Last "Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)" Advises Against The Use of Ear Candling or Coning


Cerumen and cerumen impaction - Treatment of cerumen impaction - The guideline advising against the use of ear candling - What is the earwax (cerumen)?
Cerumen and cerumen impaction - Treatment of cerumen impaction - The guideline advising against the use of ear candling - What is the earwax (cerumen)?

Cerumen and cerumen impaction

 
American Academy of Otolaryngology – Head and Neck Surgery Foundation. It is published in "Otolaryngology — Head and Neck Surgery" that Revision of Clinical Practice Guideline (Update): Earwax (Cerumen Impaction). Previous guideline wa spublished at year of 2008. New revision update of guideline emphasizes that cerumen is a normally producing secretion of the externa ear canal and serves to trap external dirt and other substances. Normally, the cerumen is released from the outer ear canal and moves spontaneously out of the ear. In addition, all foreign particles and microorganisms are cleaned. If the Cerumen accumulated in the ear canal that causes blockage this suitaion is defined as "cerumen impaction". It may cause ear pain, ear pressure or fullness and conductive type hearing loss.

Treatment of cerumen impaction

 
Treatment of impacted cerumen is include the below:
 
- irrigation
- manual removal of cerumen (aspiration, curettage ...)
- using of various types of cerumenolytic agents
 
Patients should be instructed about normal earwax and the self-cleaning structure of the external ear. It should also be noted that attempts to clean their ears using one of their children, cotton swabs, or other objects placed inside may cause more impulse to damage the ear canal of the ear canal.

The guideline advising against the use of ear candling

 
The guideline advises against the use of ear candling or coning becuase of the risk of damage to the eardrum and the external ear canal. In contrast to other traumatic eardrum injuries due to the fever perforation of the cells in the eardrum perforation due to a fever injury; there is a very low chance of healing the hole in the eardrum.
 
 
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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