CERUMEN PROP

CERUMEN PROP

Cerumen Prop is a product of sebaceous and apocrine glands that exist on the skin in the ear canal and harsh conditions accumulate. Cerumen is the secretions of the sebaceous glands, the glands seruminosa, regardless of skin epithelium and dust particles contained in the cartilaginous part of the ear canal. When the wax is excessive, it can form clots that accumulate in the ear canal, known as cerumen prop.
Hardening cerumen, or earwax is more common in adults or adolescents, prop cerumen usually occurs in middle and high school age many are experiencing hard earwax in the form of this.
The main function of earwax is to deter insects that get into our bodies, but unfortunately cerumen is not anti-fungal and anti-bacterial. Ear canal skin condition usually in dry conditions, causing the risk of cerumen prop faster.
There are some things that cause blockage of cerumen or earwax, among others:

• Cerumen production lot and loud
• Narrow ear canal, and the basis of the ear hole in the form of a flat, so that the waste stored on it
• Chronic inflammation of the ear canal

Usually patients present with reduced hearing accompanied by a sense of fullness in the ear. Impaction / blob of wax that accumulates in the ear canal causing full flavor with a hearing loss (conductive deafness). Especially when the incoming water ear (while bathing or swimming), wax expands, causing distress and hearing loss is felt very disturbing. Some patients complain of vertigo or tinnitus. Pain arises when cerumen grow hard and pressed the ear canal wall.

Risk Factors cerumen Prop

Dermatitis chronic external ear canalNarrow ear canalProduction lots and dry earwaxThe presence of foreign objects in the ear canalHabits scrape the ears

Physical examination of cerumen Prop

Otoskopi: visible obstruction of the ear canal by material brownish yellow or black. The consistency of wax can vary.On examination tuner has conductive hearing loss due to earwax blockage.

Examination Support Prop cerumen

No investigations were typicalEnforcement Diagnosis (Assessment) cerumen Prop

Clinical diagnosis of cerumen Prop

Diagnosis is made by history and physical examinationDiagnoses cerumen Prop
Foreign objects in the ear canalComplications cerumen Prop
Trauma to the ear canal and tympanic membrane or while removing the cerumenComprehensive Management Plan (Plan) cerumen Prop

The management of cerumen Prop

Avoid cleaning the ears excessivelyAvoid entering the water or anything into the ear 

Pharmacotherapy management of cerumen Prop

Soft wax, cleaned with cotton wool wrapped in cotton climbers. Hard wax removed by hook or curette. If this way cerumen can not be excluded, then the wax should be softened first with karbogliserin drops 10% for 3 days.
Cerumen that has been pushed too far into the ear canal so feared to cause trauma to the tympanic membrane while discharging issued by flowing (irrigation) of warm water temperature is adjusted to body temperature.
Indications to remove earwax is difficult to evaluate the tympanic membrane, otitis externa, and the cerumen occlusion therapy part of conductive deafness. Contraindications does irrigation is the tympanic membrane perforation. If there are complaints of tinnitus, earwax very loud and uncooperative patients the contraindication of suction.Continued Examination Support Prop cerumen
Not required
Follow up plan
Recommended cerumen issued 6 -12 monthsCounseling and Education cerumen Prop
a. Inform the patient and family to not scrape either ear with a cotton bud or other.b. Tell your family and patients to avoid entering the water or anything into the ear
Referral criteria: -
Infrastructure
head lightsear speculumotoscopecerumen hookcotton applicatorEar irrigation fluidIrigator ear (syringe 20-50 cc + cateter wing needle) 

Prognosis cerumen Prop

The prognosis of this disease is bonam because rarely cause severe clinical condition.
for those of you who do not know whether we are in the condition of the ear canal there ktoran leras or not then we will experience the following symptoms are usually:Hearing loss and if the earlobe is pulled the voice that we hear will be more obvious.There are times when our ears buzzing, this could be a sign of cerumen propTheir pain when pressing ear cerumen prop.If seen visually or coarse eyes look their mounds in the ear canal, but you should also check whether hard or soft.

How do I clean earwax recommended:

Early stage is a liquid or soft wax in a little Jumah, the condition is more easily cleaned with simple tools at home is with a cotton bud.
Both liquid or soft wax in many conditions it must dibersihkand ith suction tool or the suction tube, and can also dibesihkan coursing certain cleaning fluid in the ear (irrigation). This way you can not do for themselves and need help medical personnel.
Cerumen is dense and hard, but not attached can be taken with cerumen hook, or similar small cendok to scrape the ear, but you still have to be careful to avoid irritation to the ear canal.
Hard earwax or cerumen prop then to cleanse you should use ear drops first application, you can buy in pharmacies in the form of ear drops karbogliserin 10% or phenol glycerin dose of 3 x 3 days. These drops will help soften hard cerumen, jiak are soft it can be done penghisapand ith ENT or tool can also be cleaned with cerumen
Source: Ministry of Health. Clinical practice guidelines for physicians in health care facilities. 2014.hook.