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Topic: Cerumen

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	Earwax - Wikipedia, the free encyclopedia
		Cerumen is produced in the outer third of the cartilaginous portion of the human ear canal.
		Cells formed in the centre of the tympanic membrane migrate outwards from the umbo (at a rate equivalent to that of fingernail growth) to the walls of the ear canal, and accelerate towards the entrance of the ear canal.
		Cerumen has been found to be effective in reducing the viability of a wide range of bacteria (sometimes by up to 99%), including Haemophilus influenzae, Staphylococcus aureus, and many variants of Escherichia coli.
	en.wikipedia.org /wiki/Cerumen (2060 words)

	Cerumen Impaction \| AHealthyMe.com
		Cerumen impaction is a condition in which earwax has become tightly packed in the external ear canal to the point that the canal is blocked.
		Cerumen is most likely to become impacted when it is pushed against the eardrum by cotton-tipped applicators, hair pins, or other objects that people put in their ears; and when it is trapped against the eardrum by a hearing aid.
		The diagnosis of impacted cerumen is usually made by examining the ear canal and eardrum with an otoscope, an instrument with a light attached that allows the doctor to look into the canal.
	www.ahealthyme.com /topic/topic103549217 (921 words)

	Cerumen Impaction Information on Healthline
		Cerumen impaction refers to the buildup of layers of earwax within the ear canal to the point of blocking the canal and putting pressure on the eardrum.
		Cerumen impaction affects between 2 percent to 6 percent of the general population in the United States.
		Less common causes of cerumen impaction include overproduction of earwax by the glands in the ear canal or an abnormally narrow ear canal that tends to trap the wax.
	www.healthline.com /galecontent/cerumen-impaction (997 words)

	Cerumen
		Cerumen, otherwise known as ear wax, is the product of modified sweat glands located in the outer one-half of the ear canal.
		Cerumen is originally a thin clear liquid that thickens and takes on a yellow to brown color when it is exposed to air.
		Normally, as cerumen is produced, it is cleared from the ear canal by the outward migration of the skin lining the canal.
	members.aol.com /orlmd/cerumen.htm (547 words)

	Cerumen (Site not responding. Last check: 2007-10-31)
		Cerumen production and impaction is a common problem, more frequent amongst some ethnic groups.
		If a patient requires cerumen disimpaction every two or more years, most are better off simply to come to their physician to have this done.
		Cerumen is produced by eccrine glands in the lateral portion of the external auditory canal.
	www-surgery.ucsd.edu /ent/DAVIDSON/Pathway/EarWax.htm (810 words)

	Update on cerumen and ceruminolytics Ear, Nose & Throat Journal - Find Articles
		Cerumen refers only to the secretory product of the ceruminous glands in the external auditory canal, and it is just one component of earwax.
		Cerumen has a surprising variety of colors, ranging from golden-yellow to light brown to dark brown to fl.
		There is a hereditary mechanism behind the development of cerumen in that the dry cerumen allele is recessive to the wet allele.
	www.findarticles.com /p/articles/mi_m0BUM/is_8_81/ai_90869479 (859 words)

	managing cerumen
		Cerumen is a combination of secretions from the cerumenous or aprocrine glands and sebaceous glands.
		The chemical composition of cerumen is fairly complex -- comprised of a mixture of lipids, protein-free amino acids and several minerals.
		The written consent should include treatment options (the audiologist removing the cerumen, referral to a physician, doing nothing, home remedies and over-the-counter remedies) and should note that injury to the ear canal with subsequent infection is possible, as is perforation of the tympanic membrane.
	www.audiologyonline.com /articles/pf_article_detail.asp?article_id=365 (3009 words)

	cerumen (Site not responding. Last check: 2007-10-31)
		Likewise, they tend to be apologetic when the doctor has to clean out the wax to view the eardrums.
		Cerumen is nature's way of keeping the ear canals clean.
		It is a sticky substance that coats the ear canal skin and hairs and traps any dirt or foreign objects (bugs, rocks.
	www.drhull.com /EncyMaster/C/cerumen.html (212 words)

	HealthNow New York Inc., Upstate Medicare Division; MEDICALLY NECESSARY REMOVAL OF IMPACTED CERUMEN REQUIRING A ... (Site not responding. Last check: 2007-10-31)
		Payment for G0268 may be made to a physician whose skill is required to remove impacted cerumen on the same date as his or her employed audiologist performs the audiologic function testing.
		This code should not be used when the audiologist removes the cerumen, because removal of cerumen is considered to be part of the diagnostic testing and is not paid separately.
		In such cases cerumen removal does not require a physician's skill and is considered to be included in the payment for the audiologic testing.
	www.umd.nycpic.com /CAC_Draft_REMOVAL-OF-IMPACTED-CERUMEN.html (1663 words)

	Cerumen Impaction - Swedish MC, Seattle, Washington, WA
		Cerumen is the soft yellow wax secreted by glands in your ear canal, more commonly known as earwax.
		Cerumen impaction occurs when earwax becomes wedged in (impacted) and blocks up the ear canal.
		Cerumen impaction is usually caused by inability of the ear to naturally clear it, and unsuccessful attempts to remove earwax.
	www.swedish.org /113048.cfm (659 words)

