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• Neural hearing loss
The primary criteria for the referral of a patient for a
medical or other specialist opinion and / or treatment are as
follows:
• Visible congenital or traumatic deformity of the ear;
• History of active drainage from the ear in the previous
90 days;
• History of sudden or rapidly progressive hearing loss in
one or both ears within the previous 90 days
• 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
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