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Sulfur cork of the external auditory meatus

Blockage of the external auditory canal with sulfur or with an admixture of the epidermis is a common occurrence. Under normal conditions, the secret of the sulfur glands, drying up into lumps and crusts, falls out when chewing and talking due to movements of the mandibular joint and the anterior wall of the ear canal.

Excessive accumulation of sulfur can be associated with hyperfunction of the sulfur glands under the influence of irritating factors, metabolic disturbances, narrowing of the ear canal, increased viscosity of sulfur and a tendency to adhere to the walls of the ear canal. Sulfur plugs are soft, hard and rocky, from yellowish to dark brown. There are epidermal plugs, which are denser, contain the epidermis of the auditory meatus. Their formation is promoted by inflammatory processes (eczema, dermatitis), in which patients perform manipulations in the ears with fingers, matches, hairpins, which leads to an inflammatory reaction and desquamation of the epidermis. These plugs are lighter than sulfur. The longer the plug is in the ear, the more firmly it is fixed and the harder it is to remove.

As a rule, suddenly there is an ear congestion, a noise in it, a feeling of pressure or an object. Hearing decreases only with obturating plugs, and in the case of the slightest hole it is preserved.
Sometimes, water that gets into the ear when washing, bathing causes a swelling of sulfur, which turns into an obturating plug. With otoscopy, in the cartilaginous part of the ear canal, these plugs are easily observed, the density of which can be determined using an ear probe.

Treatment. The sulfur plug is removed by washing the ear with body temperature water from a Janet syringe. Dry and hard plugs sometimes cannot be washed immediately. Then, to soften the plugs, drop hydrogen peroxide or sodoglycerin drops (bicarbonate soda 0.5 + glycerol 5.0 + distilled water 15.0) into the ear - 10 drops 2 times a day in warm form. After 2-3 days, the ear is washed. When obstructing the ear canal plug, you can penetrate the ear probe between the ear canal wall and the plug, creating a hole through which water penetrates the plug and washes it. Dense epidermal plugs are sometimes removed with ear forceps, a spoon or a hook. With dry perforation of the tympanic membrane, it is more advisable to remove the cork with the help of tools in order to avoid the occurrence of otitis media. The part doctor removes the sulfur plug only by washing the ear.
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Sulfur cork of the external auditory meatus

  1. External auditory canal cleansing
    Purpose To clean the patient’s ears. Indications Inability to self-service. Contraindications None. Possible complications When using hard objects, damage to the eardrum or external auditory canal. Equipment 1. Wadded turunds. 2. Pipette. 3. Beaker. 4. Boiled water. 5. 3% hydrogen peroxide solution. 6. Disinfectant solutions. 7. Tanks for disinfection. 8. Towel.
  2. Boil of the external auditory meatus
    Furuncle (otitis externa circumscripta) - acute purulent inflammation of the hair sac, sebaceous gland with limited inflammation of the skin and subcutaneous tissue of the membrano-cartilaginous part of the external auditory canal. Et and about l about d and I. The disease occurs as a result of infection, often staphylococci, entering the sebaceous and hair sacs when irritated skin is irritated by manipulations in the ear.
  3. Foreign bodies of the external auditory meatus
    Foreign bodies in the external auditory canal are most often found in children when during the game they push various small objects (buttons, balls, pebbles, peas, beans, paper, etc.) into their ears. However, in adults, foreign bodies are often found in the external auditory canal. They may be fragments of matches, pieces of cotton, stuck in the ear canal at the time of clearing the ear from
  4. Atresia and strictures of the external auditory meatus
    Ruby atresia and strictures of the external auditory canal occur after injuries, burns, purulent otitis media complicated by external otitis media, ulcerative processes in diphtheria, syphilis, lupus, etc. Narrowing of the external auditory canal is sometimes observed after radical ear surgery. In the elderly and senile age, the walls of the ear canal collapse due to the loss of their elasticity, which leads to
  5. External auditory canal flushing
    Purpose: removal of the contents of the external auditory meatus. Equipment: Janet syringe, 2 kidney-shaped trays, towel, oilcloth apron, cotton balls, medicines. gloves. Algorithm of actions Obtain patient consent for washing, explaining to him the purpose and course of the procedure. Set the patient sideways to himself. Wear gloves. Put a towel on the patient’s shoulder, oilcloth on top
  6. External auditory canal exostoses
    Exostoses are bone formations resulting from osteodystrophic processes of the temporal bone. Some attribute them to benign neoplasms. Exostoses grow slowly, often asymptomatically in the form of exo- and hyperostoses. When obstruction of the ear canal appears ear noise, hearing loss, the process of excretion of sulfur or pus during otitis media is disrupted. Observed two
  7. Spilled inflammation of the external auditory meatus
    External diffuse omum (otitis exterra diffusa) is an acute or chronic infectious diffuse inflammation of the skin of the external auditory meatus. It occurs as a result of the penetration of infection through minor traumatic skin lesions that occur most often during manipulations in the ear. In addition, skin injuries due to chemical and thermal burns or injuries contribute to
  8. Sulfur cork
    Sulfur cork (cerumen) often occurs with increased function of the glands located in the membrano-cartilaginous part of the external auditory canal. Sulfur cork is a conglomerate of dried (less often viscous) secretion of the gland of the ear canal and the deflated epidermis. With normal activity of the glands, earwax, drying up in the crusts, is freely removed from the membrano-cartilaginous part of the auditory
  9. Acquired stenosis of the external auditory meatus. H-61.3
    {foto46} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of laboratory parameters. 2. Improving the clinical symptoms of the disease (lowering
  10. Sulfur cork. H-61.2
    {foto45} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (lowering
  11. Auditory meatus furuncle
    Cause Microtrauma of the skin of the external auditory canal when picking in the ears, hypothermia, impaired carbohydrate metabolism, hypovitaminosis. Symptoms Strong shooting pain in the ear, if you pull off the earlobe or press on the tragus - the pain in the ear increases. Increased pain also occurs with chewing and yawning. The skin of the external auditory meatus is reddened, swollen. The disease may be accompanied by
  12. Auditory canal eczema
    Cause Frequent local irritation of the skin of the ear canal with general eczema. Predisposing factor for eczema of the auditory canal is suppuration from the ear in chronic suppurative otitis media, as well as allergies, rickets, exudative diathesis, purulent inflammation of the middle ear, intestinal intoxication, sulfur plugs, frequent and incorrect use of ointments and lotions. Symptoms of Itching. He can be so
  13. Sulfur plugs (ear lard)
    Causes Cleansing the ear of sulfur with a cotton swab, congenital distortion of the ear canal, increased formation of sulfur. Symptoms Itching, dryness, mild pain in the ear, hearing loss, slight dizziness, noise, a sense of resonance in one's own voice. First aid If a sulfur plug is formed, only a doctor can remove it. For preventive purposes, 2-3 times a month you can do it yourself
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