Search form

Clinical Practice Guideline: Sudden Hearing Loss (Update)

Clinical Practice Guideline: Sudden Hearing Loss (Update)

The guideline was published as a supplement in the August 2019 issue of Otolaryngology—Head and Neck Surgery. 

Clinical Practice Guideline: Sudden Hearing Loss (Update) published in Otolaryngology–Head and Neck Surgery on August 1. This clinical practice guideline (CPG), intended for all clinicians who diagnose or manage adult patients (aged 18 years or older) who present with sudden hearing loss (SHL) and primarily those with idiopathic sudden sensorineural hearing loss, is an update of and replacement for the prior CPG published in 2012. The purpose of this multidisciplinary CPG is to identify quality improvement opportunities in managing patients with sudden hearing loss and to create explicit and actionable recommendations to implement these opportunities in clinical practice. Specifically, the goals are to promote prompt recognition and management of sudden sensorineural hearing loss, which may improve hearing recovery and quality of life.  

Leadership: Sujana S. Chandrasekhar, MD (Chair); Betty Tsai Do, MD (Assistant Chair); Seth R. Schwartz, MD, MPH (Methodologist) 

Guideline Update Group: Laura Bontempo, MD, MEd; Erynne Faucett, MD; Sandra A. Finestone, PsyD; Deena B. Hollingsworth, MSN, FNP-BC, CORLN; David M. Kelley, MD; Steven Kmucha, MD, JD; Gul Moonis, MD; Gayla L. Poling, PhD, CCC-A; J. Kirk Roberts, MD; Robert J. Stachler, MD; Daniel M. Zeitler, MD; Maureen D. Corrigan; Lorraine C. Nnacheta, MPH, DrPH; Lisa Satterfield, MS, MPH


American Academy of Neurology (AAN)

American College of Emergency Physicians (ACEP)

American College of Radiology (ACR)

American Neurotology Society (ANS)

American Otological Society (AOS)

American Speech-Language-Hearing Association (ASHA)

Society of Otorhinolaryngology and Head-Neck Nurses (SOHN)

The Triological Society



For Physicians

    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.