Hearing loss- NICE guidance

An easy to follow visual of the latest NICE guideline NG 98 on hearing loss.

Hearing difficulties or suspected hearing difficulties-Adults presenting for first time or you suspect hearing difficulty-Exclude impacted wax and acute infections such as otitis externa-Refer audiology or additional diagnostic test if needed

Sudden or rapid onset of hearing loss-Sudden onset of rapid worsening of hearing loss in one or both ears which is not explained by external or middle ear causes-If developed suddenly - (over a period of 3 days or less ) refer immediately - to be seen within 24 hrs to○ ENT or○ Emergency department-If the hearing loss developed suddenly -refer to be seen within 2 weeks to ○ ENT or○ Audiovestibular medicine service-If the hearing loss worsened rapidly ( over a period of 4-90 days ) refer urgently-to be seen within 2 weeks to○ ENT○ Audiovestibular medicine services

Hearing loss with specific additional symptoms or signs-Acquired unilateral hearing loss and altered sensation or facial drop on the same side to ○ ENT or○ If stroke suspected - follow local stroke pathway Hearing loss in people who are Immunocompromised and have otalgia ( ear ache ) with otorrhoea ( discharge from ear ) that...