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Previous Volume 359:833-840 August 21, 2008 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A healthy 58-year-old woman answers the telephone and realizes that her hearing is diminished on the left side. She notices aural fullness and loud tinnitus in the affected ear. Later that day she has several hours of mild vertigo that clears by the following morning. Over the next few days, repeated self-administered ear cleaning with the use of an over-the-counter kit does . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Diagnosis

Audiometry

Medical Treatment

Oral Corticosteroids

Intratympanic Steroid Injections

Other Therapies

Prognosis

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Otology and Laryngology, Harvard Medical School, Boston.

An audio version of this article is available at www.nejm.org.

Address reprint requests to Dr. Rauch at Massachusetts Eye and Ear Infirmary, 243 Charles St., Boston, MA 02114, or at steven_rauch@meei.harvard.edu.

This article has been cited by other articles:

• Wippold, F.J. II, Turski, P.A. (2009). Vertigo and Hearing Loss. Am. J. Neuroradiol. 30: 1623-1625 [Full Text]