H61.20

Clinical Causes: Overproduction of earwax due to the body’s natural response to protect the ear from foreign particles and bacteria Repeated use of earplugs or hearing aids which can push wax deeper into the ear canal Use of cotton swabs or other objects to clean ears, often pushing wax further inside Eczema or skin conditions affecting the ear canal that alter normal wax removal Narrowing of the ear canal caused by anatomical variations or previous injuries Age-related changes, as earwax can become drier and more prone to impaction with age

Key Symptoms: A feeling of fullness or pressure in the affected ear Decreased or muffled hearing Earache or discomfort Tinnitus (ringing or buzzing in the ear) Itching inside the ear Possible dizziness or balance issues in severe cases

Diagnosis Path: Diagnosing impacted cerumen involves a healthcare professional conducting an ear examination, often with an otoscope, to visually confirm wax buildup. The clinician may inquire about symptom history and assess the extent of impaction. In some cases, additional tests might be necessary to rule out other ear conditions or infections. Prompt diagnosis can facilitate proper treatment and relief of symptoms.

Treatment Protocols: Management of impacted cerumen typically includes methods to safely remove the wax and alleviate symptoms, such as: - Softening agents: Using ear drops containing mineral oil, glycerin, or commercial cerumenolytics to loosen wax. - Irrigation: Gentle flushing of the ear canal with warm water or saline solution, - Manual removal: Performed by healthcare professionals using specialized instruments if necessary. It is important to avoid inserting objects into the ear to prevent further impaction or injury. Regular ear hygiene and avoiding the habitual use of ear-cleaning devices can help reduce recurrence. In cases where impacted cerumen causes significant or persistent issues, consultation with an ear specialist may be recommended.