In September, the American Association of Otolaryngologists-Head and Neck Surgeons (AAO-HNS) published the first clinical practice guidelines on the removal of impacted cerumen (Otolaryngol Head Neck Surg 2008;139:S1-S21).
Explore this issue:November 2008
The publication, which includes a recommendation for professionals to use cerumenolytic agents, irrigation, or manual removal other than irrigation to extract cerumen, was produced using a methodical and comprehensive evidence-based approach, said Richard Rosenfeld, MD, MPH, a coauthor of the guidelines and Chairman of Otolaryngology at Long Island College Hospital in Brooklyn, NY.
Specifically, the creation of the cerumen document followed procedures detailed in Clinical Practice Guidelines: A Manual for Developing Evidence-Based Guidelines to Facilitate Performance Measurement and Quality Improvement (Otolaryngol Head Neck Surg 2006;135:S1-S28), of which Dr. Rosenfeld was also coauthor. Important elements of this process included topic selection, recruiting panel members, establishing a timeline, literature search, writing recommendations based on clinical evidence, review and final approval.