Clinical Practice Guideline: Sudden Hearing Loss

Clinical Practice Guideline: Sudden Hearing Loss


Leadership: Robert J. Stachler, MD (Chair); Sujana S. Chandrasekhar, MD (Assistant Chair); Sanford M. Archer, MD (Assistant Chair); Richard M. Rosenfeld, MD, MPH (Methodologist); Seth R. Schwartz, MD, MPH (Methodologist)

Guideline Development Group: David M. Barrs, MD; Steven R. Brown, MD; Terry D. Fife, MD; Peg Ford; Theodore G. Ganiats, MD; Deena B. Hollingsworth, RN, MSN, FNP; Christopher A. Lewandowski, MD; Joseph J. Montano, Ed.D; James E. Saunders, MD; Debara L. Tucci, MD, MS; Michael Valente, PhD; Barbara E. Warren, Psy.D, M.Ed; Kathleen L. Yaremchuk, MD, MSA

The guideline was published as a supplement in the March 2012 issue of Otolaryngology–—Head and Neck Surgery.

The sudden hearing loss (SHL) clinical practice guideline provides a set of evidence-based recommendations for the diagnosis, management and follow-up of adult patients presenting with sudden hearing loss. The guideline focuses primarily on sudden sensorineural hearing loss. The guideline is intended for all clinicians who diagnose or manage adult patients who present with sudden hearing loss.


American Academy of Neurology (AAN) - Affirmation of Value April 2012

Society of Otorhinolaryngology and Head-Neck Nurses, Inc.Oct 2011

Physician Resources

For Patients


In 2012 the ABIM Foundation launched Choosing Wisely® with a goal of advancing a national dialogue on avoiding wasteful or unnecessary medical tests, treatments and procedures.

Choosing Wisely centers around conversations between providers and patients informed by the evidence-based recommendations.

Access the AAO-HNSF Choosing Wisely List of 10 Things Providers and Patients Should Question


Computed tomography scanning is expensive, exposes the patient to radiation and offers no useful information that would improve initial management. CT scanning may be appropriate in patients with focal neurologic findings, a history of trauma or chronic ear disease.