Abstract
Some degree of involvement of the middle ear is present in practically all upper respiratory infections of infants and small children. 1 It therefore becomes evident that an adequate examination of the tympanic membrane and ear canal is of primary importance in pediatrics. Statistical studies have shown that over 30% of ears in which disease is present may have the tympanic membrane totally obscured by wax. 2 The removal of ear wax in a sick child who is suffering not unusually from a fair degree of pain is a difficult problem. Removal of wax with a blunt curette is safe only if the child is cooperative, which is rarely the case. Irrigation with warm water is a lengthy and inconvenient procedure, which must be done with great caution in young children since only a little pressure may be enough to rupture an inflamed tympanic membrane. Also, in this procedure, cooperation
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