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Cleaning of the ear canal is therefore unnecessary—those who diligently clean their ears, or those of their children, with cotton buds, for example, hinder the migration of skin, predisposing to wax accumulation and otitis externa.
Some people have nonmigratory skin of the external auditory meatus and are susceptible to episodes of otitis externa. In the past, skin grafts initially used for myringoplasty often failed or led to otitis externa, because skin taken from elsewhere on the body did not take on this migratory role. Although wax normally does not accumulate because of meatal skin migration, it may impact and cause a hearing loss, which may necessitate syringing, or suction clearance.
Syringing is not painful, therefore pain means either an error in technique or that there is an otitis externa or a perforation. Previous attempts to remove a piece of plastic wedge in the child's meatus have led to bleeding in the meatus. One must not persevere in attempts to remove an aural foreign body, particularly in a child, as a perforation is easily caused. Do not use corners of towels or cotton buds to dry any water that does get in the ear canal. If you already know your diagnosis, you may search for the health topic alphabetically here.
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The meatus tends to become occluded with desquamated skin wax and debris, and periodic cleaning of the ear is necessary.
2.35c-f A dot of ink, if placed near the center of the drum (c), is found to lie near the margin of the drum after three weeks (d), and between 6-12 weeks the dot migrates outwards on the meatal skin (e, f) to emerge in wax at the orifice of the meatus. If there is a perforation, the ear should not be syringed; pain with vertigo may occur with subsequent otitis media and otorrhea, and a past history of discharge suggests a perforation.
If immediate removal with a hook or syringe is not effective, the patient must be admitted for removal under general anesthetic with the help of the microscope. Sometimes middle ear infections (otitis media) can produce some discharge for some time which can then cause otitis externa. These usually contain an antibiotic to clear any infection and a steroid to reduce the inflammation and itch.
They do this by using cotton wool on the end of a special stick which is gently pushed inside the ear canal to mop up any discharge or debris. The rather large syringe of old-fashioned appearance has changed little in the past 100 years, and remains a simple and effective treatment for wax impaction.
Coughing (from the vagal reflex—the auricular branch of the vagus supplies the drum) or syncope may complicate syringing. It is often dangerous to use forceps to remove an aural foreign body, since the object easily slips from the jaws of the forceps to go deeper into the meatus.


The insect was adherent to the tympanic membrane, giving a sensation of discomfort and a deceptive drum appearance on examination; this insect was removed with syringing. Otitis externa means that the inflammation is confined to the ear canal and does not go further than the eardrum. In this condition, desquamated epithelium accumulates and may form a large impacted mass in the meatus, causing erosion of the bony canal. The pinna is pulled outwards and backwards to straighten the meatus, and water at body temperature is irrigated along the posterior wall of the ear. A perforation, particularly in the presence of a thin drum may be caused by over-penetration of the syringe nozzle.
If your infection is particularly severe or there is infection in the skin around the ear (cellulitis) then you may be given antibiotic tablets. Snoring effects everyone around you and if you are one of the millions of people around the world who suffer from snoring, then you know how negatively it can affect your relationships.



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12.09.2015 admin



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