Cerumen impaction.

@article{McCarter2019CerumenI,
  title={Cerumen impaction.},
  author={Daniel F McCarter and A Ursulla Courtney and Susan M Pollart},
  journal={American family physician},
  year={2019},
  volume={75 10},
  pages={
          1523-8
        }
}
Cerumen is a naturally occurring, normally extruded product of the external auditory canal. It is usually asymptomatic, but when it becomes impacted it can cause complications such as hearing loss, pain, or dizziness. It also can interfere with examination of the tympanic membrane. Depending on available equipment, physician skill, and patient circumstances, treatment options for cerumen impaction include watchful waiting, manual removal, the use of ceruminolytic agents, and irrigation with or… 

Cerumen Impaction: Diagnosis and Management.

Patients with coagulopathies, hepatic failure, thrombocytopenia, or hemophilia, and those taking antiplatelet or anticoagulant medications, should be counseled about the increased risk of bleeding in the external auditory canal when cerumen is removed.

Ear Wax and its Impaction: Clinical Findings and Management

All common cerumen removal strategies are Cerumenolytics (ear wax emollient agents), irrigation, and manual elimination, and it is also prudent not to interfere if asymptomatic individuals and tympanic membrane visualization are not required.

Risk of Otitis Externa Following Manual Cerumen Removal

There is no evidence that OE is a complication of manual cerumen removal when performed by otolaryngologists using clean technique, and unnecessary sterilization of tools leads to increased cost and time for this common outpatient procedure performed by the otolariesngologist.

Hearing Loss Due To Different Types of Impacted Cerumen

A pilot study on 50 young individuals having normal hearing, to document audiometric change in hearing threshold due to cerumen impaction, revealed different levels of hearing loss in wet and dry cerumen even with the same amount of occlusion.

The Influence of Chewing Habits on the Degree of Impacted Cerumen

Factors affecting the degree of cerumen in patients with impacted cerumen were the chewing habits and cotton-tipped swabs habits.

Cerumen Impaction Removal in General Practices: A Comparison of Approved Standard Products

The aggregated comparison indicates a slight trend toward a higher effectiveness of any pre-treatment compared to no pre- Treatment, and the effect-size of docusate-sodium-based pre- treatment indicates a higher effective of cerumen impaction removal.

Cleaning Earwax Impaction

Earwax or cerumen is the natural product of the exocrine glands in the lateral part of the ear canal, and accumulation of earwax in the external ear canal can be caused by the use of hearing aids, genetic tendency for impaction, or secondary to theUse of cotton swabs.

Mechanism Cleaning of the Ear Canal

A unique model for ear cleaning free of irritation or discomfort is developed, especially for those patients who have disorders of the self-cleaning ear canal process, designed specifically considering patient safety and comfort.

Safety and Efficacy of Sofenz Ceruminolytic Solution

It is concluded that 1 or 2 applications of Sofenz followed by irrigation with lukewarm water is a safe, well-tolerated, and effective treatment for excessive or impacted cerumen in the external auditory canal.
...

References

SHOWING 1-10 OF 31 REFERENCES

Cerumen impaction in the elderly.

Cerumen impaction is a reversible cause of conduction hearing loss in the elderly and methods to remove cerumen impactions include: ceruminolytic agents, curette methods and lavage method.

Impacted cerumen: composition, production, epidemiology and management.

There are no well-designed, large, placebo-controlled, double-blind studies comparing treatments, and accordingly, the evidence surrounding the management of impacted cerumen is inconsistent, allowing few conclusions.

Cerumen Removal — Current Challenges

Each week in the United States, approximately 150,000 cerumen removals take place. Otologic complications include pain, perforated tympanum, dizziness, bleeding and infection. The prevention and

Safe, effective techniques for cerumen removal.

The recommended procedure calls for taking a careful history, examining the patient for prior pathology, and using sterile instruments, good lighting, and accepted methods of cerumen removal.

Effect of cerumen removal on the hearing ability of geriatric patients.

Results indicate that impacted cerumen is a common condition in the hospitalized elderly and removal of cerumen significantly improved hearing ability.

Ear drops for the removal of ear wax.

A large number of trials to date have been heterogeneous and of poor quality, making it difficult to offer any definitive recommendations on the effectiveness of cerumenolytics for the removal of symptomatic ear wax.

Ear Candles‐Efficacy and Safety

Evaluated ear candles have no benefit in the management of cerumen and may result in serious injury and significant savings could result from the use of ear candles.

Clinical inquiries. What is the best treatment for impacted cerumen?

Recommendations should be based on relative safety and on the direct comparison trials within each strategy against home softening followed by irrigation and manual disimpaction against onetime softening in the office to ease or eliminate the need for irrigation.

Impacted ear wax--a cause for unexplained cough?

  • R. Raman
  • Medicine
    Archives of otolaryngology--head & neck surgery
  • 1986
Three patients who presented with a history of dry, nonproductive, irritating cough of over a year's duration were seen, and, within 24 hours, the cough disappeared, and the external auditory canals were filled with dry, hard, impacted wax.

Catastrophic otologic injury from oral jet irrigation of the external auditory canal

Jet irrigation is an accepted method for removal of cerumen from the external auditory canal and can generate enough force to rupture the tympanic membrane at a submaximal power setting.