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Prim Care. 2014 Mar;41(1):19-31. doi: 10.1016/j.pop.2013.10.003. Epub 2013 Nov 18.

Hearing loss: diagnosis and management.

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Departments of Surgery and Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, KS, USA; The Wichita Ear Clinic, 9350 East Central Avenue, Wichita, KS 67206, USA. Electronic address:
Department of Family and Community Medicine, The University of Kansas School of Medicine-Wichita, 1010 North Kansas, Wichita, KS 67214, USA.


Hearing loss may affect all age groups from the newborn to the elderly, impacting speech and language development in children and causing social and vocational problems for adults. Hearing loss can arise from anywhere in the auditory circuit including the external auditory canal, sound conduction mechanism, cochlea, cochlear nerve, and central auditory pathways. Rehabilitation options exist for all types of hearing loss, regardless of cause or location within the auditory system. Awareness of symptoms, signs, and rehabilitative measures aids primary care physicians in early identification and treatment of hearing loss.


Audiometry; Hearing aids; Hearing loss; Otoacoustic emissions

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