Epidemiology of cerumen impaction among municipal kindergartens children in Wuhan, China

Chen, Ping; Hu, Yanling; Wei, Youhua; Wang, Shufen; Wang, Zhinan; Xia, Zhongfang

doi:10.1016/j.ijporl.2017.07.006

Cited by 10 publications

(12 citation statements)

References 16 publications

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“…Sneaky hearing loss caused by cerumen impaction may bring about serious problems in children during a critical period for speech and language development. 11 As it has been observed in the present study, neither a caretaker nor a child may recognize cerumen impaction and its symptoms. We think the percentage of asymptomatic cerumen impaction is high in the present study.…”

Section: Discussioncontrasting

confidence: 42%

Otologic Findings Based on no Complaints in a Pediatric Examination

Demir

Topal²,

Atsal

et al. 2018

Int Arch Otorhinolaryngol

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Introduction the otological evaluation is highly significant in those branches of medicine in which the general evaluation of the patient is conducted by general practitioners and pediatricians. Objectives To investigate the otologic findings and their incidences in the sample, which consisted of patients who presented to the pediatric outpatient clinic with nonotologic complaints. Methods Patients, aged between 2 and 16 years, who had neither otorhinolaryngological complaints nor history of surgery by the otolaryngology (ear, nose and throat, ENT) department were included in the present study. The findings detected in the external auditory system and in the tympanic membranes as well as the otorhinolaryngologists' otologic examination findings of the referred patients were recorded from the files of each patient along with the applied medical and surgical treatments, and diagnostic investigations. Results Of a total of 973 patients evaluated, 129 (13.2%) were referred to the ENT outpatient clinic due to any otologic pathology. In the otorhinolaryngological examinations, false positivity was detected in 12 (1.2%) patients, and pathological findings were detected in 117 (12%) patients who received the following diagnoses: 68 (6.9%) had otitis media with effusion(OME); 37 (3.8%) had cerumen impactions; 8 (0.8%) had acute otitis media (AOM); 2 (0.2%) had ticks in the external auditory canal; 2 (0.2%) had a retraction pocket in tympanic membrane; 1 (0.1%) had unilateral central dry perforation of the tympanic membrane; and 1(0.1%) had congenital cholesteatoma. Conclusion Any complications and sequelae that may develop due to any pathologies and predominantly infections can be prevented by an early diagnosis, which can be made by means of a simple examination, performed merely with an otoscope. Pediatricians and general practitioners should be in close contact with otorhinolaryngologists regarding the pathologies they identify.

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Section: Discussioncontrasting

confidence: 42%

Otologic Findings Based on no Complaints in a Pediatric Examination

Demir

Topal²,

Atsal

et al. 2018

Int Arch Otorhinolaryngol

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“…This can be explained by symmetric anatomy on both sides in most of people and similar activity of ceruminous glands and self-cleaning mechanism of external ear canal. Wax was present in both the ears in 91.2% of cases in a study in Nigeria, [9] 68.3% in Delhi, [1] more than 60% in China, [2] and 75.8% in Turkey. [10] There was no difference in gender among patients with ear wax (p = 0.49).…”

Section: Discussionmentioning

confidence: 86%

“…Ear wax (cerumen) is a common worldwide problem affecting 7.5% of children in Delhi of India, [1] 10% in China, [2] and 27.5% in Italy. [3] Incidence has been found to be about 33% in geriatric and developmentally delayed populations.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Same-Day Human Ear Wax Removal as an Office Procedure and Factors Associated with its Successful Removal

Acharya¹,

Pandey²,

Singh³

et al. 2017

J Lumbini Med Coll

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ABSTRACT:Introduction: There are various methods of ear wax extraction and there are no specific guidelines on this subject. Many times we ask patients to instil some wax softening product for a few days and revisit for wax removal. This revisits result in increased cost, discomfort and loss of time. We conducted this study to determine the effectiveness of same-day ear wax removal as an office procedure with one or more techniques. Our secondary objective was to find the association between various factors and successful wax removal. Methods: During the study period, all patients with ear wax managed by a single ENT surgeon were included. History and examination were done and findings noted. One or more methods including probe, forceps, hooks, curette, suction, wax softening with wax softening agents, syringing were applied for wax removal. Complete wax removal was noted as success. Results: There were a total of 63 cases of ear wax among 34 participants. Wax was successfully removed in 52 (82.5%) cases in the same day. Presence of ear ache, narrow canal, complete obstruction and hard dry wax were adversely associated with successful wax removal. Presence of ear fullness, ear discharge, or use of ear drops in home was not significantly associated with successful ear wax removal. Conclusion: We were able to extract wax from a large proportion of patients on the same day of visit, thereby reducing their cost of revisit, however there were 17.5% of cases who could not be treated successfully on the same day.

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“…20 It has been asserted that having a wet or dry cerumen phenotype may promote or protect against cerumen impaction, and that phenotype may also affect the efficacy of different cerumen removal techniques. [21][22][23][24] However, strong evidence to support cerumen impaction management tailored to cerumen phenotypes does not exist. 23 Further research is needed before cerumen impaction management based on phenotype can be recommended, and to convincingly link cerumen phenotype with impaction rates.…”

Section: Cerumen Phenotypementioning

confidence: 99%

Cerumen Management: An Updated Clinical Review and Evidence-Based Approach for Primary Care Physicians

Horton

Simpson

Beyea

et al. 2020

J Prim Care Community Health

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Objective: To provide family physicians with a practical, evidence-based approach to managing patients with cerumen impaction. Methods: MEDLINE, The Cochrane Library, and the Turning Research Into Practice (TRIP) database were searched for English-language cerumen impaction guidelines and reviews. All such articles published between 1992 and 2018 were reviewed, with most providing level II and III evidence. Results: Cerumen impaction is a common presentation seen in primary care and cerumen removal is one of the most common otolaryngologic procedures performed in general practice. Cerumen impaction is often harmless but can be accompanied by more serious symptoms. Cerumenolytics and irrigation of the ear canal are reasonable first-line therapies and can be used in conjunction or isolation. If irrigation and cerumenolytics are contraindicated, manual removal is appropriate, but the tools necessary are not commonplace in primary care clinics and specialized training may be required to prevent adverse outcomes. Conclusion: 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.

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Epidemiology of cerumen impaction among municipal kindergartens children in Wuhan, China

Cited by 10 publications

References 16 publications

Otologic Findings Based on no Complaints in a Pediatric Examination

Otologic Findings Based on no Complaints in a Pediatric Examination

Effectiveness of Same-Day Human Ear Wax Removal as an Office Procedure and Factors Associated with its Successful Removal

Cerumen Management: An Updated Clinical Review and Evidence-Based Approach for Primary Care Physicians

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