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| ==Overview==
| | #REDIRECT[[Cerumen removal]] |
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| ==Indications==
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| *Pain, hearing loss, vertigo, disequilibrium
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| *Visualization of symptomatic TM
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| ==Contraindications==
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| *TM rupture or myringotomy tubes
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| ==Equipment Needed==
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| *Warm Water
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| *5 or 10 cc syringe
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| *Soft tubing from catheter
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| ==Procedure==
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| ===Three Methods===
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| *Cerumenolytic agents
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| **Water based
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| *** acetic acid, colace, hydrogen peroxide, sodium bicarbonate, sterile saline
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| **Oil Based
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| ***Almond oil, Peanut oil, Olive oil, Mineral oil
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| **Debrox
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| *Irrigation
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| **5 cc syringe with warm water and soft tubing from catheter
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| **Jet lavage
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| **Repeat until wax flushed out
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| *Manual Removal
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| **Perform under direct visualization
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| **Soft, disposable plastic variety preferred to metal cerumen spoon/curettes
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| ==Complications==
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| *Increased risk of infection in immune compromised patients
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| *Hemorrhage or hematoma in patients on anticouagulation
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| *Irrigating with cold or hot solution may lead to vertigo, nausea, vomiting
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| ==See Also==
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| ==External Links==
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| ==References==
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| <ref> Buttaravoli and Hulsey, Cerumen Impaction, Chapter 26, Minor Emergencies, 3rd edition, 2013</ref>
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| <references/>
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| [[Category:Procedures]] | |
