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Complications: Expansion of ear canal, facial nerve damage [1] Differential diagnosis: Impacted wax, external ear canal cholesteatoma [1] Treatment: Initial removal of keratin plug; other measures as required [1] Frequency: 4 to 5 per 1000 new otological cases [1]
Untreated impacted wax can result in hearing loss, social withdrawal, poor work function, and mild paranoia. People with impacted wax may also present with perforated eardrums; this is usually induced by putting objects in the ear in an attempt to remove the wax. [5]
The excess ear wax may also harden causing an impaction and discomfort. Healthcare providers recommend against reaching into the ears to clean it because the ear wax may be pushed even deeper into the ear canal. [6] Drops to safely break up earwax are available over-the-counter and are labeled 'otic' drops. [12]
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Cerumenolytics with peroxides release oxygen upon contact with the skin, inducing effervescence (bubbling) that mechanically fragments ear wax. [9] Oil-based cerumenolytics provide lubrication to the ear wax, softening the surface without fragmenting the ear wax. The mechanism of action of non-water- and non-oil-based cerumenolytics is unknown. [1]
The Spokane Ear, Nose, and Throat Clinic conducted a research study in 1996 which concluded that ear candling does not produce negative pressure and was ineffective in removing wax from the ear canal. [2] Several studies have shown that ear candles produce the same residue — which is simply candle wax and soot — when burnt without ear ...
Normal ear drum. A perforated eardrum (tympanic membrane perforation) is a prick in the eardrum. It can be caused by infection (otitis media), trauma, overpressure (loud noise), inappropriate ear clearing, and changes in middle ear pressure. An otoscope can be used to view the eardrum to diagnose a perforation. Perforations may heal naturally ...
Bone conduction is the conduction of sound to the inner ear primarily through the bones of the skull, allowing the hearer to perceive audio content even if the ear canal is blocked. Bone conduction transmission occurs constantly as sound waves vibrate bone, specifically the bones in the skull, although it is hard for the average individual to ...
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