Last reviewed: November 2017
Last updated: November  2017

Summary

Differentials

Common

  • Cerumen impaction
  • Foreign body
  • Benign tumors (e.g., exostosis, osteoma, polyps)
  • Uncomplicated otitis externa
  • Acute otitis media
  • Serous otitis/middle-ear effusion
  • Cholesteatoma
  • Labyrinthitis
  • Noise-related hearing loss
  • External ear-canal trauma
  • Complication of meningitis
  • CVA
  • Age-related hearing impairment: presbycusis

Uncommon

  • External ear canal neoplasm
  • Necrotizing otitis externa
  • Tympanic-membrane perforation
  • Temporal bone fracture
  • Isolated developmental abnormality
  • Congenital hearing loss
  • Alport syndrome
  • Jervell Lange-Nielsen syndrome
  • Craniofacial abnormalities (e.g., Pierre Robin, Crouzon, Apert syndromes)
  • Waardenburg syndrome
  • Acoustic neuroma (vestibular schwannoma)
  • Glomus tumor
  • CMV infection
  • Toxoplasmosis infection
  • Syphilis infection
  • Paget disease
  • SLE
  • Wegener granulomatosis
  • Diabetes mellitus
  • Osteogenesis imperfecta
  • Vertebral artery dissection
  • Multiple sclerosis (MS)
  • Arnold-Chiari malformation
  • Auditory neuropathy
  • Ototoxic drugs
  • Meniere disease
  • Neonatal hyperbilirubinemia
  • Otosclerosis
  • Autoimmune inner ear disease
  • Perilymphatic fistula

Contributors

Authors VIEW ALL

Otolaryngologist (Otology/Neurotology)

Department of Otolaryngology

Virginia Mason Medical Center

Medical Director

The Listen for Life Center at Virginia Mason

Seattle

WA

Disclosures

SRS is an author of a reference cited in this monograph.

Dr S.R. Schwartz would like to gratefully acknowledge Dr S.J. Marzo, Dr J.P. Leonetti, and Dr R.J. Buckingham, previous contributors to this monograph. SJM, JPL, and RJB declare that they have no competing interests.

Peer reviewers VIEW ALL

Assistant Professor

Department of Otolaryngology

Department of Neurosurgery

Northwestern University Feinberg School of Medicine

Chicago

IL

Disclosures

AM declares that he has no competing interests.

Professor of Otorhinolaryngology

MRC Institute of Hearing Research

Glasgow

UK

Disclosures

GB is an author of several books that include discussion of evaluation of hearing loss.

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