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'Cerumen Impaction Removal' (23)


Dec
1969

This open-label study evaluated the safety and efficacy of a novel product for the removal of impacted cerumen in adult patients.
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 glycerin and other buffering agents.

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Dec
1969

Objective This update of the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation cerumen impaction clinical practice guideline provides evidence-based recommendations on managing cerumen impaction. Cerumen impaction is defined as an accumulation of cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline include a consumer added to the development group; new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials); enhanced information on patient education and counseling; a new algorithm to clarify action statement relationships; expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion; an enhanced external review process to include public comment and journal peer review; and 3 new key action statements on managing cerumen impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care.

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Aug
2016

Under physiological conditions, cerumen (Ce) is regularly extruded from the ear canal by a self-cleaning mechanism. Failure of this mechanism leads to excessive accumulation or impaction of Ce. Limited data are available concerning the prevalence of cerumen in healthy and sick infants and children.

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Mar
2016

Hearing loss is a risk factor for the progression of dementia. Cognitive improvement is occasionally found after removal of cerumen impaction. Because patients with dementia do not usually complain about cerumen impaction, detection methods are important.

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Apr
2014

To assess the effect of cerumen impaction and its removal on hearing ability and cognitive function in elderly patients with memory disorders in Japan.
Pure tone audiometry (PTA) and the Mini-Mental State Examination (MMSE) were administered to participants before and after cerumen removal. Participants who had cerumen impaction in the better-hearing ear comprised the case group; the control group consisted of participants who either did not have cerumen impaction or had it in the worse hearing ear.

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Dec
1969

The problems of diagnostics, treatment and prophylaxis of inflammatory diseases of the external ear remain a challenge for practical otorhinolaryngology. The number of patients presenting with this pathology is still very high despite the availability ofa great variety of pharmacological products for their management. The problem of external otitis arises from its high incidence in conjunction with the poor effectiveness of various medicamental and non-medicamental therapeutic modalities for its treatment.

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Mar
2012

We conducted a prospective crossover study to assess the safety and efficacy of 70% isopropyl alcohol delivered from a squeezable bottle with a specially designed tip as a weekly irrigant to reduce cerumen accumulation. Twenty patients were divided into 2 groups of 10 (20 ears in each group). The patients in group 1 instilled 70% isopropyl alcohol once a week for 2 months; this was followed by 2 months of no ear cleaning.

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Mar
2012

Cerumen impaction may affect hearing and decrease hearing acuity, thus decreasing cognitive functions among the elderly. The objective of this study was to compare the safety and the efficacy of three cerumenolytic agents and to assess the effect of cerumen removal on cognition. Thirty eight elderly subjects (mean age: 78 years, total 76 ears) were treated with either Auro®, Cerumol® or the newer CleanEars®, and the change in the degree of ear canal occlusion was examined after a week.

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Apr
2009

Wax removal compromises the integrity of the ear's defenses. It is a leading cause of otitis externa, Otomycosis and impaired hearing. Aims of the study are to assess the knowledge and implication of self ear cleaning among black Africans.

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Jul
2009

Cerumen impaction is known as a frequent problem both in general practice as well as in community based ENT surgeries. The aim of the present review was to describe the frequency and types of complications due to different methods of ear wax removal.
A systematic review of the literature was carried out (Pubmed, Cochrane, Scopus) and data from the arbitration board for medical liability were evaluated.

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Sep
2008

This guideline provides evidence-based recommendations on managing cerumen impaction, defined as an accumulation of cerumen that causes symptoms, prevents assessment of the ear, or both. We recognize that the term "impaction" suggests that the ear canal is completely obstructed with cerumen and that our definition of cerumen impaction does not require a complete obstruction. However, cerumen impaction is the preferred term since it is consistently used in clinical practice and in the published literature to describe symptomatic cerumen or cerumen that prevents assessment of the ear.

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May
2007

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.

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May
2007

This investigation was performed to study the prevalence of cerumen impaction and evaluate its impact on hearing and cognition in elderly patients admitted to a skilled nursing facility (SNF).
Prospective clinical trial using a pretest-posttest design.
A 160-bed skilled nursing facility.

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Jun
2003

The aim of this study was to determine whether children in whom impacted cerumen had been removed were at greater risk of hearing impairment than those without a history of impacted cerumen. A retrospective study was conducted in 113 subjects and their pair-matched controls taken from a population of 359 randomly selected school entrants who received otoscopic, audiometric and tympanometric evaluations. It was found that children from whom impacted cerumen had been removed were more likely to have hearing loss (p = 0.

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Nov
2001

To assess the chemical composition of cerumen by flash pyrolysis-gas chromatography/mass spectrometry.
Collected earwax specimens were fractionated into residue and supernatant by means of deoxycholate. This natural bile acid produces significantly better disintegration of earwax in vitro than do presently available ceruminolytic preparations, and also has demonstrated excellent clinical results in vivo to date.

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Jan
2000

Cerumen removal in older patients can prevent serious social withdrawal due to hearing loss or infection due to untreated impaction. The recommended procedure calls for taking a careful history, examining the patient for prior pathology, and using sterile instruments, good lighting, and accepted methods of cerumen removal. Knowing when to stop irrigation and to use ceruminolytic drops or refer to a specialist is key to maximizing patient comfort and minimizing complications.

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Oct
1997

Cerumen impaction.

J La State Med Soc 1997 Oct;149(10):358-62
M A Jabor, R G Amedee
Cerumen impaction represents the most common otologic problem encountered by physicians. It can affect up to 6% of the general population and a much higher percentage in the mentally retarded population. Cerumen is a mixture of secretory products of two glands in the external auditory canal where it serves a protective function.

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Dec
1995

Cerumen impaction in the elderly.

J Gerontol Nurs 1995 Dec;21(12):43-5
J A Meador
1. Cerumen impaction is a reversible cause of conduction hearing loss in the elderly. 2.

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Mar
1993

A cerumen plug in the external auditory canal can cause dizziness, pain, itching, ringing or decreased hearing. These symptoms are particularly distressing to elderly clients who may already have compromised hearing or be experiencing changes in functional ability. A cerumen plug that causes hearing impairments can retard children's educational and psychosocial development.

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Dec
1969

Thirty-six patients with symptoms of impacted ear wax were recruited to an open, randomized, parallel group study of 'Audax' ear drops and 'Earex' ear drops. Patients had had their symptoms for several weeks and they were assessed on entry for the degree of impaction in each ear. After using the drops, morning and evening for 4 days, they were assessed on the fifth day for degree of impaction, ease of syringing, side-effects or discomfort, and the investigator's and patient's own global impression of efficacy of the ear drops.

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Nov
1991

Cerumen impaction and removal is a very common otologic problem. The perfect cerumenolytic agent has yet to be developed. After years of trying multiple different cerumenolytics without satisfaction, a stool softener, docusate sodium, has become our agent of choice.

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Jul
1977

Managing cerumen impaction.

Postgrad Med 1977 Jul;62(1):207-9
A D Meyers
The external auditory canal is self-cleaning. Excessive cerumen accumulation usually results from misguided attempts to remove wax and may go unnoticed until a hearing loss occurs. Mechanical removal of the wax or use of a ceruminolytic agent to soften it is recommended--irrigation may contaminate the middle ear space.

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