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Unbound Medicine.
(Ear wax impaction)
97 results
  • Cerumen Management: An Updated Clinical Review and Evidence-Based Approach for Primary Care Physicians. [Journal Article]
    J Prim Care Community Health. 2020 Jan-Dec; 11:2150132720904181.Horton GA, Simpson MTW, … Beyea JA
  • CONCLUSIONS: Family physicians play a key role in the assessment and management of cerumen impaction and are well equipped to do so. Knowledge of the available techniques for cerumen removal as well as their contraindications ensures that cerumen is removed safely and effectively. When cerumen removal cannot be removed safely in a primary care setting, referral to Otolaryngology-Head and Neck Surgery is appropriate.
  • Cerumen impaction was composed of abnormal exfoliation of keratinocytes that was correlated with infection. [Journal Article]
    Am J Otolaryngol. 2019 Nov 07 [Online ahead of print]Zhang S, Jin M, … Zhang Y
  • CONCLUSIONS: Impacted cerumen is composed of abnormal exfoliated keratinocytes that was correlated with microbial-induced neutrophil-mediated inflammation. Mold infection is highly correlated with recurrent cerumen impaction. Microbial culture of removed impacted cerumen is strongly recommended. Ear cleaning with cotton buds, particularly when the EAC is wet might be one of the important causes of cerumen impaction which is need further studied.
  • Hearing Loss in Adults: Differential Diagnosis and Treatment. [Journal Article]
    Am Fam Physician. 2019 Jul 15; 100(2):98-108.Michels TC, Duffy MT, Rogers DJ
  • More than 30 million U.S. adults have hearing loss. This condition is underrecognized, and hearing aids and other hearing enhancement technologies are underused. Hearing loss is categorized as conductive, sensorineural, or mixed. Age-related sensorineural hearing loss (i.e., presbycusis) is the most common type in adults. Several approaches can be used to screen for hearing loss, but the benefits…
  • Reversible conductive hearing impediments among patients with severe brain injury. [Journal Article]
    Disabil Rehabil. 2019 Apr 05 [Online ahead of print]Cinamon U, Albukrek D, … Marom T
  • CONCLUSIONS: Many patients with severe brain injury have reversible and treatable impairments that cause potential conductive hearing loss. Routine otoscopic examination and treatment if required, that is, removal of impacted cerumen or middle ear drainage, have rehabilitating and general health benefits. Implications for rehabilitation Auditory stimulation was suggested for rehabilitation in patients with severe traumatic brain injury. Many patients have cerumen and/or otitis media with effusion causing conductive hearing impairment as well as general health issues. Both aural impediments are diagnosed by routine otoscopy, are easily treated, and may affect rehabilitation.
  • A Novel Device for the Evacuation of Cerumen. [Journal Article]
    Ann Otol Rhinol Laryngol. 2019 Aug; 128(8):704-707.Katzenell U, Halperin D, … Bartov N
  • CONCLUSIONS: The tested device is an effective and safe device for the evacuation of cerumen. It can be used by general practitioners, pediatricians, and audiologists.
  • Banji's test: A new diagnostic test of ear wax impaction. [Journal Article]
    J Family Med Prim Care. 2018 Nov-Dec; 7(6):1253-1255.Olajuyin OA
  • CONCLUSIONS: With a sensitivity of 91.7%, Banji's test can accurately diagnose ear wax impaction. A positive test is predictive that removal of the ear wax will significantly relieve the patient of auditory symptoms. The test is simple, harmless, and can discriminate between wax and other causes of otological symptoms.
