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Ear Canal Suction

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1. Ear Canal Suction

Ear Canal Suction Ear Canal Suction Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ear Canal Suction Ear Canal Suction Aka: Ear Canal (...) Suction , Ear Suction , Cerumen Removal by Suction II. Indications with soft or semi-fluid cerumen Interfering with examination Ear toilet in management III. Contraindications Previous radical mastoid surgery s IV. Precautions Ear Canal Suctioning is not recommended by non-otolaryngologists The potential for middle ear injury, including ossicle disruption limits safe use by non-otolaryngologists V. Equipment Suction through otoscope head for visualization Suction tips Blunt tipped 14 gauge

2018 FP Notebook

2. How I do it: underwater endoscopic ear surgery for plugging in superior canal dehiscence syndrome. (PubMed)

How I do it: underwater endoscopic ear surgery for plugging in superior canal dehiscence syndrome. Underwater endoscopic ear surgery does not require suction and so protects the inner ear from unexpected aeration that may damage its function in the treatment of labyrinthine fistula. A method of underwater endoscopic ear surgery is proposed for the treatment of superior canal dehiscence.Underwater endoscopic ear surgery was performed for plugging of the superior semicircular canal through (...) the transmastoid approach. Saline solution was infused into the mastoid cavity through an Endo-Scrub Lens Cleaning Sheath. The tip of the inserted endoscope was filled completely with saline water.Using this underwater endoscopic view, the canal was clearly dissected to expose the semicircular canal membranous labyrinth and dehiscence area. No particular complication occurred during the surgical procedure.The underwater endoscopic ear surgery technique for plugging in superior canal dehiscence secures

2017 Journal of Laryngology & Otology

3. Ear Canal Foreign Body

Ear Canal Foreign Body Ear Canal Foreign Body Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ear Canal Foreign Body Ear Canal Foreign (...) Body Aka: Ear Canal Foreign Body , Ear Foreign Body , Auditory Canal Foreign Body From Related Chapters II. Causes s Plastic toys or beads Cotton, paper Organic material such as popcorn kernals or vegetable material Higher risk of infection Small batteries (may be caustic!, especially button batteries) Require removal without delay III. Symptoms IV. Precautions Removal risks injury First attempts at removal are most likely to succeed Best succes is for graspable objects (e.g. paper) Risk of ear

2018 FP Notebook

4. Ear Canal Suction

Ear Canal Suction Ear Canal Suction Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ear Canal Suction Ear Canal Suction Aka: Ear Canal (...) Suction , Ear Suction , Cerumen Removal by Suction II. Indications with soft or semi-fluid cerumen Interfering with examination Ear toilet in management III. Contraindications Previous radical mastoid surgery s IV. Precautions Ear Canal Suctioning is not recommended by non-otolaryngologists The potential for middle ear injury, including ossicle disruption limits safe use by non-otolaryngologists V. Equipment Suction through otoscope head for visualization Suction tips Blunt tipped 14 gauge

2015 FP Notebook

5. Transcanal Endoscopic Ear Surgery for Middle Ear Cholesteatoma. (PubMed)

limb of the lateral semicircular canal. Rigid endoscopes 4 and 2.7 mm in diameter, 0, 30, 45, and 70 degrees were used with angled picks, suction, and forceps.Preoperative assessment included high-resolution computed tomography of the temporal bones and/or non echo-planar diffusion-weighted magnetic resonance imaging and pure-tone audiometry.Residual or recurrent disease was diagnosed by clinical examination and/or magnetic resonance imaging findings consistent with cholesteatoma. Intra (...) Transcanal Endoscopic Ear Surgery for Middle Ear Cholesteatoma. To evaluate the clinical parameters, outcomes, and complications of transcanal endoscopic ear surgeries for middle ear cholesteatoma.Retrospective study.Tertiary university-affiliated medical center.Adult patients (age >18) who underwent transcanal endoscopic ear surgeries for cholesteatoma, between March 2009 and March 2015.Transcanal endoscopic surgery was indicated when the cholesteatoma did not extend posterior to the anterior

