Impacted Cerumen

Cerumen, Impacted

 

an accumulation of cerumen (ear-wax) in the external auditory canal of man; it may obstruct the canal. Symptoms of impacted cerumen are impaired hearing, a sensation of noise in the ear, and autophony, a condition in which the patient feels his voice resonating in his ear. Impacted cerumen is generally removed by irrigation; sometimes a special instrument is used.

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This impacted cerumen causes severe ear pain and hearing loss.
The most common ENT disorder encountered was rhinosinusitis which was seen in 14.2% cases, followed by ear wax (impacted cerumen) in 13.4% and pharyngitis in 12.5% cases.
We excluded external ear, middle ear and other ear diseases as well as systemic diseases that may affect hearing, such as otitis externa, impacted cerumen, otitis media, noise damage, ototoxic drug poisoning, inner ear malformation, diabetes mellitus, hypertension and chronic nephritis.
Chronic otitis, conductive hearing loss because of chronic middle-ear effusion or impacted cerumen, and enlarged tonsils can result in obstructive sleep apnea.
There is no evidence that they remove impacted cerumen, and candling can cause serious damage to the ear canal and eardrum.
[2] Impacted cerumen is a major cause of primary care consultation and common co-morbidity in ENT patients [3] and people with mental retardation [4].
Although not the most common finding on otomicroscopy, the presence of complete occlusion of the ear canal due to impacted cerumen was higher (14.7% unilateral and bilateral complete obstruction from cerumen) than in the studies by Chadha et al.
The appearance of the tick had closely resembled impacted cerumen, which had led to delayed diagnosis and an unnecessary CT scan.
Among the possible causes for this are impacted cerumen (ear wax), labyrinthitis (inflammation of the inner ear), otosclerosis (abnormal bone growth; sometimes more frequently occurring in certain families), hysteria (emotional instability), and overdose of drugs such as quinine.
The results indicated that impacted cerumen does cause a significant degree of conductive hearing loss.
This device is easy to use and will be a timesaver for the treatment of residents with impacted cerumen. The Welch Allyn Ear Wash System is portable, with an ergonomically designed water chamber and irrigating handle that allows the practitioner to perform the procedure quickly with a solid grip on the apparatus.
* Impacted cerumen removal, instrument assisted; evaluation and treatment of vertigo patients (otolaryngology).