Afolabi Abdulrahmnan O, Kodiya Aliyu M, Bakari Aminu, Ahmad Babagana M
Department of ORL, Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
East Afr J Public Health. 2009 Apr;6(1):43-6. doi: 10.4314/eajph.v6i1.45743.
Wax removal compromises the integrity of the ear's defenses. It is a leading cause of otitis externa, Otomycosis and impaired hearing. Aims of the study are to assess the knowledge and implication of self ear cleaning among black Africans.
A prospective study carried out at the Tundun-wada community and National Ear Care Centre, Kaduna with administration of structured questionnaire after an informed consent and ethical clearance. Information retrieved includes biodata, believe, reason and object for cleaning of the ear, associated problems or benefit and examination.
A total of 372 form the basis for the study, age range 1-76 yr with a mean age of 30.37 yr, median age 29.00 (S.D. = 13.79) and M:F ratio of 1:1. Mother responded for their children except for grown up. About 47.3% of the subjects were unemployed who were either children or complete house wife. About 90% of the subjects interviewed do self ear cleaning and over 90% believe ear should be cleaned to remove wax, because of itching in over 50% while a few is due to cosmetic reason. Cotton bud was the commonest material used for cleaning. About one-third of the subject has formed the habit unconsciously over 10 years. The entire subjects interviewed had their ear examined; about 27% had ear discharge then wax impaction in 22% then foreign body 12%.
The habit of self ear cleaning should be discouraged as it is slow otologic poison with an attendant long term effect.
清除耳垢会损害耳部防御的完整性。它是外耳道炎、耳真菌病和听力受损的主要原因。本研究的目的是评估非洲黑人自我清洁耳朵的知识及影响。
在卡杜纳的通敦瓦达社区和国家耳部护理中心进行了一项前瞻性研究,在获得知情同意和伦理批准后发放结构化问卷。收集到的信息包括生物数据、观念、清洁耳朵的原因和对象、相关问题或益处以及检查情况。
共有372人参与本研究,年龄范围为1至76岁,平均年龄为30.37岁,中位数年龄为29.00岁(标准差 = 13.79),男女比例为1:1。除成年人外,由母亲为其孩子作答。约47.3%的受试者为失业者,包括儿童或全职家庭主妇。约90%接受访谈的受试者会自行清洁耳朵,超过90%的人认为应该清洁耳朵以清除耳垢,其中超过50%是因为耳朵瘙痒,少数是出于美容原因。棉签是最常用的清洁工具。约三分之一的受试者在10多年前就不知不觉养成了这种习惯。所有接受访谈的受试者都接受了耳部检查;约27%的人有耳溢液,22%有耳垢堵塞,12%有异物。
应劝阻自我清洁耳朵的习惯,因为它是一种缓慢的耳部毒药,会带来长期影响。