Cerumen Removal

Author(s):  
Bobby K. Desai
Keyword(s):  
2020 ◽  
Vol 11 ◽  
pp. 215013272090418 ◽  
Author(s):  
Garret A. Horton ◽  
Matthew T. W. Simpson ◽  
Michael M. Beyea ◽  
Jason A. Beyea

Objective: To provide family physicians with a practical, evidence-based approach to managing patients with cerumen impaction. Methods: MEDLINE, The Cochrane Library, and the Turning Research Into Practice (TRIP) database were searched for English-language cerumen impaction guidelines and reviews. All such articles published between 1992 and 2018 were reviewed, with most providing level II and III evidence. Results: Cerumen impaction is a common presentation seen in primary care and cerumen removal is one of the most common otolaryngologic procedures performed in general practice. Cerumen impaction is often harmless but can be accompanied by more serious symptoms. Cerumenolytics and irrigation of the ear canal are reasonable first-line therapies and can be used in conjunction or isolation. If irrigation and cerumenolytics are contraindicated, manual removal is appropriate, but the tools necessary are not commonplace in primary care clinics and specialized training may be required to prevent adverse outcomes. Conclusion: Family physicians play a key role in the assessment and management of cerumen impaction and are well equipped to do so. Knowledge of the available techniques for cerumen removal as well as their contraindications ensures that cerumen is removed safely and effectively. When cerumen removal cannot be removed safely in a primary care setting, referral to Otolaryngology-Head and Neck Surgery is appropriate.


2019 ◽  
Vol 4 (2) ◽  
pp. 173-181
Author(s):  
Farhat Farhat ◽  
Elvita Rahmi Daulay ◽  
Dewi Masyithah Darlan

Diseases of ear, nose, and throat (ENT) are common diseases in the world. The diseases are essential due to morbidities, which affect the physiological functions in the head and neck region. Cerumen impaction is the most common finding disease of ENT in children. The community service was done to find the distribution of ear, nose, and throat examination results of students in Letjen Jamin Ginting Junior High School, Berastagi, especially cerumen impaction which then were treated with cerumen removal. The community service also aimed to increase student's knowledge about ENT disease. The ENT examination was done to 188 students. The students with cerumen impaction were treated with cerumen removal. The students also educated about ENT disease to improve knowledge about ENT disease. Among 188 students, the number of male students was more than female with 98 students (52.1%), where 76 students (40.4%) were 14 years old. 150 students (79.8%) did not have any complaint about their ear, nose, and throat. Ear fullness was a common chief complaint from the students with 15 students (8.0%). Ear disease was a frequent disease with 44 students (47.3%) and cerumen impaction as the most common findings with 43 students (22.9%). In ENT disease education, the evaluation was done with the highest result was get by 8 students with 80% corrected answers. Ear disease had high prevalence with cerumen impaction as the most common findings of ENT examination.


2004 ◽  
Vol 11 (3) ◽  
pp. 34-35
Author(s):  
D. J. Isaacman
Keyword(s):  

2005 ◽  
Vol 19 (5) ◽  
pp. 332-336 ◽  
Author(s):  
Paula Dimmitt
Keyword(s):  

1998 ◽  
Vol 77 (7) ◽  
pp. 541-548 ◽  
Author(s):  
Murray Grossan

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 management of such complications are discussed below. Accepted methods of removal should be used and all perforations and other forms of trauma, when they occur, must be evaluated for middle and inner ear pathology. Handicapped patients and those under custodial care represent a group that is underserved at this time. Possible solutions are discussed.


JAMA ◽  
2008 ◽  
Vol 300 (13) ◽  
pp. 1506 ◽  
Author(s):  
Mike Mitka
Keyword(s):  

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