  • StatPearls: Surfers Ear [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Landefeld Kevin K LSU New Orleans Bart Ryan M. RM USAF, David Grant Medical Center Cooper Jeffrey S. JS University of Nebraska Medical Center BOOK
  • Surfer’s ear, or exostoses of the external auditory canal, is a slowly progressive disease from benign bone growth as a result of chronic cold water exposure. It is a condition most commonly associated with surfing but seen in anyone repeatedly exposed to cold water such as swimmers, divers, kayakers, and participants of other maritime activities. Usually asymptomatic, external auditory exostoses…
  • Reliability of the Home Hearing Test: Implications for Public Health. [Journal Article]
    J Am Acad Audiol. 2019 Mar; 30(3):208-216.Mosley CL, Langley LM, … Tremblay KL
  • CONCLUSIONS: The HHT is an accurate and cost-effective method of establishing pure-tone air-conduction thresholds, when compared with MA. Therefore, the HHT can be used as a tool to acquire accurate air-conduction hearing thresholds from older adults, in-group settings, without the use of a sound-attenuated booth or a certified audiologist.
  • Cerumen Impaction: Diagnosis and Management. [Journal Article]
    Am Fam Physician. 2018 10 15; 98(8):525-529.Michaudet C, Malaty J
  • Cerumen production is a normal and protective process for the ear canal. However, cerumen should be removed when it causes symptoms (e.g., hearing loss, itching, pain, tinnitus) or prevents assessment of the external auditory canal, the tympanic membrane, or audiovestibular system. Cerumen should also be removed when it limits examination in patients who cannot communicate their symptoms, such as…
  • Novel use of video glasses during binocular microscopy in the otolaryngology clinic. [Journal Article]
    Am J Otolaryngol. 2018 Sep - Oct; 39(5):527-530.Fastenberg JH, Fang CH, … Moskowitz HS
  • CONCLUSIONS: This pilot study demonstrates that video glasses may represent a viable alternative display option in the otolaryngology clinic. The results show that the use of video glasses is associated with high patient comfort and satisfaction during binocular microscopy. Further investigation is warranted to determine the potential for this display option in other facets of patient care as well as in expanding patient understanding of disease and anatomy.
  • StatPearls: Ear Irrigation [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Schumann Jessica A. JA Jefferson Northeast Pfleghaar Nicholas N Firelands Regional Medical Center BOOK
  • The American Academy of Otolaryngology defines cerumen impaction as "an accumulation of cerumen that is associated with symptoms, prevents the necessary assessment of the ear, or both." Irrigation of the ear is one method providers can use to treat cerumen impaction when appropriate.
  • StatPearls: Cerumen Impaction [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Sevy Justin O. JO Singh Anumeha A UConn/Hartford Hospital BOOK
  • Production of cerumen (earwax) is a normal process in humans and many other mammals. Cerumen moisturizes the skin of the external auditory canal and protects it from infection, providing a barrier for insects and water. Cerumen is typically expelled from the ear canal spontaneously through natural jaw movement. However, in certain individuals, the self-cleaning mechanism fails, and cerumen can be…
  • Epidemiology of cerumen impaction among municipal kindergartens children in Wuhan, China. [Journal Article]
    Int J Pediatr Otorhinolaryngol. 2017 Sep; 100:154-156.Ping C, Yanling H, … Zhongfang X
  • CONCLUSIONS: The prevalence of cerumen impaction among children of kindergartens in Wuhan is higher than 10%, and children with dry cerumen are more prone to cerumen impaction. Annual otological examination of kindergarten children is recommended. And improved community ear health promotion activities should reduce the avoidable prevalence of cerumen impaction in pediatric population.
  • Corrigendum. [Journal Article]
    Otolaryngol Head Neck Surg. 2017 09; 157(3):539.
  • Schwartz SR, Magit AE, Rosenfeld RM, et al. Clinical practice guideline (update): earwax (cerumen impaction). Otolaryngol Head Neck Surg. 2017;156(1)(suppl):S1-S29. (Original DOI: 10.1177/0194599816671491) Schwartz SR, Magit AE, Rosenfeld RM, et al. Clinical practice guideline (update): earwax (cerumen impaction) executive summary. Otolaryngol Head Neck Surg. 2017;156(1):14-29. (Original DOI: 10.…
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