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Related Experiment Video

Updated: Jul 2, 2026

The Mouse Round-window Approach for Ototoxic Agent Delivery: A Rapid and Reliable Technique for Inducing Cochlear Cell Degeneration
12:21

The Mouse Round-window Approach for Ototoxic Agent Delivery: A Rapid and Reliable Technique for Inducing Cochlear Cell Degeneration

Published on: November 26, 2015

Clinical practice guideline: cerumen impaction.

Peter S Roland1, Timothy L Smith, Seth R Schwartz

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical School, Dallas, TX 75390, USA. peter.roland@utsouthwestern.edu

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|October 3, 2008
PubMed
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This guideline offers evidence-based recommendations for managing cerumen impaction, focusing on accurate diagnosis and appropriate treatment. It emphasizes timely intervention for symptomatic cases and proper assessment for special populations.

Area of Science:

  • Otolaryngology
  • Evidence-based Medicine
  • Clinical Practice Guidelines

Background:

  • Cerumen impaction is defined as symptomatic cerumen accumulation or cerumen that impedes ear assessment.
  • The term 'impaction' is used clinically and in literature, even without complete ear canal obstruction.
  • This guideline is intended for clinicians diagnosing and managing cerumen impaction.

Purpose of the Study:

  • Enhance diagnostic accuracy for cerumen impaction.
  • Promote appropriate interventions and therapeutic options.
  • Improve patient counseling and education for prevention.

Main Methods:

  • A multidisciplinary panel from audiology, family medicine, geriatrics, internal medicine, nursing, otolaryngology, and pediatrics was convened.

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Last Updated: Jul 2, 2026

The Mouse Round-window Approach for Ototoxic Agent Delivery: A Rapid and Reliable Technique for Inducing Cochlear Cell Degeneration
12:21

The Mouse Round-window Approach for Ototoxic Agent Delivery: A Rapid and Reliable Technique for Inducing Cochlear Cell Degeneration

Published on: November 26, 2015

  • Evidence-based recommendations were developed for the diagnosis and management of cerumen impaction.
  • The guideline addresses special populations and outcome assessments.

    • Main Results:

    • Clinicians should treat symptomatic cerumen impaction or impaction preventing examination.
    • Diagnosis involves assessing symptoms and factors modifying management (e.g., diabetes, anticoagulants).
    • Treatment options include cerumenolytic agents, irrigation, or manual removal, with post-treatment assessment.

    Conclusions:

    • This guideline provides an evidence-based framework to assist clinical decision-making.
    • It is not a substitute for clinical judgment or a universal protocol.
    • It aims to support, not replace, clinicians in managing cerumen impaction.