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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. During normal activity of the glands, earwax, drying up in the crusts, is freely removed from the membrano-cartilaginous part of the auditory canal by displacing the front wall with movements in the mandibular joint during conversation and chewing. Attempts to independently remove sulfur with studs, matches, etc. often lead to pushing it into the bony section of the auditory meatus, where it accumulates and is fixed.

Factors leading to the accumulation of sulfur in the ear canal are its narrowness and tortuosity, increased viscosity of sulfur, which contributes to its delay on the walls of the ear canal. Sulfur cork can fill part of the lumen of the ear canal or completely block it. The color of the sulfuric cork is different - from yellowish to dark brown; by consistency, it is soft, dense and rocky. With a long stay in the ear canal, the epidermoid plug dries, becomes dense and firmly fixed to the walls, sometimes causing pressure sores.

K l and n and with to and to kartin and. The leading, and often the only, symptom of sulfur cork is hearing loss. The auditory meatus in the external section is completely blocked by sulfur masses. Hearing impairment often occurs after water enters the ear, although hearing was normal before then.

Fig. 9.1.

Ear washing


a - general view; b -

proper flushing pattern


The mechanism of hearing loss in this case is quite simple: water, having got into the ear, causes a swelling of sulfur, which until that time did not completely obstruct the auditory canal, or the water instantly closed the remaining small gap in it. At the same moment, noise in the ear and autophony appear (perception of one’s own voice by the stuffy ear); dizziness, headache, nausea, impaired cardiac function are possible.

D and a g n about with t and to and is based on complaints, anamnesis, otoscopy data.
When examining the external auditory canal, sulfuric mass is visible, covering its lumen.

Treatment An effective method of treatment is washing the external auditory canal (Fig. 9.1), which is performed in compliance with a number of rules. Before proceeding with rinsing, it should be established whether the patient had ear diseases before, after which dry perforation of the tympanic membrane could remain. Ear washing in these conditions is dangerous, since water entering the middle ear through perforation in the tympanic membrane can aggravate the process and resume suppuration. In such cases, the sulfur plug is removed by dry means using a hook probe. Removing the cork by rinsing is easier in cases where there is no complete obstruction of the ear canal. For washing, warm water is used, having a temperature close to body temperature (37 ° C). Otherwise, the maze may irritate (dizziness, nausea, etc.). After the procedure, you need to inspect the eardrum. Residual water in the ear is removed with sterile turundas or dry cotton wool wound on a threaded ear probe. The auditory meatus is covered with cotton wool for a while. Washing is carried out using a 100-150 gram syringe Janet; a stream of water is directed along the upper-posterior wall of the ear canal, while straightening it by pulling the auricle posteriorly and upward. The cork is sometimes removed in parts, sometimes in its entirety.

Soft plugs are removed immediately by washing; hard plugs are recommended to be pre-softened (within 2-3 days) by softening by infusion into the ear 3 times a day for 10-15 minutes with sodoglycerin drops heated to body temperature. Before infusion of drops, the patient should be warned that as a result of the action of the drops, hearing may be impaired due to the swelling of sulfur.
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Sulfur cork

  1. 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 secretion 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 sulfur accumulation may be associated with hyperfunction of the sulfur glands under the influence of irritating
  2. Sulfur cork. H-61.2
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