What Are Complications of Cerumen?
Discussion Cerumen or ear wax is produced in the outer third of the external auditory canal. It contains exfoliated squamous epithelium along with waxy substances. It is controlled by autosomal alleles and has two main phenotypes – “wet” cerumen which is dominant and common in Caucasian and African populations, and “dry” cerumen which is recessive and found more often in Asian populations. Cerumen protects the external canal and has some antibacterial and antifungal properties including against strains of Staphylococcus aureus, Pseudomonas aeroginosis, and Candida albicans. Staphylococcus aureus and Pseudomonas aeroginosis are the most common causes of otitis externa. The external auditory canal is a self cleaning mechanism which is assisted by jaw movement. It helps to trap dirt and keep out water. When this self cleaning system fails, cerumen accumulation and potential impaction can occur. Cerumen impaction is defined as “…accumulation that causes symptoms and prevents the needed assessment of the ear canal/tympanic membrane or audiovestibular system or both.” Cerumen impaction is common in children,the elderly and also in developmentally disabled populations. Treatment is by use of cerumenolytics, aural irrigation or manual removal. “Cerumenolytics work by hydrating the desquamated sheets of keratinocytes and by inducing keratinolysis causing disintegration of the cerumen.” A Cochrane Collaboration review foun...
STOMACH bloating could be reduced by making changes to your diet. Drinking this type of milk could relieve trapped wind or constipation pain, it ’s been revealed.
Authors: Ruggiero T, Pol R, Camisassa D, Simiele S, Giaccone L, Carossa S Abstract The purpose of the study is to evaluate the clinical effects of Mucosamin® (a spray preparation containing sodium hyaluronate combined with a pool of amino acids of precursor collagen, including L-Proline, L-Leucine, L-Lysine and glycine) on wound healing and pain management of oral mucositis after hematopoietic stem cell transplantation. The importance of professional dental hygiene by dental hygienist in reducing the severity of oral mucositis as unique therapy or in addition to therapy with Mucosamin® was also evaluated. O...
In conclusion, in the treatment of BPPV patients, automatic reposition is more effective than manual reposition and can improve the patients quality of life. PMID: 29921405 [PubMed - in process]
In conclusion, treating patients with LIDP through PTED can significantly improve treatment efficacy, shorten surgical and healing time and relieve pain. This therapy is worth clinical promotion. PMID: 29921381 [PubMed - in process]
Authors: Affaitati G, Giamberardino MA, Lapenna D, Costantini R Abstract Topical nonsteroidal anti-inflammatory drugs produce local pain relief while avoiding systemic adverse events, thanks to minimal systemic absorption. This review evaluates the effectiveness and safety of a topical diclofenac preparation, diclofenac epolamine (DHEP) patch 1.3% or diclofenac epolamine patch with heparin as excipient (DHEP+H) in treating mild-to-moderate pain. DHEP patch was associated with significant pain relief and improved function in numerous pain conditions, from minor soft tissue injuries to osteoarthritis and myofascial p...
In this volume of The Journal, Chen et al present some intriguing observations from the Kobe Offspring Study, comprising 71 069 children. The authors present analyses which may demonstrate an association between bedtime at 18 months and incidence of dental caries at 3 years, with increasing adjusted odds ratios for later bedtimes. Th is may have some biologic plausibility, since sleep and circadian rhythm may influence salivary flow, immune function, salivary amylase, and oral flora. On balance, though, this study raises as many questions as it seeks to answer.
Some batches of own-brand blackcurrant cough syrups for children have been recalled because there is a risk that they may include mould, the Medicines and Healthcare products Regulatory Agency ’s (MHRA) has advised.
Maxillomandibular advancement (MMA) has been shown to effectively improve respiratory parameters for patients with obstructive sleep apnea (OSA). It offers high rates of success as measured by the apnea-hypopnea index (AHI), subjective symptoms, and health-related quality of life measures. However, few reports address the changes in sleep quality and architecture that occur after MMA or compare post-MMA patients with normal control groups. MMA shows the ability to improve AHI, oxygen saturation index (ODI), and lowest oxygen saturation, which should translate to better sleep quantity and quality.
Treatment for edentulism includes 3 basic options: conventional complete dentures (CCDs), implant-retained overdentures (IODs), and implant-supported full-arch fixed complete denture prostheses, with the last an infrequent choice. CCDs are associated with various limitations and detrimental changes over time and with problems such as lack of stability, poor retention, soreness and pain, and progressive loss of function. IODs offer the potential to overcome many of these problems. The use of mandibular IODs retained by 2 unsplinted implants is considered first-line treatment for edentulous elderly persons who have not been happy with CCDs.
Myofascial pain of the muscles of mastication is a common TMD marked by myogenous pain, mandibular dysfunction, and reduced range of motion. Chronic muscle pain is broadly categorized as having a localized or a referring pattern. In localized myofascial pain, the pain is generally limited to the site of palpation or at least within the bounds of the muscle being palpated. In referring pattern myofascial pain, the discomfort spreads beyond the involved muscle. Therapies for myofascial pain of the muscles of mastication include conservative approaches to reduce muscle tonicity and relax the muscles.
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