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Published byMarjorie Potter Modified over 9 years ago
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Que, Mary Harmony Rivera, Joanna Grace Sioco, Demetrio Roberto
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Increasing number of children in the community with impacted cerumen Finding cost-effective means of addressing this problem
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Among children with impacted cerumen, is the application of water as a softening agent effective in clearing the ear canal (using a randomized control trial)?
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A Journal Article on Therapeutics
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Population: Patients with persistent earwax (more than 75% obstruction after 5 attempts of syringing) Intervention group: 22 patients Control group: 20 patients
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Intervention -waterControl -mineral oil Water (room temp) dropped at affected ear until ear is full and canal covered with a wad of cotton left for 15 minutes in the waiting area of an actual patient encounter Irrigation with 100cc syringe Olive oil dropped on affected ear until ear is full and covered with a wad of cotton Done every night for 3 days before patient encounter Irrigation with 100cc syringe
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Was it Randomized? Was randomization concealed? The patients were randomised into an intervention group (n = 22, year of birth was even) and control group (n = 20, year of birth was odd). Intervention Group – drops of water for 15mins. Control Group – oil at night for 3 days
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Intervention group: 3.0 ((95% CI = 2.4 to 3.6) Control group: 2.4 (95% CI = 1.7 to 3.1). The difference between these means (0.6; 95% CI = -0.3 to 1.5) P value: 0.18 (not statistically significant)
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Water can be an alternative softener for impacted cerumen. Water is very accessible and not costly (can be more practical than spending for oil) Though syryinging is not the most preferable method by otolaryngologist, the practice can be considered generally safe to apply
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