2017 Otology and Neurotology

6. Removing foreign bodies in the external auditory canal

Removing foreign bodies in the external auditory canal Removing foreign bodies in the external auditory canal – PEMBlog Search for: Search for: Removing foreign bodies in the external auditory canal External auditory canal foreign bodies are most commonly seen in children under 7. Children with conditions that cause irritation of the ear such as otitis media or cerumen impaction are at higher risk. Additional risk factors include pica and ADHD. Most often, the foreign body is on the right side (...) due to the handedness of the child. The most common foreign bodies found in the external auditory canal include beads, pebbles, pieces of paper, toys, popcorn kernels and insects. Frequently, foreign bodies of the external auditory canal are asymptomatic and found during routine otoscopy. However, they may cause impaired hearing, pain, purulent or bloody drainage from the ear or chronic cough/hiccups (which is rare). Timing of removal is dependent upon the type of foreign body Button batteries

2017 PEM Blog

7. Ear Canal Foreign Body

Ear Canal Foreign Body Ear Canal Foreign Body Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ear Canal Foreign Body Ear Canal Foreign (...) Body Aka: Ear Canal Foreign Body , Ear Foreign Body , Auditory Canal Foreign Body From Related Chapters II. Causes s Plastic toys or beads Cotton, paper Organic material such as popcorn kernals or vegetable material Higher risk of infection Small batteries (may be caustic!, especially button batteries) Require removal without delay III. Symptoms IV. Precautions Removal risks injury First attempts at removal are most likely to succeed Best succes is for graspable objects (e.g. paper) Risk of ear

2015 FP Notebook

8. In Vitro Efficacy of a Consumer-Marketed Ear Cleaning Tool. (PubMed)

In Vitro Efficacy of a Consumer-Marketed Ear Cleaning Tool. The WaxVac ear cleaning device may be a useful adjunct for patients requiring aural toilet.Cerumen removal and routine aural toilet is a common complaint that presents to the otolaryngology clinic. We tested this device to make an appropriate recommendation to our patients.We conducted in vitro testing of the WaxVac device on an artificial ear canal model and cadaveric temporal bones testing the strength of the suction, noise created (...) by the device, and the ability of the device to remove foreign bodies from the external auditory canal. These foreign bodies included a PE tube, baby powder, a q-tip head, saline, and artificial cerumen.The WaxVac created very little suction as compared with Frazier tip suctions used in clinic. The device produced very little noise in the canal, which was equivalent to a #3 Frazier tip suction. The WaxVac was unable to remove q-tip heads or artificial cerumen from the ear canal model or the cadaveric

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2014 Otology and Neurotology

9. A Practical Use of a 16-Gauge Peripheral Angiocatheter as an Aspiration Cautery in Endoscopic Ear Surgery. (PubMed)

A Practical Use of a 16-Gauge Peripheral Angiocatheter as an Aspiration Cautery in Endoscopic Ear Surgery. To define a technique for the practical use of a 16-gauge peripheral venous catheter as an insulated aspiration cautery in endoscopic ear surgery.Retrospective case review.Tertiary referral center.A 16-gauge intravenous catheter was prepared as a cauterization instrument with aspiration. After simple rearrangement of the exterior plastic portion, it was connected to a suction system (...) . With the help of an unipolar cautery, aspiration of the blood and homeostasis was achieved.Hemorrhage of the external ear canal skin after incision can be easily coagulated with this instrument. During follow-up, there were no wound infection, facial nerve paresis, scar formation, and inadvertent burn of the external canal and auricular skin.With the help of this instrument, bleeding control during incision can be easily maintained. It is a simple, easily prepared, and alternative homeostasis technique

2014 Otology and Neurotology

10. To study the role of antibiotic+steroid irrigation of the middle ear in active chronic otitis media with small perforation and pulsatile discharge. (PubMed)

tympanic membrane perforations and pulsatile mucopurulent discharge. The patients were randomised and divided into two groups. In group A, the examination under microscope, with suction cleaning of the external canal, was followed by irrigation of the middle ear with antibiotic+steroid solution for up to one week, while group B was prescribed self-administration of the same drops with systemic antibiotics. The patients were followed up daily for 10 days to monitor otorrhoea relief and on a weekly basis (...) subsequently to monitor the healing of the tympanic membrane.Forty-nine patients in group A had a dry ear after 3-7 days of daily suction and the irrigation of middle ear with the antibiotic+steroid solution and 44 had a healed tympanic membrane after an average three months of follow-up. Five patients with dry ear but persistent perforation underwent tympanoplasty, while only one patient with a persistent ear discharge underwent mastoid exploration. In group B, eight patients on oral antibiotics and self

