| Ear cleaning: the UK and US perspective. | |
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MedLine Citation:
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PMID: 15030561 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ear cleaning helps maintain the normal otic environment and is important in the treatment of otitis. Over cleaning, however, may trigger otitis through maceration of the epidermal lining. Simple manual cleaning is useful for routine cleansing but doesn't remove tightly adherent debris. Bulb syringes are more vigorous but may damage the ear in inexperienced hands. Devices using mains water pressure or dental machines are also available. Thorough cleaning of the ear canals and middle ear cavity can only be achieved by retrograde flushing using specially adapted catheters, feeding tubes or video otoscopes under anaesthesia. Myringotomy, inspection and cleaning of the middle should be performed if the tympanic membrane appears abnormal. There are a wide variety of cleaning fluids available. Ceruminolytics soften and dissolve cerumen to facilitate cleaning. Surfactants emulsify debris, breaking it up and keeping it in solution. Astringents dry the ear canal surface, preventing maceration. Maintaining a low pH and incorporating antimicrobial agents can inhibit microbial proliferation and glucocorticoids can be used to reduce inflammation. Adverse effects and contraindications following ear cleaning can include maceration, contact reactions, otitis media, ear canal avulsion, vestibular syndrome, Horner's syndrome, facial nerve paralysis and deafness. Care should be exercised in selecting cleaning fluids if the tympanic membranes are ruptured. |
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Authors:
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Tim Nuttall; Lynette K Cole |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Veterinary dermatology Volume: 15 ISSN: 0959-4493 ISO Abbreviation: Vet. Dermatol. Publication Date: 2004 Apr |
Date Detail:
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Created Date: 2004-03-19 Completed Date: 2004-05-17 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9426187 Medline TA: Vet Dermatol Country: England |
Other Details:
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Languages: eng Pagination: 127-36 Citation Subset: IM |
Affiliation:
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University of Liverpool Department of Veterinary Clinical Science, Small Animal Hospital, Crown Street, Liverpool L7 7EX, UK. timn@liv.ac.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Cutaneous Animals Disinfectants / administration & dosage Dog Diseases / therapy* Dogs Great Britain Middle Ear Ventilation / methods, veterinary* Otitis Media / therapy, veterinary* United States Veterinary Medicine / standards |
| Chemical | |
Reg. No./Substance:
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0/Disinfectants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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