scholarly journals Effectiveness of Same-Day Human Ear Wax Removal as an Office Procedure and Factors Associated with its Successful Removal

2017 ◽  
Vol 5 (2) ◽  
pp. 45-48
Author(s):  
Anup Acharya ◽  
Bhuwan Raj Pandey ◽  
Madan Mohan Singh ◽  
Shiva Bhushan Pandit

Introduction: There are various methods of ear wax extraction and there are no specific guidelines on this subject. Many times we ask patients to instil some wax softening product for a few days and revisit for wax removal. This revisits result in increased cost, discomfort and loss of time. We conducted this study to determine the effectiveness of same-day ear wax removal as an office procedure with one or more techniques. Our secondary objective was to find the association between various factors and successful wax removal. Methods: During the study period, all patients with ear wax managed by a single ENT surgeon were included. History and examination were done and findings noted. One or more methods including probe, forceps, hooks, curette, suction, wax softening with wax softening agents, syringing were applied for wax removal. Complete wax removal was noted as success. Results: There were a total of 63 cases of ear wax among 34 participants. Wax was successfully removed in 52 (82.5%) cases in the same day. Presence of ear ache, narrow canal, complete obstruction and hard dry wax were adversely associated with successful wax removal. Presence of ear fullness, ear discharge, or use of ear drops in home was not significantly associated with successful ear wax removal. Conclusion: We were able to extract wax from a large proportion of patients on the same day of visit, thereby reducing their cost of revisit, however there were 17.5% of cases who could not be treated successfully on the same day.  

Author(s):  
Ksenia Aaron ◽  
Tess E Cooper ◽  
Laura Warner ◽  
Martin J Burton
Keyword(s):  
Ear Wax ◽  

BMJ ◽  
1990 ◽  
Vol 301 (6763) ◽  
pp. 1251-1253 ◽  
Author(s):  
J F Sharp ◽  
J A Wilson ◽  
L Ross ◽  
R M Barr-Hamilton
Keyword(s):  
Ear Wax ◽  

Diagnostics ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 2013
Author(s):  
Tudorel Mihoc ◽  
Cristi Tarta ◽  
Ciprian Duta ◽  
Raluca Lupusoru ◽  
Greta Dancu ◽  
...  

Acute pancreatitis is an unpredictable disease affecting the pancreas and it is characterized by a wide range of symptoms and modified lab tests, thus there is a continuing struggle to classify this disease and to find risk factors associated with a worse outcome. The main objective of this study was to identify the risk factors associated with the fatal outcome of the intensive care unit’s patients diagnosed and admitted for severe acute pancreatitis, the secondary objective was to investigate the prediction value for the death of different inflammatory markers at the time of their admission to the hospital. This retrospective study included all the patients with a diagnosis of acute pancreatitis admitted to the Intensive Care Unit of the Emergency County Hospital Timisoara between 1 January 2016 and 31 May 2021. The study included 53 patients diagnosed with severe acute pancreatitis, out of which 21 (39.6%) survived and 32 (60.4%) died. For the neutrophils/lymphocytes ratio, a cut-off value of 12.4 was found. When analyzing age, we found out that age above 52 years old can predict mortality, and for the platelets/lymphocytes ratio, a cut-off value of 127 was found. Combining the three factors we get a new model for predicting mortality, with an increased performance, AUROC = 0.95, p < 0.001. Multiple persistent organ failure, age over 50, higher values of C reactive protein, and surgery were risk factors for death in the patients with severe acute pancreatitis admitted to the intensive care unit. The model design from the neutrophils/lymphocytes ratio, platelets/lymphocytes ratio, and age proved to be the best in predicting mortality in severe acute pancreatitis.


Author(s):  
Martin J Burton ◽  
Ksenia Aaron ◽  
Laura Warner
Keyword(s):  
Ear Wax ◽  

2011 ◽  
Vol 61 (591) ◽  
pp. e680-e683 ◽  
Author(s):  
Emma Loveman ◽  
Elena Gospodarevskaya ◽  
Andy Clegg ◽  
Jackie Bryant ◽  
Petra Harris ◽  
...  

BMJ ◽  
1991 ◽  
Vol 302 (6769) ◽  
pp. 182-182
Author(s):  
A J Drysdale
Keyword(s):  
Ear Wax ◽  

Nature ◽  
1971 ◽  
Vol 229 (5280) ◽  
pp. 119-120 ◽  
Author(s):  
NICHOLAS L. PETRAKIS ◽  
MARIE DOHERTY ◽  
ROSE E. LEE ◽  
S. C. SMITH ◽  
N. L. PAGE
Keyword(s):  
Ear Wax ◽  

2021 ◽  
Vol 319 ◽  
pp. 01005
Author(s):  
Toualouth Lafia ◽  
Loubna Aqqaoui ◽  
Fouad Ettayebi ◽  
Houda Oubejja

Injuries related to everyday accidents are very common in children and are the main reasons for hospitalization in pediatric surgery. They have similarities with neglect. The main objective is to assess the frequency and circumstances of the occurrence of unintentional accidents in children under 6 years old. The secondary objective is to specify the associated factors and eventually determine if those accidents can be related to neglect. Material and methods: This is a cross-sectional study carried out at Pediatric Surgical Emergencies Department of Rabat Children's Hospital in 2017. Results: We identified 363 cases of unintentional accidents. The variables were collected on questionnaire. 155 children were aged 6 and under. The median age was 2, 83 years with a predominance of boys (56%). Children over 2 years old were the most affected (55.48%). Low and middle-income families dominated socio-demographic factors. The mothers in almost half of the cases never went to school. In 65.4% of cases, an adult was present during the accident, often the mother (62%). The lesions involved the limbs (64%) and the head (47%). Hospitalization was 24 hours (60.8%). There was no complication in 96.8% of cases. Some risk factors associated with unintentional accidents are also found in negligence.


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