A comparative study of ceruminolytic agents

Nair, Prashant; Golhar, Sanjeev; Baisakhiya, Nitish; Deshmukh, Prasad

doi:10.1007/s12070-009-0063-z

Cited by 10 publications

(8 citation statements)

References 14 publications

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“…In a comparative study2% paradichlorobenzene emerged as the most superior ceruminolytic, closely followed by 10% sodium bicarbonate. 2.5% acetic acid was found to be moderately while normal saline emerged as the least effective ceruminolytic agent [25]. Cerumol application in this study was the commonest ceruminolytic agent prescribed by general practitioner to their patient.…”

Section: Discussionmentioning

confidence: 54%

Pitfalls of Impacted Ear Wax Removal in Developing Country, Nigeria

Adegbiji

Aremu

Aluko

2018

SJO

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Background: Earwax impaction removal is one of the common otolaryngological procedures performed by general practitioner and nurses worldwide. This study aimed at determined the number, methods and complications of impacted earwax removal by general practitioner. Material and method:It is cross sectional study of mode of impacted earwax removal in Lagos, Nigeria. Informed consent was obtained from the subject before enrollment. Structural questionnaire was administrated. Data obtained were statistically analyzed with SPSS version 18.Result: Out of 349 subjects enrolled only 341 submitted valid result. Majority of the general practitioner saw an average of 5 cases of earwax impaction per month. Commonest mode of earwax removal is by using ceruminolytic agent followed by ear syringing. Failure of earwax removal is highest with use of ceruminolytic agent only followed by ceruminolytic agent with ear syringing 91.2% and 35.5% respectively.Commonest ceruminolytic agent used in this study is cerumol. Commonest complication of earwax removal is 35.5% failure of earwax removal. Others were earache, vertigo and otitis externa. Conclusion:Earwax impaction removal is common Ear, Nose and Throat procedure done by general practitioner. Their common mode of removal is by ceruminolyticagent only. This method account for the high cases of failure rate and major source of referral to otolaryngologist. Immersion of ceruminolytic agent with immediate ear syringing is effective and convenient for patients. This may also be less cost-effective than using eardrops and perhaps avoiding syringing.

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Section: Discussionmentioning

confidence: 54%

Pitfalls of Impacted Ear Wax Removal in Developing Country, Nigeria

Adegbiji

Aremu

Aluko

2018

SJO

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“…This has been attributed to the larger and coarser hairs in the external auditory canal of males. However many studies [8,9,10] did not find any significant difference in the sex incidence of cerumen impaction.…”

Section: Results:-mentioning

confidence: 92%

Ear Wax Removal: Comparative Study of Eficacy and Associated Complications of Distilled Water, Normal Saline and 2% Para Dichlorobenzene.

Ali¹,

Mahajan²,

Ashraf³

2017

IJAR

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Excessive ear wax can lead to symptoms such as hearing loss, tinnitus, itching, vertigo, and pain. There are many treatment options available for removal of impacted ear wax. The ceruminolytic effect of distilled water and 2% para-dichlorobenzene ear drops has been compared in this study. Aims & Objective: (1) To compare the ceruminolytic effect of distilled water,normal saline and commercially available 2% paradichlorobenzene ear drops; (2) To observe and analyze the complications during the usage of these agents. Materials and Methods: A total of 100 patients who attended the ENT OPD and were diagnosed to have impacted ear wax completely occluding the ear canal were included in the study. They were divided into three groupsGroup A,Group B and Group C. Group A patients were advised to use distilled water as ear drops, Group B patients were advised to use normal saline as ear drops and Group C were adcised to use comercailly available 2% para-dichlorobenzene ear drops. Results: From the results it is clear that using distilled water and normal saline as ear drops does lead to significantly more complications and pain during removal than 2% Para dichlorobenzene ear drops. The results also point that removal becomes significantly easier when distilled water and normal saline is used compared to 2% Para dichlorobenzene. No statistically significant difference has been noted in the number of attempts required to achieve complete removal between the two groups. Complications included perforation, canal lacerations, and failure of wax removal. The removal of occlusive wax improved hearing by a mean of 5 dB over the frequencies analysed. Conclusion: The results indicate that the usage of distilled water and normal saline on a regular basis as a ceruminolytic ear drop cannot be recommended.Copy Right, IJAR, 2017,. All rights reserved. …………………………………………………………………………………………………….... Introduction:-Cerumen or ear wax is a mixture of the glandular secretions from the lateral third of the ear canal and exfoliated squamous epithelium. It lubricates the ear canal, acts as a trap for dust, hair and insects. Normally cerumen is eliminated or expelled by self-cleansing mechanism which causes it to migrate out of the ear canal assisted by jaw movements . [1]

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“…Six hundred and thirteen articles were retrieved using the search strategy of which finally 26 17‐42 were included in the systematic review and 25 in the meta‐analysis (Figure 1) encompassing 3419 patients in total. One study could not be included in the meta‐analysis as the authors did not provide the exact numbers of patients with complete wax clearance after intervention.…”

Section: Resultsmentioning

confidence: 99%

Cerumenolytics with or without manual extraction for impacted earwax: A network meta‐analysis of randomised clinical trials

Sridharan

Sivaramakrishnan

2021

Clinical Otolaryngology

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Cerumen impaction in the ear canal is a common clinical entity observed in around 10% in children, 5% adults and increases to around 60% in elderly population, particularly in old-age homes. 1 One-third of patients with intellectual impairment present with impacted cerumen. 2 Cerumen consists of secretions from ceruminous and sebaceous glands along with desquamated epithelium from the external auditory meatus. 3 Impacted cerumen is often associated with irritant symptoms, hearing difficulties, poor quality of life and rarely perforation of tympanic membrane. 4 A recent study has also pointed towards high possibilities of mould infection in the impacted

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A comparative study of ceruminolytic agents

Cited by 10 publications

References 14 publications

Pitfalls of Impacted Ear Wax Removal in Developing Country, Nigeria

Pitfalls of Impacted Ear Wax Removal in Developing Country, Nigeria

Ear Wax Removal: Comparative Study of Eficacy and Associated Complications of Distilled Water, Normal Saline and 2% Para Dichlorobenzene.

Cerumenolytics with or without manual extraction for impacted earwax: A network meta‐analysis of randomised clinical trials

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