Abstract

Removal of earwax and other foreign bodies from the external auditory canal is a common primary care procedure that can be accomplished using a variety of methods. Performed carefully and correctly, these procedures can result in quick resolution of bothersome symptoms such as decreased hearing, itching, ear pain, or even vertigo. Cerumen removal is particularly important in maintaining quality of life in populations at higher risk for the condition, including the elderly and disabled. However, certain situations are known to greatly increase risk of failure and complications: agitated young children, multiple previous removal attempts, presence of disk batteries or sharp objects, and a history of previous injury or perforation of the tympanic membrane. In these cases, patients should be referred to an otolaryngologist rather than risk potential complications in the primary care setting.

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