Otic Flashcards
Who is mainly impacted by earwax?
Seniors and children
What can cause earwax impactions?
Q-tips
Hearing devices - minor cause
When to refer someone with ear issues?
Pain, dizziness, tinnitus
**Signs of vertigo
Symptoms of earwax
Less earring ability
Constant ringing noise
Cough
Dizziness
Pain in ear
Treatments for earwax removal
Nasal aspirator - 50/50 chance of working
Ear syringe
How does an ear syringe work?
Warm water goes into the device which is used to flush out earwax
Creates a gentle stream of water
What are some earwax softeners?
Mineral oil
Vegetable oil
Hydrogen peroxide - not that great
What are the earwax softener products?
Cerumol
Murine
Errol
Saline earigate
Earigate earwax solution
Clinere
Ear candling
Cerumol
Contains peanut oil
5 drops into ear canal -> apply cotton ball
Remove cotton ball in 1 hour or next morning
BID-TID
Murine
Carbamide peroxide
5-10 drops into ear canal BID- QID
Earol
Olive oil
Salinex earigate
“Claims to get behind the ear”
Earigate earwax solution
Typical earwax softener
Clinere
Earwax scoop
Just as good as q-tip
Ear candling
Put hollow candle into ear and light it - dumb
Ear infections
Otitis media
Otitis externa
What is otitis media?
Infection behind the eardrum
What is otitis externa?
Pulling the tragus is painful
What causes otitis externa?
Staying in water with chlorine changes pH in ear canal
Treatments for otitis externa
Polysporin pink eye
Polysporin ear
CiproDex
Locacorten Vioform
Auro Dri
Polysporin pink eye
2 antibiotics (gram - and +)
Less acidic
Polysporin ear
1 antibiotic (gram -)
Lidocaine for pain relief
More acidic
CiproDex and Locacorten Vioform
MD only
Auro DRI
Drying agent used after swimming
Isopropyl alcohol 95% + glycerin 5%
Preventative»_space;> treatment
What is the homemade treatment for otitis externa?
50% rubbing alcohol + 50% vinegar
Just as good as Polysporin or MD prescribing
Treatment to equalize middle ear pressure
Oral decongestants
Swallow reflex / gum-chewing / yawning / opening mouth
Toynbee maneuver - plugging nose and swallowing
Busted eardrum
Takes 6-8 weeks to heal
Sharp pain occurs
Tx: earplanes to help prevent
Cause of earaches
Ear infection, changes in air pressure, earwax build up
Less common: TMJ
Treatment for ear aches
Auralgan ear drops - benzocaine and antipyrine
Oral analgesics probably better