Ear Wax Blocking / Cerumen Blocking

 17 Mei 2018   

Ear Wax Blocking / Cerumen Blocking

cerumen

 

Cerumen in the external ear canal is physiological.

Cerumen ( ear wax ) is a hydrophobic protective covering in the ear canal. It acts to shield the skin of the external ear canal from water damage, infection, trauma, and foreign bodies.

Cerumen impaction (ear wax blocking) some times without symptom,  but in some circumstances it requires removal when causing symptoms

Indications to address the cerumen include the following:

  • Difficult to examining the Ear drum ( tympanic membrane)
  • Infection Ear canal (Otitis externa)
  • Wax occlusion of the external ear canal
  • Itchy ears
  • Patient hearing impaired or discomfort in the ear

Contraindications

  • history of a perforated tympanic membrane
  • previous pain on irrigation
  • previous surgery to the middle ear and in the presence of a discharge
  • uncooperative patient.

Planning treatment

  1. Wax-softening drops

Wax-softening drops are intended to soften the wax over a period of hours to days

  1. Ear irrigation

This procedure use of warm (ideally body temperature) water under pressure directed into the ear canal to mechanically remove the wax.

  1. Mechanical wax removal under vision

This is typically done using an operating endoscopy with the patient awake.

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