EAR FOREIGN BODY_ WAX IMPACTION .pptx

foreign bodies in the ear in depth analysis

1. FOREIGN BODIES IN THE EAR DR. CHIKONDE

2. Diagnostic measures History collection Physical examination Otoscopy Audiometry

3. Management Medical management Treatment will depend on type of foreign body is in the ear. Treatment may also depend on how long and how deep the foreign body is in the ear canal and may include: Pharmacological : Numbing medicine may be put before trying to remove the foreign body. Sedative and pain medicines help to stay comfortable, calm and relaxed. Antibiotics to prevent an infection. The three standard methods for removing foreign bodies are : Irrigation Suction Instrumentation

4. IMPACTED EARWAX

5. INTRODUCTION Ear Wax (Cerumen) is a natural protective oily substance which is produced in the outer third of the ear canal. Its function is to remove small foreign particles, such as dust, from the canal. This is achieved by the ciliary hairs.

6. DEFINITION Excess collection of thick ear wax is known as impacted wax.

7. ETIOLOGY Earwax buildup happens when there is a formation of earwax faster than the body can remove it. This can happen with many health conditions, such as: Bony blockage (osteoma or exostoses) Infectious disease, such as swimmer’s ear (external otitis) Skin disease (such as eczema) Autoimmune disease (such as lupus) Narrowed ear canal (from birth, chronic inflammation) Injury.

8. SYMPTOMS Diminished hearing : often sudden onset after “cleaning” the ears pressing on Discomfort : complain of pain unless the wax is the drum Tinnitus occasionally Hearing loss Earache Sense of ear fullness Itching in the ear Dizziness Reflex Cough : This occurs due to stimulation of auricular branch of vagus

9. DIAGNOSTIC EVALUATION Health history Physical exam. Otoscope.

10. MANAGEMENT Cerumenolysis. Ear irrigation by using Syringes. Instrumental manipulation : Removal of wax with hook and scoop.

11. CERUMEN HOOK AND SCOOP