van der Hulst R J
Ziekenhuis Amstelveen, afd. Keel-Neus-Oorheelkunde, Amstelveen.
Ned Tijdschr Geneeskd. 1998 Aug 8;142(32):1806-7.
This guideline has been well thought out, and is a useful basis for the general practitioner to diagnose and manage hearing loss. However, it advises watchful waiting in children with otitis media, a questionable view. In evaluating simple diagnostic tools, the speech recognition is overvalued at the expense of audiometry and the tuning-fork test. Posttraumatic perforation of the eardrum, in combination with hearing loss is incorrectly presented as a self-limiting problem in the majority of cases.
本指南经过深思熟虑，是全科医生诊断和处理听力损失的有用依据。然而，它建议对中耳炎患儿进行观察等待，这一观点值得怀疑。在评估简单诊断工具时，语音识别被过度重视，而牺牲了听力测定和音叉试验。鼓膜创伤性穿孔合并听力损失在大多数情况下被错误地描述为自限性问题。
