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• Acute or chronic dizziness;
• Audiometric air-bone gap equal to or greater than 15
dB at 500 Hz, 1000 Hz and 2000 Hz;
• Visible evidence of signicant cerumen accumulation or
a foreign body in the ear canal;
• Pain or discomfort in the ear;
• Abnormal appearance of the eardrum and ear canal
such as:
• Inammation of the external auditory canal
• Perforated eardrum
• Other abnormalities which the hearing care
professional believes are of medical concern
Special care should be exercised in selecting and tting a
hearing aid whose maximum sound pressure level exceeds
132 decibels (dB) because there may be risk of impairing the
remaining hearing of the hearing aid user. (This provision is
required only for those hearing aids with a maximum sound
pressure capability greater than 132 dB).