title="Figure 4 : mimikakis - ear wax removal" />Ear cleaning is part of ancient principles related to personal hygiene. In fact, the external auditory canal does not need to be cleaned regularly as it has its own self-cleaning system. Earwax moves spontaneously and slowly the shell where it will be easily cleaned without danger.
Regular cleaning wax should be done at the input of the external auditory canal and not in it. An ear cleaning becomes necessary only in the presence of a plug. Numerous methods have been described over the centuries and are still practiced today.
While cleaning the ear is often considered an easy gesture and unimportant, it can be difficult sometimes and cause injury as a significant laceration of the skin of the external auditory canal or a perforated eardrum. This is a move that must be practiced in peace and do not forget to reassure the patient because it is often very fearful when you touch his ears.
When talking about ear cleaning, it is necessary to differentiate self-cleaning, cleaning by another person and that made by a doctor. In addition, one can still distinguish cleaning using small instruments specifically designed for this purpose or using ceruminolytics products, which have the property of dissolving the wax to flow more easily to the outside. The self-cleaning action is not recommended as it involves many risks and dangers that the individual does not even suspect.
Without seeing what one does, not control his actions when cleaning the ear with a small instrument. It is an illusion to believe that we control the exact depth at which it is pushed into the ear.
Swabs, Q-tips or other similar instruments, are useless because they will push the wax deeper into the ear canal and make her self clean much longer. After using the swab, wax will form a plug by accumulation, sometimes to the eardrum.
We can say ironically that the swab is the best friend of ENT! It is an instrument to banish the family pharmacy it is used for self-cleaning ears. Similarly, all the instruments like trombone, key, pencil stub, safety pin, hairpin match, toothpick, nail or other should be avoided because they are not only dangerous but they can induce the contact dermatitis because some of them contain nickel.
Cleaning ears using an instrument must be made by a third person looking at what it is doing in the external auditory canal. In eastern countries such as India and Japan, many people practice these is cleaning the streets, or in rooms specially equipped for this purpose. They are also often practiced by mothers who clean the ears of their children.
The best instruments for this type of cleaning are small instruments, often in the shape of a spoon, called mimikakis Japan (Figure 4).
In Western countries, the ear cleaning is considered a medical procedure. It should therefore be performed by physicians, regardless of the method used. To do this, we use specific instruments like small hooks, small curettes, tweezers or vacuum systems specially adapted to the external auditory canal (Figure 5).
All actions are performed under direct vision [i] and allow a secure wipe. Céruminolytiques some solutions are sold in drugstores or pharmacies. Their effectiveness is hotly debated in the literature. For the most part, these solutions are even completely ineffective in the presence of a "real" ear wax. Products seem to be the most useful warm water, baking soda and 10% hydrogen peroxide diluted to 3%.
These substances should be used only if you are sure of the integrity of the skin of the ear canal and eardrum. In case of ear disease are to be avoided because they can worsen. Rinses or washes ears with a syringe can not be performed if the ear is normal. These washes should be followed by drying with a hair dryer to avoid increasing the humidity in the duct and thus the production of earwax. We must simply remove the wax that comes spontaneously from the external auditory canal and not "get him" into the duct.
Regular cleaning wax should be done at the input of the external auditory canal and not in it. An ear cleaning becomes necessary only in the presence of a plug. Numerous methods have been described over the centuries and are still practiced today.
While cleaning the ear is often considered an easy gesture and unimportant, it can be difficult sometimes and cause injury as a significant laceration of the skin of the external auditory canal or a perforated eardrum. This is a move that must be practiced in peace and do not forget to reassure the patient because it is often very fearful when you touch his ears.
When talking about ear cleaning, it is necessary to differentiate self-cleaning, cleaning by another person and that made by a doctor. In addition, one can still distinguish cleaning using small instruments specifically designed for this purpose or using ceruminolytics products, which have the property of dissolving the wax to flow more easily to the outside. The self-cleaning action is not recommended as it involves many risks and dangers that the individual does not even suspect.
Without seeing what one does, not control his actions when cleaning the ear with a small instrument. It is an illusion to believe that we control the exact depth at which it is pushed into the ear.
Swabs, Q-tips or other similar instruments, are useless because they will push the wax deeper into the ear canal and make her self clean much longer. After using the swab, wax will form a plug by accumulation, sometimes to the eardrum.
We can say ironically that the swab is the best friend of ENT! It is an instrument to banish the family pharmacy it is used for self-cleaning ears. Similarly, all the instruments like trombone, key, pencil stub, safety pin, hairpin match, toothpick, nail or other should be avoided because they are not only dangerous but they can induce the contact dermatitis because some of them contain nickel.
Cleaning ears using an instrument must be made by a third person looking at what it is doing in the external auditory canal. In eastern countries such as India and Japan, many people practice these is cleaning the streets, or in rooms specially equipped for this purpose. They are also often practiced by mothers who clean the ears of their children.
The best instruments for this type of cleaning are small instruments, often in the shape of a spoon, called mimikakis Japan (Figure 4).
In Western countries, the ear cleaning is considered a medical procedure. It should therefore be performed by physicians, regardless of the method used. To do this, we use specific instruments like small hooks, small curettes, tweezers or vacuum systems specially adapted to the external auditory canal (Figure 5).All actions are performed under direct vision [i] and allow a secure wipe. Céruminolytiques some solutions are sold in drugstores or pharmacies. Their effectiveness is hotly debated in the literature. For the most part, these solutions are even completely ineffective in the presence of a "real" ear wax. Products seem to be the most useful warm water, baking soda and 10% hydrogen peroxide diluted to 3%.
These substances should be used only if you are sure of the integrity of the skin of the ear canal and eardrum. In case of ear disease are to be avoided because they can worsen. Rinses or washes ears with a syringe can not be performed if the ear is normal. These washes should be followed by drying with a hair dryer to avoid increasing the humidity in the duct and thus the production of earwax. We must simply remove the wax that comes spontaneously from the external auditory canal and not "get him" into the duct.
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