Impacted cerumen: composition, production, epidemiology and management

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Role of impacted cerumen in hearing loss.

We performed a study to determine if cerumen in the ear canal causes significant hearing loss and to ascertain if there is any correlation between the amount of cerumen and the degree of hearing loss. Our study was conducted on 109 ears in 80 patients. The results indicated that impacted cerumen does cause a significant degree of conductive hearing loss. We found no significant correlation betw...

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

EVIDENCE SUMMARY In studies that evaluated onetime softening in the office to ease or eliminate the need for irrigation, a presoak with docusate sodium (Colace) was most effective, although its effects were not compared with those of water. Both triethanolamine (Cerumenex) and olive oil were the next most effective treatments. Carbamide peroxide (Debrox, Murine Ear) was least effective (see Tab...

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Cerumen management: professional issues and techniques.

Cerumen management is now within the scope of practice for audiologists. This paper describes the knowledge and skills required to perform cerumen management safely and effectively. Procedures for mechanical removal, suction, and irrigation are provided.

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Cerumen impaction.

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 impact...

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Evaluation of the safety and efficacy of a novel product for the removal of impacted human cerumen

BACKGROUND This open-label study evaluated the safety and efficacy of a novel product for the removal of impacted cerumen in adult patients. METHODS This was a prospective, single-center, single-arm, self-controlled clinical trial conducted in a community general practice setting. The novel product contains glycolic acid in an otologically-acceptable buffer containing sodium bicarbonate and g...

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ژورنال

عنوان ژورنال: QJM

سال: 2004

ISSN: 1460-2725,1460-2393

DOI: 10.1093/qjmed/hch082