The Experts below are selected from a list of 30 Experts worldwide ranked by ideXlab platform

Susan M Pollart - One of the best experts on this subject based on the ideXlab platform.

  • Cerumen impaction.
    American family physician, 2007
    Co-Authors: Daniel F Mccarter, A Ursulla Courtney, Susan M Pollart
    Abstract:

    Cerumen is a naturally occurring, normally extruded product of the external auditory canal. It is usually asymptomatic, but when it becomes impacted it can cause complications such as hearing loss, pain, or dizziness. It also can interfere with examination of the tympanic membrane. Depending on available equipment, physician skill, and patient circumstances, treatment options for cerumen impaction include watchful waiting, manual removal, the use of Ceruminolytic Agents, and irrigation with or without Ceruminolytic pretreatment. The overall quality of the evidence on treatment is limited. Referral to an otolaryngologist for further evaluation is indicated if treatment with a Ceruminolytic Agent followed by irrigation is ineffective, if manual removal is not possible, if the patient develops severe pain or has vertigo during irrigation, or if hearing loss is still present after cerumen has been removed. The use of cotton swabs and ear candles should be avoided.

Manpreet Singh Nanda - One of the best experts on this subject based on the ideXlab platform.

  • Drtbalu’s otolaryngology online Role of Water as a quick Ear Wax softener before wax removal under microscope
    2015
    Co-Authors: Manpreet Singh Nanda
    Abstract:

    Ear wax is a common problem which brings the patient to ENT OPD. In many cases ear wax is very impacted and difficult to remove. Excessive ear wax can lead to symptoms such as hearing loss, tinnitus, itching, giddiness, pain, feeling of fullness in the ear and a reflex cough. Impacted ear wax can also lead to in-fection. Removal of wax under direct vision is the best method to be done under micro-scope. For some patients, additional strategy is necessary to soften the wax with a cerumi-nolytic and then removed. The role of water as a fast acting wax softener was investigated in this study. The primary aim of this study was to investi-gate an alternate strategy for a quick dispersant of persistent ear wax by using water and to study its affects on extent of wax removal achieved, the patients comfort level, the com-plications and the adverse effects of water if any. Water is an effective Ceruminolytic Agent for wax removal. It is a fast acting Agent where the removal can be done in the same sitting. It is also cheap and readily available. It increases the extent of wax removal. It reduces the time taken to remove wax. Installing of water before removal makes the procedure more comforta-ble and less painful for the patients

  • Role of Water as a quick Ear Wax softener before wax removal under microscope
    Otolaryngology online journal, 2015
    Co-Authors: Manpreet Singh Nanda
    Abstract:

    Ear wax is a common problem which brings the patient to ENT OPD. In many cases ear wax is very impacted and difficult to remove. Excessive ear wax can lead to symptoms such as hearing loss, tinnitus, itching, giddiness, pain, feeling of fullness in the ear and a reflex cough. Impacted ear wax can also lead to in-fection. Removal of wax under direct vision is the best method to be done under micro-scope. For some patients, additional strategy is necessary to soften the wax with a cerumi-nolytic and then removed. The role of water as a fast acting wax softener was investigated in this study. The primary aim of this study was to investi-gate an alternate strategy for a quick dispersant of persistent ear wax by using water and to study its affects on extent of wax removal achieved, the patients comfort level, the com-plications and the adverse effects of water if any. Water is an effective Ceruminolytic Agent for wax removal. It is a fast acting Agent where the removal can be done in the same sitting. It is also cheap and readily available. It increases the extent of wax removal. It reduces the time taken to remove wax. Installing of water before removal makes the procedure more comforta-ble and less painful for the patients.

Daniel F Mccarter - One of the best experts on this subject based on the ideXlab platform.

  • Cerumen impaction.
    American family physician, 2007
    Co-Authors: Daniel F Mccarter, A Ursulla Courtney, Susan M Pollart
    Abstract:

    Cerumen is a naturally occurring, normally extruded product of the external auditory canal. It is usually asymptomatic, but when it becomes impacted it can cause complications such as hearing loss, pain, or dizziness. It also can interfere with examination of the tympanic membrane. Depending on available equipment, physician skill, and patient circumstances, treatment options for cerumen impaction include watchful waiting, manual removal, the use of Ceruminolytic Agents, and irrigation with or without Ceruminolytic pretreatment. The overall quality of the evidence on treatment is limited. Referral to an otolaryngologist for further evaluation is indicated if treatment with a Ceruminolytic Agent followed by irrigation is ineffective, if manual removal is not possible, if the patient develops severe pain or has vertigo during irrigation, or if hearing loss is still present after cerumen has been removed. The use of cotton swabs and ear candles should be avoided.

A Ursulla Courtney - One of the best experts on this subject based on the ideXlab platform.

  • Cerumen impaction.
    American family physician, 2007
    Co-Authors: Daniel F Mccarter, A Ursulla Courtney, Susan M Pollart
    Abstract:

    Cerumen is a naturally occurring, normally extruded product of the external auditory canal. It is usually asymptomatic, but when it becomes impacted it can cause complications such as hearing loss, pain, or dizziness. It also can interfere with examination of the tympanic membrane. Depending on available equipment, physician skill, and patient circumstances, treatment options for cerumen impaction include watchful waiting, manual removal, the use of Ceruminolytic Agents, and irrigation with or without Ceruminolytic pretreatment. The overall quality of the evidence on treatment is limited. Referral to an otolaryngologist for further evaluation is indicated if treatment with a Ceruminolytic Agent followed by irrigation is ineffective, if manual removal is not possible, if the patient develops severe pain or has vertigo during irrigation, or if hearing loss is still present after cerumen has been removed. The use of cotton swabs and ear candles should be avoided.

P. T. Deshmukh - One of the best experts on this subject based on the ideXlab platform.

  • A comparative study of Ceruminolytic Agents
    Indian Journal of Otolaryngology and Head & Neck Surgery, 2009
    Co-Authors: Prashant Nair, Sanjeev Golhar, Nitish Baisakhiya, P. T. Deshmukh
    Abstract:

    A prospective study was done to access the efficacy of Ceruminolytic Agents, i.e 2% paradichlorobenzene, 10% sodium bicarbonate, 2.5% acetic acid and normal saline. All score 4 hard impacted ear wax cases in the adult population (>20 years) were accrued for the assessment of the relative efficacy. Upon analyzing the comparative efficacy of four Ceruminolytic Agents, by taking into consideration three parameters (post) Ceruminolytic cerumen score, attempts of syringing required to extrude the cerumen mass, post-Ceruminolytic use and appearance of the removed cerumen mass. 2% paradichlorobenzene emerged as the most superior Ceruminolytic, closely followed by 10% sodium bicarbonate. 2.5% acetic acid fared moderately while normal saline emerged as the least efficacious Ceruminolytic Agent.