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Cerumen Prop
Dr. Tolkha Amaruddin, M.Kes, SpTHT
RSUD SARAS HUSADA PURWOREJO 2008
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Definition
Cerumen prop : obstruction of the EAC
by cerumen
The term cerumen earwax
Cerumen the secretory product of
the ceruminous glands in the EAC, its
just one component of earwax
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Physiology
Ear wax : mixture of secretions of the
ceruminose & pilosebaseus glands, squames
of epithelium, dust & other foreign debris
located in the cartilaginous portion of the
ears canal.
Protection acid condition : PH 6
Transport of debris
Lubricant
Bactericid efect
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Different types of cerumen
Cerumen : dry or wet, soft or hard
DRY - HARD WET - SOFT
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Pathophysiology
Its quantity varies individually & its
consistency is determined by
proportions of mixture
In a normal condition cerumen can
migrate from canalis auditory external
in flake by open the mouth and
mastication
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Cause of obstruction :
1. Over production
2. Dry type wax
3. Malformation of the external auditory
canal (anatomic)
4. Cleaning the ear inappropriatly
push the cerumen posteriorly
impaction
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Symtomps :
Hearing impairment (deafness) CHL
Earache
Reflex cough
Fullness in the ear
Tinitus vertigo
Objective
Finding the cerumen in the canalis
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Treatment
1. Ceruminolytics
Epithelial acumulation desquamation & debris
collection.
A ceruminolytic disrupt the structural integrity
of the keratin sheets and thereby soften, loosen,
liquefy, &/ dissolve cerumen and perhaps even
float it out.
The integrity of the cell membrane , which
allows water to pass into the corneocytes along
an osmotic gradient.
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2. Technique Instrumentation
2.1. Syringing
2.2. Suction
2.3. Hooking under direct vision.

A careful history:
tympanic membrane perforation
previous ear surgery
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Education
Do not to attempt self removal of
cerumen with the use of any devices
such of: cutton bud, and hairpins:
1. Increase impaction
2. Secondary infection
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Cerumen Prop vs Keratosis Obturans
Cerumen Prop Keratosis Obturans

Definition Obstruction of EAC keratolitic mass of
by cerumen desquamating
squamous epithelium
Location Cartilage Portion Bony Portion
Aetiology Over production Probably related to
of cerumen faulty migration of
squamous epithelial cells
Symptom obstructed pain, otorrhoea
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