Conditions of the Pinna and External Auditory Canal - Ear Wax

Question 1

Physiology of Cerumen.

Answer 1

1. Ear Wax - combination of secretions, dead skin cells and substances that enter ear.
2. Protective effect to prevent infections.

Question 2

Clinical Features of Impacted Ear Wax (5).

Answer 2

1. Conductive Hearing Loss.
2. Discomfort in Ear.
3. Feeling of Fullness.
4. Pain.
5. Tinnitus.

Question 3

Management of Ear Wax (3).

Answer 3

1. Ear Drops - Olive Oil or Sodium Bicarbonate.
2. Ear Irrigation - Water Squirt.
3. Microsuction.

Question 4

Indications for Microsuction.

Answer 4

Contraindications to Ear Irrigation e.g. Perforated Tympanic Membrane or Infection or Grommets.