Cerumen - one of the most frequent causes of treatment of patients a doctor-otolaryngologist. It occurs equally often in men and women, children and adults, bringing the discomfort until the pain and sudden hearing loss. But cerumen impaction, in essence, is not a disease. This is one of the defense mechanisms of the human body.
Etiology and pathogenesis
The ear canal is about two thousand glands that produce earwax having a complex composition comprising even immunoglobulins, which moisturizes the skin of the ear, while protecting against injury and bacteria. The composition also comprises sulfur dead skin cells, dust, and other microparticles, resulting in its color - yellow to dark brown. Normally, the sulfur is constantly moving in the direction from the eardrum to the ear, cleansing and moisturizing of the outer ear canal.
Many people noted gland hypersecretion sulfur, which in combination with the narrowness of genetically caused auditory meatus contributes to the formation of cerumen. A significant factor is provoking irritation of the walls of the auditory canal different hearing aids, earphones, or cotton buds. Increases the risk of cerumen workers dusty specialties, for example, flour millers.
Clinical presentation and diagnosis
Cerumen in the adult years can be formed without causing any sensation and discovered only during a routine inspection of a specialist. However, when its size becomes large, or when water gets in the ear, for example during bathing, sulfuric tube swells, closing the lumen of the external auditory meatus, presses on the sensitive surface and the tympanic membrane, causing discomfort, pain and rapid hearing loss, including deafness . In this case, the patient quickly seeks medical help.
Young children can not explain what is happening to them. To discomfort in your ears, they quickly adapted to the age characteristics of the power and do not complain. Observation mother noticed that the child pulls the ear, does not respond to speech addressed to him, or to hear better sound, turns to him somehow one ear. All this - the reason for the appeal to the child's audiologist. At otoscopy reveals a characteristic yellow-brown, non-reflective surface.
Prevention and Treatment
In order to prevent occurrence of cerumen need to minimize irritation of the outer ear canal. In no case can not clean the ears with cotton sticks, as this process, along with stimulation of the walls of the external auditory canal, helps seal sulfur, which prevents its free transit outside. The sulfur must be removed only when it appears in the ear, and as little as possible.
If you find cerumen in the ear is strictly forbidden to remove it without inspection ENT. The external auditory meatus is hourglass-shaped, with physiological constriction in the middle. Trying to pull the plug on their own lead to push the plug of the narrow section and make it difficult to extract the doctor.
It is impossible without a doctor drip into the ear of a variety of fluids, as in violation of the integrity of the tympanic membrane, as the patient may not be aware, it will lead to the ingress of fluid in the middle ear, which is fraught with occurrence of otitis media.
After otoscopy audiologist usually removes sulfuric cork tweezers or by washing with warm water. If the removal is problematic once assigned instillation three percent solution of hydrogen peroxide, followed by washing with tap water after some time.
After removal of cerumen does not require compliance with the special regime and purpose of therapeutic measures.