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These key learning points summarize the consensus- and evidence-based recommendations included in this edition. The sources listed here for each statement recommend that physicians perform or implement these actions directly in a clinical setting.
1. In patients with suspected sudden sensorineural hearing loss, do not order routine computed tomography of the head during initial evaluation.
Evidence rating: SORT A
Source: American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), reference 14
Website: https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1177/0194599819859885
2. Offer supervised vestibular rehabilitation to patients with acute, subacute, or chronic unilateral or bilateral vestibular hypofunction who present with impairments, activity limitations, and participation restrictions related to the vestibular deficit.
Evidence rating: SORT A
Source: Academy of Neurologic Physical Therapy, reference 65
Website: https://journals.lww.com/jnpt/fulltext/2022/04000/vestibular_rehabilitation_
for_peripheral.7.aspx
3. For patients with Meniere disease, offer a limited course of vestibular suppressants (eg, first-generation antihistamines, benzodiazepines, and anticholinergics) for management of vertigo during episodic acute attacks.
Evidence rating: SORT B
Source: AAO-HNS, reference 59
Website: https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1177/0194599820909438
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