Intended for healthcare professionals

Letters NICE on hearing loss in adults

Hearing loss in adults: getting earwax removed is a problem

BMJ 2018; 362 doi: (Published 25 September 2018) Cite this as: BMJ 2018;362:k4048
  1. Judith H Harvey, retired general practitioner
  1. London NW8, UK
  1. judithharvey12{at}

Earwax is unglamorous, but clear ears make a huge difference to many patients’ hearing and so to their social functioning. That the National Institute for Health and Care Excellence has tackled the problem is good.1 But given that the evidence on how best to manage it is so weak and the options limited, the guidelines contain little to overcome the current barriers faced by …

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