2014 B-ENT Controlled trial quality: uncertain

11. Foreign Body Removal, Ear

of the external auditory canal. Positioning and examining with otoscope. Previous Next: Technique Techniques appropriate for the removal of ear foreign bodies include mechanical extraction, irrigation, and suction. Practitioners should allow the nature of the foreign body to guide the choice of technique. Irrigation is contraindicated for organic matter that may swell through osmosis and enlarge within the auditory canal. Insects, organic matter, and objects with the potential to become friable and break (...) into smaller evasive pieces are often better extracted with suction than with forceps. Live insects in the ear canal should be immobilized before removal is attempted. [ ] Mineral oil, microscope oil, and viscous lidocaine have all been used successfully for this purpose. [ , ] Foreign body removal from the ear. Courtesy of Hamid R Djalilian, MD. Mechanical extraction Position the patient comfortably. Briefly repeat the ear examination while observing the location and depth of the foreign body. Move

2014 eMedicine.com

12. Foreign Bodies, Ear (Follow-up)

accounted for 85.9% of the 17,325 foreign bodies removed from the auditory canal. [ ] Various objects may be found in the ear, including toys, beads, stones, folded paper, and biologic materials such as insects or seeds. A study by Svider et al using the National Electronic Injury Surveillance System estimated that from 2008 to 2012, there were 280,939 emergency department visits in the United States for aural foreign bodies, with children aged 2-8 years being the most frequent patients. Jewelry (...) to tell the examiner that there is something in their ear, but this is not always true. For example, an older adult with a hearing aid may lose a button battery or hearing aid in their canal and not realize it. Children, depending on age, may be able to indicate that they have a foreign body, or they may present with complaints of ear pain or discharge. Patients may be in significant discomfort and complain of nausea or vomiting if a live insect is in the ear canal. Patients may present with hearing

2014 eMedicine Emergency Medicine

13. Ear Reconstruction

is present beneath a rudimentary hillock of cartilage (grade 3 microtia. Microtia is usually associated with aural atresia in the higher stages. Grade 1 microtia (a small ear with normal architecture often has an associated patent ear canal. Grade 2 microtia (a small ear missing much of the architectural features of a pinna may or may not have a patent canal or tympanic membrane. Grade 1 to Grade 4 microtia are depicted in the images below. Grade 1 microtia. Grade 2 microtia. Grade 3 microtia: the most (...) the hemifacial microsomia first is best, so that mandibular symmetry may be achieved. With this accomplished, proper positioning of the auricle is more likely to result. Typically, the otologist performs hearing restoration surgery after the first stages of microtia repair are complete. The temporomandibular joint, the path of the facial nerve, and the location of the temporal fossa dura are landmarks that dictate the position of the new ear canal. Occasionally, in persons with microtia and aural atresia

2014 eMedicine Surgery

14. Foreign Bodies, Ear (Treatment)

accounted for 85.9% of the 17,325 foreign bodies removed from the auditory canal. [ ] Various objects may be found in the ear, including toys, beads, stones, folded paper, and biologic materials such as insects or seeds. A study by Svider et al using the National Electronic Injury Surveillance System estimated that from 2008 to 2012, there were 280,939 emergency department visits in the United States for aural foreign bodies, with children aged 2-8 years being the most frequent patients. Jewelry (...) to tell the examiner that there is something in their ear, but this is not always true. For example, an older adult with a hearing aid may lose a button battery or hearing aid in their canal and not realize it. Children, depending on age, may be able to indicate that they have a foreign body, or they may present with complaints of ear pain or discharge. Patients may be in significant discomfort and complain of nausea or vomiting if a live insect is in the ear canal. Patients may present with hearing

2014 eMedicine Emergency Medicine

15. Foreign Bodies, Ear (Diagnosis)

accounted for 85.9% of the 17,325 foreign bodies removed from the auditory canal. [ ] Various objects may be found in the ear, including toys, beads, stones, folded paper, and biologic materials such as insects or seeds. A study by Svider et al using the National Electronic Injury Surveillance System estimated that from 2008 to 2012, there were 280,939 emergency department visits in the United States for aural foreign bodies, with children aged 2-8 years being the most frequent patients. Jewelry (...) to tell the examiner that there is something in their ear, but this is not always true. For example, an older adult with a hearing aid may lose a button battery or hearing aid in their canal and not realize it. Children, depending on age, may be able to indicate that they have a foreign body, or they may present with complaints of ear pain or discharge. Patients may be in significant discomfort and complain of nausea or vomiting if a live insect is in the ear canal. Patients may present with hearing

