideline provides evidence-based recommendations on managing cerumen impaction.

14 14 American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.

13 13 Yale New Haven Hospital and Southern New England Ear, Nose, Throat & Facial Plastic Surgery Group, LLP, New Haven, Connecticut, USA.

12 12 Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA.

11 11 Consumers United for Evidence-Based Healthcare, Davis, California, USA.

10 10 University of Michigan Health System, East Ann Arbor Health Care Center, Ann Arbor, Michigan, USA.

9 9 Division of Otolaryngology, University of Connecticut Health Center, Farmington, Connecticut, USA.

8 8 Georgetown University School of Medicine, Washington, DC, USA.

7 7 Department of Otolaryngology, Tulane University, New Orleans, Louisiana, USA.

6 6 College of Nursing, Wayne State University, Detroit, Michigan, USA.

5 5 Pomona Pediatrics, Pomona, New York, USA.

4 4 Premier Hearing Center, Albuquerque, New Mexico, USA.

3 3 Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA.

2 2 Division of Otolaryngology, Rady Children's Hospital-San Diego, San Diego, California, USA.

1 1 Department of Otolaryngology, Virginia Mason Medical Center, Seattle, Washington, USA.