Clinical Practice Guideline (Update): Earwax (Cerumen Impaction) Executive Summary

Author:

Schwartz Seth R.1,Magit Anthony E.2,Rosenfeld Richard M.3,Ballachanda Bopanna B.4,Hackell Jesse M.5,Krouse Helene J.6,Lawlor Claire M.7,Lin Kenneth8,Parham Kourosh9,Stutz David R.10,Walsh Sandy11,Woodson Erika A.12,Yanagisawa Ken13,Cunningham Eugene R.14

Affiliation:

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

2. Division of Otolaryngology, Childrens Hospital of San Diego, San Diego, California, USA

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

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

5. Pomona Pediatrics, Pomona, New York, USA

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

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

8. Georgetown University School of Medicine, Washington, District of Columbia, USA

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

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

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

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

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

14. AAO-HNSF, Alexandria, Virginia, USA

Abstract

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.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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