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Aile hekimliğinde buşon tedavisi

Earwax treatment in family medicine

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2011
DOI: 
doi:10.2399/tahd.11.081

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Earwax is one of the most common complaints encountered by family physicians. Although some patients with earwax have no symptoms at all, some others may have loss of hearing, pain, humming, sense of fullness, itching and drowsiness. Social isola¬tion and communication problems can be seen due to loss of hearing. Although it is not life-threatening, it may affect the patient's and others' quality of life. Earwax can be treated by dis-solvement using cerumenolytic ear drops, water irrigation, aspira¬tion, curettage or surgical operation. It is important to choose the most effective and the least harmful method for the treatment. Almost 95% of patients with earwax are treated by irrigation and this is the most common ear-nose-throat procedure in primary care. The most common complications of ear irrigation are infec¬tion and tympani perforation. Earwax can be easily removed in a short time without any complications using cerumenolytic ear drops. It will be wise to enable the treatment of earwax by fami¬ly physicians in primary care and to refer the rare complicated cases to ear-nose-throat specialists.
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Abstract (Original Language): 
Buşon, aile hekiminin en sık karşılaştığı kulak yakınmalarından biridir: Hiçbir belirtiye nedeni olmayabileceği gibi işitme kaybı, ağrı, kulakta uğultu, dolgunluk hissi, kaşıntı ve baş dönmesine yol açabilir. işitme kaybı sosyal izolasyon ve iletişim sorunlarına neden olabilir. Hastaların yaşamlarını tehdit eden bir yakınma olmamasına karşın kendilerinin ve etrafındaki kişilerin yaşam kalitelerini olumsuz yönde etkileyebilir. Buşon, serumenolitik damla kullanarak eritilebilir, su ile yıkanabilir, aspirasyonla, küretle ya da cerrahi olarak çıkarılabilir. En etkili olacak ve hastaya en az zarar verecek yöntem öncelikle seçilmelidir. Buşonların %95'i kulak yıkama yöntemi ile tedavi edilir. Kulak yıkama birinci basamakta en çok uygulanan kulak-burun-boğaz işlemidir. Kulak yıkama işleminin başta gelen komplikasyonları; enfeksiyon ve kulak zarı perforasyonudur. Serumenolitik damla kullanımı ile buşonlar kolayca, kısa sürede ve komplikasyona yol açmadan temizlenebilir. Buşon tedavisinin bi¬rinci basamakta aile hekimi tarafından yapılması, nadir görülen komplike vakaların ise kulak-burun-boğaz hastalıkları uzmanına sevki uygun olacaktır.
FULL TEXT (PDF): 
PDF icon arastrmx_116859_15_pp_81-84.pdf
  • 2
81-84
  • Turkish

REFERENCES

References: 

1. Fransman D. Can removal of back teeth contribute to chronic earwax obstruction? J Learn Disabil 2006;34:36-41.
2. Guest JF. Impacted cerumen: compotion, production, epidemiology and management. QJ Med 2004;97:477-88.
3. Saloranta K, Westermarck T. Prevention of cerumen impaction by treatment of ear canal skin. A pilot randomized controlled study. Clin Otolaryngol 2005;30:112-4.
4. Juanito CD. Cerumen removal products. JPediatr Care 2005;19:332-6.
5. Burton MJ, Doree CJ. Ear drops for the removal of ear wax. Cochrane Database Syst Rev 2003;(3):CD004400.
6. Roland PS. Randomized placebo-controlled evaluation of cerumenex and murine earwax removal products. Arch Otolaryngol Head Neck Surg 2004;
130:1175-7.
7. Singer AJ, Sauris E, Viccellio AW. Ceruminolytic effects of docusate sodium: a randomized, controlled trial. Ann Emerg Med 2000;36:228-32.
8. McCarterDF, Courtney AU, Pollart SM. Cerumen impaction. Am Fam Physician 2007;75:1523-8.
9. Cullinan CL. Effect of cerumen removal on the hearing ability of geriatric patient. J Adv Nurs 1990;15:594-600.
10. Smeeth L. Reducing hearing and use hearing aids in elderly people in
UK. Lancet2002;359:1466-70 .
11. Lopez R. What is the best treatment of impacted serumen? J Fam Pract
2002;51:117.
12. Rakel RE. The family physician. Textbook of Family Practice. Ed. Rakel RE. 7. Baskı. Philadelphia, WB Saunders, 2007;427.
13. Chalishazar U, Williams H. Back to basics: finding an optimal ceru-menolytic (earwax solvent). Br J Nurs 2007;16:806-8.
14. Armstrong C. Practice guidelines:Diagnosis and management of cerumen impaction. Otolaryngol Head Neck Surg 2008;139:1-21.
15. Ballenger JJ. Disease of the nose throat, ear, head and neck. 14th Edition.
Philadelphia, PA, Lea and Febiger; 1991;1072-3.
16. Lyndon S, Roy P, Grillage MG, Miller AJ. A comparison of the efficacy of two ear drop preparations (Audax® and Earex®) in the softening and removal of impacted ear wax. Curr Med Res Opin 1992;13:21-5.
17. Arıkan OK. An in vitro comparison of the efficacy for the disintegration of cerumen plugs from elderly patients. Turkish J Geriatr 2005;8:1-4.
18. Carr MM, Smith RL. Ceruminolytic efficacy in adults versus children. J
Otolaryngol2001;30:154-6.
19. Eekhof JA, de Bock GH, Le Cessie S, Springer MP. A quasi-randomised controlled trial of water as a quick softening agent of persistent earwax in general practice. British J Gen Pract 2001;51:635-7.
20. Midani A, Carels I, Marks M, Wall M; Ear Wax Removal Solution Study Team. Ear Nose Throat J 2006;85:87-8, 90-2.
21. Robinson AC, Hawke M. The efficacy of ceruminolytics: everything old is new again. J Otolaryngol1989;18:263-7.
22. Bellini MJ. An evaluation of common cerumenolytic agents: an in-vitro study. Clinoolaryngol1988;14:23-5.

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