The Influence of Chewing Habits on the Degree of Impacted Cerumen
DOI:
https://doi.org/10.18196/mmjkk.v21i1.9576Keywords:
chewing habits, risk factor, impacted cerumenAbstract
Abstract: Cerumen was glandular secretions at the outer one-third of the ear mixed with exfoliated squamous epithelium. The jaw's movement keeps the cerumen in the ear canal in a state of balance, so it is clean, protects and lubricates the external auditory canal. Impacted cerumen is also caused by excessive production, narrow canal anatomy, viscosity wax, and irritation due to cotton-tipped swabs habits. This study aims to determine whether chewing habits influence the degree of cerumen obstruction in patients with impacted cerumen. The study was a cross-sectional method in impacted cerumen patients at 17-80 years old in the ENT clinic of District Hospital Wates, Kulon Progo, Yogyakarta, Indonesia. Risk factors assessed were education, age, gender, chewing habits, and cotton-tipped swabs habits. The data were then analyzed by chi-square test. Of 80 respondents with the dominant age range 17-38 years (58.8 %), the number of males was 47 (58.8 %), and females were 33 (41.2 %). The significant risk factors comprised the chewing habit and the use of cotton-tipped swabs. Factors affecting the degree of cerumen in patients with impacted cerumen were the chewing habits and cotton-tipped swabs habits.
References
Schwartz SR, Magit AE, Rosenfeld RM, Ballachanda BB, Hackell JM, Krouse HJ, et al. Clinical Practice Guideline (Update): Earwax (Cerumen Impaction). American Academy of Otolaryngology-Head and Neck Surgery. 2016: p. 1-25
https://doi.org/10.1177/0194599816671491
Subha ST & Raman R. Role of Impacted Cerumen in Hearing Loss. Otorhinolaryngology. 2006; (9) 1: p. 23- 25.
McCarter DF, Courtney AU, Pollart SM. Cerumen impaction. Am Fam Physician. 2007; 75: p. 1523-1530.
Astrand PO, Rodahl K. Textbook of Work Physiology-Physiological Bases of Exercise 2 th ed. USA: McGraw-Hill Book Co. 2003
Lapeña JFF, Edward A. External Auditory Canal Dimensions, Age and Cerumen Retention or Impaction in Persons with Down Syndrome. Annals of Otology, Rhinology & Laryngology 2018: p. 1-5
Smith AF et al. Impacted cerumen: composition, production, epidemiology, and management. QJM; 2004: p. 477-808.
https://doi.org/10.1093/qjmed/hch082
Mahardika. Faktor-Faktor yang Mempengaruhi Pembentukan Serumen Obsturan (Studi Kasus pada Siswa SD Kelas V di Kota Semarang) 2010.
Burkhart CN, Kruge MA, Burkhart CG, et al. Cerumen composition by flash pyrolysis-gas chromatography/mass spectrometry. Otol Neurotol 2001; 22: 715-22.
https://doi.org/10.1097/00129492-200111000-00002
Karlsmose B, Lauritzen T, Engberg M, et al. A randomized controlled trial of screening for adult hearing loss during preventive health checks. Br J Gen Pract 2001; 51: 351-5.
Zhang S, Jin M, Zhou G, Zhang Y. Cerumen impaction was composed of abnormal exfoliation of keratinocytes that was correlated with infection Am J Otolaryngol. 2020; 41. https://doi.org/10.1016/j.amjoto.2019.102340
https://doi.org/10.1016/j.amjoto.2019.102340
Macknin ML, Talo H, Medendorp SV. Effect of cotton-tipped swab use on earwax occlusion. Clin Pediatrics1994; 33: p. 14-18
https://doi.org/10.1177/000992289403300103
Silverstein H, Wycherly BJ, Alameda Y. A Prospective study to evaluate the efficacy of isopropyl alcohol irrigations to prevent cerumen impaction. Ear Nose Throat J. 2012; 91(3): p. 25-8.
https://doi.org/10.1177/014556131209100318
Horton GA, Simpson MTW, Beyea MM, Beyea JA. Cerumen Management: An Updated Clinical Review and Evidence-Based Approach for Primary Care Physicians. Journal of Primary Care & Community Health 2020; 11: p. 1-5
https://doi.org/10.1177/2150132720904181
Manchaiah V, Arthur J, Williams H. Does hearing aid use increase the likelihood of cerumen impaction? J Audiol Otol 2015; 19 (3): p. 168-71.
https://doi.org/10.7874/jao.2015.19.3.168
Roland PS, et al. Clinical Practice Guideline: Cerumen Impaction. Otolaringol Head and Neck Surg 2008; 139: p. 1-21.
https://doi.org/10.1016/j.otohns.2008.06.026
Ping C, Yanling H, Youhua W, Shufen W, Zhinan W, Zhongfang X. Epidemiology of cerumen impaction among municipal kindergartens children in Wuhan, China. Int J Pediatr Otorhinolaryngol 2017; 100: p. 154-6.
https://doi.org/10.1016/j.ijporl.2017.07.006
Alriyanto CY. Pengaruh cerumen obsturan terhadap gangguan pendengaran (Studi Kasus pada Siswa SD Kelas V di Kota Semarang) 2010.
Kiakojori K, Gooran AK, Rajabnia R, Mahdavi Omran S. A Study on the Effectiveness of Boericke Alcohol and Miconazole Ointment for the Prevention of Outer Ear Infections after Suction Clearance. J Babol Univ Med Sci. 2015; 17 (4): 29-35
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