ENT Specialist SYRINGING OF THE EAR

SYRINGING OF THE EAR

Syringing is an OPD procedure used for removal of wax, foreign bodies, debris from the ear.

This procedure is done by an aural syringe with a piston which can push water with force through a nozzle.

Indications:
  1. Removal of wax.
  2. Dried fungal debris.
  3. Epithelial debris.
  4. Blunt foreign bodies.
Contraindications:
  1. Acute inflammatory conditions of the external or middle ear.
  2. Perforation of the tympanic membrane.
  3. Hygroscopic foreign bodies.
  4. Sharp foreign bodies.
PROCEDURE
ENT Specialist Screenshot 2020 11 18 Ear final book document
Position:
  1. Patient is seated with ear to be syringed towards the examiner.
  2. A kidney tray is placed over the shoulder of the patient.
  3. Patient’s head is slightly tilted over the kidney tray.
  4. The syringe is held in the right hand.
Normal saline, distilled water or normal water can be used after boiling and cooling at    37 degrees, which is the normal body temperature. Water has to be cooled to body temperature to prevent labyrinthine stimulation.
ENT Specialist Screenshot 2020 11 18 Ear final book document

5. Pinna is pulled upward and backward and stream of water is directed towards the postero-superior wall of the external auditory meatus. The pressure of the water builds up deeper to the wax and expels the wax out.

ENT Specialist Screenshot 2020 11 18 Ear final book document

6. The ear is made dry with a cotton swab after the procedure and inspection of the ear canal and tympanic membrane is done.

Complications 
  1. Trauma to external canal or tympanic membrane.
  2. Giddiness.
  3. Vasovagal shock.

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