Для цитирования:
Морозова С.В. Ушная сера: актуальные вопросы нормы и патологии в клинической практике // РМЖ.
2018. № 3(II). С. 53–57.
ABSTRACT
Earwax: current issues of norm and pathology in clinical practice
Morozova S.V.
Sechenov University
The article presents data on the chemical composition and organoleptic properties of earwax, describes the diverse physiological
value of earwax, and analyzes the diagnostic significance of the change in the composition of cerumen masses. Information on
epidemiology is given, inevitable and avertible factors causing the formation of wax plug are listed. The variability of otoscopic
data is described in detail, the main and probable clinical manifestations of wax plug are named, examples of syndromic
diagnoses and possible complications are given. The conditions of a possible barometric trauma with a wax plug during deep
diving are presented. It is indicated that the wax plug may lead to the possible conductive hearing loss, the appearance of ear
noise and reflex cough. The modern ways of removing wax plug are listed and characterized: irrigation, aspiration, curettage,
cerumenolysis. The author indicates the applicability of Otinum preparation for softening the cerumen masses, as well as for its
topical application in external otitis. The domestic and professional conditions, which increase the probability of the wax plug
formation, are listed. The article indicates the need to use modern hygienic products for the timely and correct cleaning the
external auditory canal to prevent ceruminosis and inflammatory diseases of the outer ear.
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