Sudden Hearing Loss

Authoring Organization

Endorsing Organizations

Publication Month/Year

August 1, 2019

Document Type


External Publication Status


Country of Publication


Document Objectives

This guideline update provides evidence-based recommendations for the diagnosis, management, and follow-up of patients who present with sudden hearing loss. It focuses on sudden sensorineural hearing loss in adult patients aged ≥18 years and primarily on those with idiopathic sudden sensorineural hearing loss.

Target Patient Population

Adults aged ≥18 years with sudden hearing loss

Target Provider Population

All clinicians who are likely to diagnose and manage adults aged ≥18 years with sudden hearing loss

Inclusion Criteria

Female, Male, Adult, Older adult

Health Care Settings

Ambulatory, Emergency care, Hospital, Long term care, Medical transportation

Intended Users

Speech language pathologist, physician, audiologist


Diagnosis, Management

Diseases/Conditions (MeSH)

D003639 - Hearing Loss, Sudden


sensorineural hearing loss, sudden hearing loss, hyperbaric oxygen, intratympanic steroids, SHL

Source Citation

Chandrasekhar SS, Tsai Do BS, Schwartz SR, et al. Clinical Practice Guideline: Sudden Hearing Loss (Update). Otolaryngol Head Neck Surg. 2019;161 (1_Suppl):[S1-S45].

Supplemental Methodology Resources

Data Supplement


Number of Source Documents
Literature Search Start Date
April 1, 2011
Literature Search End Date
July 31, 2017
Specialties Involved
Emergency Medicine, Family Medicine, Neurology, Otolaryngology