| Autor: |
Schwartz SR; 1 Department of Otolaryngology, Virginia Mason Medical Center, Seattle, Washington, USA., Magit AE; 2 Division of Otolaryngology, Childrens Hospital of San Diego, San Diego, California, USA., Rosenfeld RM; 3 Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA., Ballachanda BB; 4 Premier Hearing Center, Albuquerque, New Mexico, USA., Hackell JM; 5 Pomona Pediatrics, Pomona, New York, USA., Krouse HJ; 6 College of Nursing, Wayne State University, Detroit, Michigan, USA., Lawlor CM; 7 Department of Otolaryngology, Tulane University, New Orleans, Louisiana, USA., Lin K; 8 Georgetown University School of Medicine, Washington, District of Columbia, USA., Parham K; 9 Division of Otolaryngology, University of Connecticut Health Center, Farmington, Connecticut, USA., Stutz DR; 10 University of Michigan Health System, East Ann Arbor Health Care Center, Ann Arbor, Michigan, USA., Walsh S; 11 Consumers United for Evidence-based Healthcare, Davis, California, USA., Woodson EA; 12 Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA., Yanagisawa K; 13 Yale New Haven Hospital, Southern New England Ear Nose Throat & Facial Plastic Surgery Group, LLP, New Haven, Connecticut., Cunningham ER Jr; 14 AAO-HNSF, Alexandria, Virginia, USA. |
| Abstrakt: |
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. |
Plný text