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Cerumen Impaction Pocket Guideline

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Page 10 of 13

11 What are the potential risks and side effects? Small amount of cerumen could progress to impaction. None reported Temporary dizziness, pain, and/or ear drum rupture. Trauma to the ear canal skin leading to bleeding or infection, discomfort from the instruments or noise of the suction, and/ or rare tinnitus or hearing loss from the noise of the suction. What usually happens in the long term? Nothing Cerumen may reaccumulate and require additional treatment. Are there any special precautions? None at this time. Should seek medical attention if excessive pain or discomfort or loss of hearing is noticed. NOT recommended for patients with PE tubes, non-intact ear drum, and susceptible to ear infection. (See KAS 2B) Cautious when treating patients who are taking blood thinners and susceptible to bleeding easily. Table 5. Shared Decision Grid For Patients and Caregivers For Cerumen Management (cont'd) Frequently Asked Questions Observation (KAS 3b) Cerumenolytic Agents (KAS 6) Irrigation (KAS 7) Manual removal (KAS 8)

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