Spülung des äußeren Gehörgangs bei Cerumen obturans – Schritt-für-Schritt

Preuß, Rebekka; Chenot, Jean‐François

doi:10.1055/a-0940-8290

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…The manually operated pump mechanism was able to generate regulated and reproducible water pressure. 15 Therefore, it was possible to objectively compare the washing results within the examined groups, either in general practice as well as in patients or nursing homes.…”

Section: Discussionmentioning

confidence: 99%

“…For ear irrigation, a commercially available manual pressure flushing system (OtoClear® Ear Irrigation wash kit) was used. 15 It was a half-liter filling container with a finger lever pump, a temperature measuring strip and a 3-way disposable flushing nozzles. It was based on a modified household plastic spray bottle with a spray arm, on which the disposable nozzles are locked.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Cerumen Impaction Removal in General Practices: A Comparison of Approved Standard Products

Meyer¹,

Preuß

Angelow

et al. 2020

J Prim Care Community Health

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Background Ear irrigation is a commonly used method for removing earwax in general practice. There is no firm evidence if no pre-treatment is as good as pre-treatment with various standard preparations. Aim To assess the effectiveness of no pre-treatment compared to pre-treatment with commercially available cerumenolytics and to assess which preparation is best suited for pre-treatment. Methods This is a pragmatic observational study of patients with cerumen treated from a single GP with 3 different preparations or no preparation prior to standardized ear irrigation. Generalized linear mixed models with logit link function were performed to assess the effectiveness of pre-treatment with different preparations and no pre-treatment. The models were adjusted for age group (<70, ≥70) and sex. Results A total of 168 patients (298 ears, 58 % female, median age 65 years) consulted for obstructive cerumen, some of them several times. The cerumen was successfully removed in 70% (208/298). Comparing any preparation to no preparation (aggregated comparison), the odds ratio for complete clearance was 1.35 (95%confidence interval: 0.69-2.65). Comparing the preparations individually, the odds ratio of the docusate-sodium-based preparation was 1.87 (95% CI: 0.79-4.42) indicating a higher effectiveness. Although, not statistically significant. Ear irrigation was less successful for patients aged ≥ 70 years (OR = 0.48, 95% CI: 0.23-0.98). Conclusions The aggregated comparison indicates a slight trend toward a higher effectiveness of any pre-treatment compared to no pre-treatment. The effect-size of docusate-sodium-based pre-treatment indicates a higher effectiveness of cerumen impaction removal. Nevertheless, superiority could not be shown conclusively according to the statistical significance given the restricted sample size.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%