1. Ear irrigation

3. Ear irrigation
Once the cerumen is softened, it can be removed by ear canal irrigation
Contraindications – if the patient is having tympanic membrane perforation and otitis externa (inflammation of the external auditory canal)
Irrigation solutions – warm water (body temperature), normal saline, sodium bicarbonate solution.
Can be done with bulb syringe or irrigating apparatus.

4. Complications Perforation of ear drum Middle ear infection
External ear infection
Permanent hearing loss