Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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A Comparative Study of Distilled Water and Topical 4% Xylocaine‐Distilled Water Combination as fast acting Cerumenolytic Agents
Syed Mohd Ahmad, Nitya Singh, Dewal Mani, Prateek Roy and Simran Kaur Pal
Page: 424-427 | Received 29 Mar 2024, Published online: 12 May 2024
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Abstract
Ear wax is frequent complaint reported in ENT OPD. There are various type of cerumenolytics are used to soften ear wax. One of these is water used as fast acting wax softener for quick removal of ear wax. While traditionally performed using distilled water, the addition of local anaesthetics such as 4% Xylocaine has been proposed to reduce discomfort and improve patient tolerance. This trial aims to compare the efficacy and patient satisfaction of ear cleaning using distilled water alone versus distilled water with 4% Xylocaine. A total of 294 patients with impacted cerumen were recruited and randomly assigned to one of two groups of control and intervention group: Group A or control group receiving ear cleaning post instillation of distilled water and Group B or intervention group receiving ear cleaning post instillation of distilled water mixed with 4% Xylocaine. Parameters including ease of wax removal, pain experienced during the procedure, and patient satisfaction were assessed using standardized scales. Additionally, adverse events such as trauma to the ear canal or tympanic membrane were recorded. Preliminary results suggest that the addition of 4% Xylocaine to distilled water may lead to improved patient comfort during ear cleaning without compromising efficacy. However, further analysis and a larger sample size are necessary to draw definitive conclusions. This study sheds light on potential advancements in ear wax removal in single setting without patient’s discomfort.
How to cite this article:
Syed Mohd Ahmad, Nitya Singh, Dewal Mani, Prateek Roy and Simran Kaur Pal. A Comparative Study of Distilled Water and Topical 4% Xylocaine‐Distilled Water Combination as fast acting Cerumenolytic Agents.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.6.424.427
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.6.424.427