	Cerumen Management Instruments (Site not responding. Last check: 2007-10-31)
		The Hotchkiss Otoscope is designed to be held by the thumb and index finger of either hand, enabling canal straightening by the middle finger of the same hand.
		In cerumen management larger size tips are often necessary (8mm is 2 1/2 x as large as the standard 5mm).
		These jets have been designed so that the water does not strike the tympanic membrane, rather the water is aimed toward the canal, where it safely loosens and removes the cerumen with a rocking action.
	www.preferredproduct.com /prod02.htm (873 words)

	CAOHC \| UPDATE: Volume 11 - Issue 4 - Winter 2000-2001
		Approximately 2-6% of the general population is afflicted by cerumen (earwax) impaction.
		Otologic complications include failure to succeed in cerumen removal (which is the most common complication), pain, perforated eardrum, dizziness, bleeding and infection.
		This article provides some guidance on cerumen management for the OHC and the OHC’s professional supervisor, focused on simple measures the OHC may recommend to the individual prior to referral to an audiologist or physician.
	www.caohc.org /updatearticles/winter2000/cerumen.php?mode=print (1067 words)

	Policy Statement: Medical Role in Cerumen Removal
		The American Academy of Otolaryngology - Head and Neck Surgery, Inc. ("AAO-HNS") states that cerumen removal requires mechanical or chemical manipulation of the external auditory canal and such manipulation may result in traumatic and/or inflammatory lesions to the external auditory canal, tympanic membrane, and/or middle ear conduction mechanism.
		The AAO-HNS also states that mechanical and/or chemical manipulation of the external auditory canal in an effort to remove cerumen should only be performed by or under the supervision of a qualified physician (MD or DO).
		Guidelines are not a substitute for the experience and judgment of a physician and are developed to enhance the physicians' ability to practice evidence-based medicine.
	www.entnet.org /practice/rules/medical_role_cerumen.cfm (227 words)

	Cerumen (Ear Wax)
		Perry (1957) studied cerumen production by direct visualization of the skin of the distal portion of the external auditory canal of 150 subjects.
		In addition, rubbing or cleaning the canal wall resulted in a mechanical ''milking'' of the cerumenous glands.
		We polled a group of parents of deaf/hoh children to see how they dealt with Cerumen in their children's ears.
	www.listen-up.org /med/cerumen.htm (644 words)

	Medical Dictionary: Cerumen - WrongDiagnosis.com - WrongDiagnosis.com
		Cerumen (medical condition): Buildup of wax (cerumen) inside the ear canal
		Cerumen: Another name for Ear wax (or close medical condition association).
		Cerumen: Cerumen is listed as a type of (or associated with) the following medical conditions in our database: Ear conditions
	www.wrongdiagnosis.com /medical/cerumen_printer.htm (155 words)

	AllRefer Health - Wax Blockage (Cerumen Impaction, Ear Blockage, Ear Impaction, Ear Wax)
		Wax blockage is obstruction of the ear canal with cerumen (wax).
		The ear canal is lined with hair follicles and glands that produce a waxy oil called cerumen.
		This protects the ear by trapping dust, microorganisms, and other foreign particles and preventing them from entering and damaging the ear.
	health.allrefer.com /health/wax-blockage-info.html (388 words)

	Cerumen (Ear Wax) Impaction - Children's Hospital Boston
		Cerumen (Ear Wax) Impaction - Children's Hospital Boston
		Cerumen impaction typically presents with outer ear fullness, itchiness, and hearing loss, however, mild ear pain may be present if there is an associated out ear infection.
		Most commonly, wax impaction typically occurs with inappropriate cotton swab usage.
	www.childrenshospital.org /az/Site685/printerfriendlypageS685P0.html (110 words)

	Kentucky: Board of Nursing - Cerumen Removal by Nurses
		Kentucky Board of Nursing > Nursing Practice > Cerumen Removal by Nurses
		In October 2000, the Board issued an advisory opinion that the removal of cerumen in a school setting is an act that falls within the scope of nursing practice for the nurse who is educationally prepared and clinically competent to perform the procedure.
		The policies and procedures of the school/employing facility should among other matters, address the circumstances in which the procedure is to be performed, provision for medical follow-up and provisions for parental consent.
	kbn.ky.gov /practice/opinioncerumen.htm (96 words)

	purevolume™ \| Cerumen
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	www.purevolume.com /cerumen (169 words)

	Cerumen (Site not responding. Last check: 2007-10-31)
		Irritating it or scratching it can cause severe pain.
		Gently remove the majority of the cerumen, without brushing the walls, then flush.
		If the cerumen is very dry [blood red to fl] hydrate for 7 to 10 days, minimum, before trying the currette.
	www.logan.edu /faculty/powers/cerumen.html (365 words)

	Cerumen Impaction
		Even a tiny hole of patency will maintain hearing
		Ear evaluation requires cerumen removal in 33% cases
		Children under age 1 year more often require removal
	www.fpnotebook.com /ENT27.htm (161 words)

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