- Cerumen Management: An Updated Clinical Review and Evidence-Based Approach for Primary Care Physicians. [Journal Article]J Prim Care Community Health 2020 Jan-Dec; 11:2150132720904181JP
- 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.
- Appropriateness of Otic Quinolone Use among Privately Insured US Patients. [Journal Article]Otolaryngol Head Neck Surg 2020; 162(1):102-107OH
- CONCLUSIONS: Based on the demonstrated risks of quinolone ear drops, opportunities exist to decrease otic quinolone use, especially in adults.
- Cerumen impaction was composed of abnormal exfoliation of keratinocytes that was correlated with infection. [Journal Article]Am J Otolaryngol 2019; :102340AJ
- 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.
- Non-chewing diets and cerumen impaction in the external ear canal in a residential aged care population. [Journal Article]Australas J Ageing 2019AJ
- CONCLUSIONS: Diets involving reduced chewing are not associated with increased cerumen in older people in residential care. The prevalence of cerumen impaction is high in this population, and improved cerumen screening and management is needed in residential aged care.
- Paediatric hearing loss: a community-based survey in peri-urban Kumasi, Ghana. [Journal Article]J Laryngol Otol 2019; :1-9JL
- CONCLUSIONS: Paediatric hearing loss is prevalent in Ghana, and should be treated as a public health problem warranting further evaluation and epidemiology characterisation.
- Assessing patient satisfaction with a microsuction service in general practice: a comparative study. [Journal Article]BJGP Open 2019; 3(2)BO
- CONCLUSIONS: The provision of microsuction as a service in general practice confers as much or more patient satisfaction as the provision of the service in a hospital setting.
- A Wolf in Sheep's Clothing: Keratosis Obturans Causing Facial Nerve Palsy - A Case Report with Review of the Literature. [Case Reports]Turk Arch Otorhinolaryngol 2019; 57(2):102-104TA
- Keratosis obturans is a benign disease caused by layered impaction of wax within the external auditory canal. It presents with acute onset of pain and ear blockade. The current report discusses a 24-year-old male patient with recurrent unilateral keratosis obturans associated with facial canal erosion and resulting in facial palsy. A detailed review of the literature is presented. Keratosis obtur…
Keratosis obturans is a benign disease caused by layered impaction of wax within the external auditory canal. It presents with acute onset of pain and ear blockade. The current report discusses a 24-year-old male patient with recurrent unilateral keratosis obturans associated with facial canal erosion and resulting in facial palsy. A detailed review of the literature is presented. Keratosis obturans can behave aggressively, resulting in significant erosion of the bone and intratemporal structural damage and complications. Timely intervention is vital.
- Hearing Loss in Adults: Differential Diagnosis and Treatment. [Journal Article]Am Fam Physician 2019; 100(2):98-108AF
- 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…
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 of screening are uncertain. Patients may present with self-recognized hearing loss, or family members may observe behaviors (e.g., difficulty understanding conversations, increasing television volume) that suggest hearing loss. Patients with suspected hearing loss should undergo in-office hearing tests such as the whispered voice test or audiometry. Patients should then undergo examination for cerumen impaction, exostoses, and other abnormalities of the external canal and tympanic membrane, in addition to a neurologic examination. Sudden sensorineural hearing loss (loss of 30 dB or more within 72 hours) requires prompt otolaryngology referral. Laboratory evaluation is not indicated unless systemic illness is suspected. Computed tomography or magnetic resonance imaging is indicated in patients with asymmetrical hearing loss or sudden sensorineural hearing loss, and when ossicular chain damage is suspected. Treating cerumen impaction with irrigation or curettage is potentially curative. Other aspects of treatment include auditory rehabilitation, education, and eliminating or reducing use of ototoxic medications. Patients with sensorineural hearing loss should be referred to an audiologist for consideration of hearing aids. Patients with conductive hearing loss or sensorineural loss that does not improve with hearing aids should be referred to an otolaryngologist. Cochlear implants can be helpful for those with refractory or severe hearing loss.
- Reversible conductive hearing impediments among patients with severe brain injury. [Journal Article]Disabil Rehabil 2019; :1-4DR
- 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.
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- A Novel Device for the Evacuation of Cerumen. [Journal Article]Ann Otol Rhinol Laryngol 2019; 128(8):704-707AO
- 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.