[The guideline 'Hearing Impairment' of the Dutch College of General Practitioners; a comment from the Netherlands Society of Otolaryngology and Cervico-Facial Surgery].
This guideline has been well thought out, and is a useful basis for the general practitioner to diagnose and manage hearing loss. However, it advises watchful waiting in children with otitis media, a questionable view. In evaluating simple diagnostic tools, the speech recognition is overvalued at the expense of audiometry and the tuning-fork test. Posttraumatic perforation of the eardrum, in combination with hearing loss is incorrectly presented as a self-limiting problem in the majority of cases.
van der Hulst
R J
RJ
Ziekenhuis Amstelveen, afd. Keel-Neus-Oorheelkunde, Amstelveen.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001299:Audiometry; D002648:Child; D002675:Child, Preschool; D005260:Female; D034381:Hearing Loss / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010033:Otitis Media / Q000628:therapy; D010036:Otolaryngology / Q000592:standards*; D017410:Practice Guidelines as Topic / Q000592:standards*; D012955:Societies, Medical / Q000592:standards; D013063:Speech Discrimination Tests; D018058:Tympanic Membrane Perforation / Q000628:therapy
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