Ear Wax (Cerumen) and Its Management

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Ear wax (cerumen) – yellowish waxy
substance secreted in the ear canal
It protects the skin of the ear canal, assist in
cleaning, lubrication and antibacterial effects
Excess cerumen can press against the
eardrum or occlude (block) the external
auditory canal or hearing aids, potentially
hindering hearing.
 
In older persons – earwax becomes dense and
drier
Hair becomes thicker and coarse – entrapping
the hard dry cerumen in the canal
Water that enter the canal during a shower or
swimming may cause swelling of the cerumen
resulting in blockage of the canal.
 
Partial hearing loss
Hearing aids malfunction due to increased ear
wax impaction
Otalgia
Tinnitus
Vertigo
Feeling of fullness in the ear
 
 
Cerumen is a viscous secretion which
contains shed layers of skin, keratin, fatty
acids and cholesterol
Two forms – dry type and wet type
Wet type is dominant and dry type is
recessive
Asians and native Americans – gray and flaky
African and European – brown and dark
brown
 
Cleaning of the ear canal occurs as a result of
epithelial migration aided by jaw movement
Along with the wax, debris and other
unwanted particles is been carried towards
outward of the ears
 
Ear wax removal is discouraged unless excess
earwax is causing health problems
Ear Syringing or irrigation
Wax softners – cerumenolytics
Suction
Instrumentation -Curette method
Cotton swabs – push most of the earwax into
the ear canal and remove only a small portion
of the wax and also adhere the fibers.
 
Cerumenolysis
Topical preparations to remove ear wax
Cerumenolytics are oil,and glycerine, Sodium
bicarbonate in water, olive oil
Cerumol (turpentine and dichlorobenzene)
Docusate, emulsifuying agent
Should be used 2-3 times (1-2 drops) daily for
3 – 5 days prior to the cerumen extraction.
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Ear wax, also known as cerumen, is a yellowish waxy substance secreted in the ear canal to protect, clean, and lubricate. Excess ear wax can lead to hearing issues, such as partial loss or malfunction of hearing aids. Learn about the types of ear wax, symptoms of blockage, and safe methods of removal like cerumenolysis.

  • Ear wax
  • Cerumen
  • Hearing loss
  • Management
  • Cerumenolysis

Uploaded on Sep 29, 2024 | 0 Views


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  1. Ear wax (cerumen) yellowish waxy substance secreted in the ear canal It protects the skin of the ear canal, assist in cleaning, lubrication and antibacterial effects Excess cerumen can press against the eardrum or occlude (block) the external auditory canal or hearing aids, potentially hindering hearing.

  2. In older persons earwax becomes dense and drier Hair becomes thicker and coarse entrapping the hard dry cerumen in the canal Water that enter the canal during a shower or swimming may cause swelling of the cerumen resulting in blockage of the canal.

  3. Partial hearing loss Hearing aids malfunction due to increased ear wax impaction Otalgia Tinnitus Vertigo Feeling of fullness in the ear

  4. Cerumen is a viscous secretion which contains shed layers of skin, keratin, fatty acids and cholesterol Two forms dry type and wet type Wet type is dominant and dry type is recessive Asians and native Americans gray and flaky African and European brown and dark brown

  5. Cleaning of the ear canal occurs as a result of epithelial migration aided by jaw movement Along with the wax, debris and other unwanted particles is been carried towards outward of the ears

  6. Ear wax removal is discouraged unless excess earwax is causing health problems Ear Syringing or irrigation Wax softners cerumenolytics Suction Instrumentation -Curette method Cotton swabs push most of the earwax into the ear canal and remove only a small portion of the wax and also adhere the fibers.

  7. Cerumenolysis Topical preparations to remove ear wax Cerumenolytics are oil,and glycerine, Sodium bicarbonate in water, olive oil Cerumol (turpentine and dichlorobenzene) Docusate, emulsifuying agent Should be used 2-3 times (1-2 drops) daily for 3 5 days prior to the cerumen extraction. Cerumenolysis

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