2014 eMedicine Emergency Medicine

16. Foreign Bodies, Ear (Overview)

accounted for 85.9% of the 17,325 foreign bodies removed from the auditory canal. [ ] Various objects may be found in the ear, including toys, beads, stones, folded paper, and biologic materials such as insects or seeds. A study by Svider et al using the National Electronic Injury Surveillance System estimated that from 2008 to 2012, there were 280,939 emergency department visits in the United States for aural foreign bodies, with children aged 2-8 years being the most frequent patients. Jewelry (...) to tell the examiner that there is something in their ear, but this is not always true. For example, an older adult with a hearing aid may lose a button battery or hearing aid in their canal and not realize it. Children, depending on age, may be able to indicate that they have a foreign body, or they may present with complaints of ear pain or discharge. Patients may be in significant discomfort and complain of nausea or vomiting if a live insect is in the ear canal. Patients may present with hearing

2014 eMedicine Emergency Medicine

17. Extension of Indications for Transcanal Endoscopic Ear Surgery Using an Ultrasonic Bone Curette for Cholesteatomas. (PubMed)

removed from the antral mucosa under clear endoscopic visualization in 13 of 14 cases. After removal of the cholesteatoma, the canal wall was reconstructed using cartilage taken from the tragus. This procedure resulted in greater mastoid preservation.The transcanal endoscopic approach to the antrum using the UBC proved to be less invasive and more functional. The UBC contains both a suction and irrigation system in a single handpiece, and this UBC is an appropriate cutting tool that extends (...) Extension of Indications for Transcanal Endoscopic Ear Surgery Using an Ultrasonic Bone Curette for Cholesteatomas. One-handed endoscopic procedures have, up until now, limited the indications for transcanal endoscopic ear surgery (TEES) in cholesteatoma surgery. However, the development of electrically powered instruments has opened the door to such one-handed endoscopic procedures in restricted surgical spaces.We examined the feasibility of using one such powered instrument, the ultrasonic

2013 Otology and Neurotology

18. Impact on hearing of routine ear suctioning at the tympanic membrane. (PubMed)

Impact on hearing of routine ear suctioning at the tympanic membrane. Patient and equipment safety has become increasingly scrutinized in today's medical care. Routine otolaryngologic evaluation often involves suctioning with Frazier-type suction devices in the ear canal for improved visualization, but data are limited on the potential acoustic trauma from ear canal suction devices. This study intends to document the objective and subjective effects of ear canal suctioning to identify any risk (...) for hearing threshold shifts or other potential negative effects.Prospective study on 21 healthy volunteers enlisted for evaluation. Presuctioning tympanogram, audiogram, and otoacoustic emissions data were obtained. Spectrum analyses were recorded during ear canal suctioning with a probe microphone placed lateral to the tympanic membrane. Subjective data were recorded, and a follow-up audiogram and otoacoustic emissions were obtained to identify any temporary threshold shifts.Spectrum analyses revealed

2010 American Journal of Otolaryngology

19. External Ear Obstructions

direct removal. However, the prolonged use of these agents may lead to canal skin irritation or allergic reactions. Cerumen can be removed by rolling it out of the ear canal with a blunt curet or loop or a small right angle hook, or by removing it with a suction tip (eg, Baron, size 5 French). Proper lighting is essential. These methods, particularly when done by an experienced practitioner, can be quicker, safer, and more comfortable for the patient than irrigation. Irrigation is often done (...) to Remove Earwax Video How to Treat Nosebleeds (Epistaxis) SOCIAL MEDIA Add to Any Platform Loading , MD, University of Virginia School of Medicine Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Topic Resources The ear canal may be obstructed by cerumen (earwax), a foreign object, or an insect. Itching, pain, and temporary conductive hearing loss may result. Most causes of obstruction are readily apparent during otoscopic examination. Treatment is careful manual

2013 Merck Manual (19th Edition)

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