Ceruman Impaction
Medical management
Sodium bicarbonate,
Or other prescription-strength ear drops and flush wax out.
Pathophysiology
Causes
Signs and symptoms
Definition
Risk factors
Nursing management
Perforated eardrum
Middle-ear infection
Cerumen impaction is diagnosed when an accumulation of cerum results in symptoms such as hearing loss
Cerumen is naturally occuring substance that cleans, protects, and lubricate the external auditory canal.
Hard cerumen plugs consists of more keratin sheets than softer wax.
Moreover, corneocytes in softer wax seem to undergo expansion.
That normally occurs in the external auditory canal.
However, further studies are required to identify the nature of 'keratinocytes' attachments destroying substance.
More commonly, impacted cerumen might arise from a failure in the separation of keratinocytes.
Itching and painful ear
Cough
Feeling of fullness in the ear
Rarely, a sensation of imbalance
Hearing loss
Ear plug users
Bony blockage (osteoma or exostoses)
Hearing aid
Narrowed ear canal (from birth or injury)
Use of cotton swabs
Skin disease (such as eczema?
Autoimmune disease (such as lupus)
Use ear irrigation to remove any impacted cerumen.
Use no more than 5 to 10 mL of irritating fluid at a time.
Perform a gentle otoscopic inspection of the external canal and ear drum
Teach the patient how to irrigate his or her own ears.
Assess hearing loss using simple voice tests.
They can irrigate your ear with armed water,
Doctors can scoop the earwax blockage with a small plastic spoon called a curette.
Gentle suction can be used to remove the wax.
Cerumenolytic agents
External-ear infection (swimmer's ear)
Permanent hearing loss from acoustic trauma.