Lian Yao, Yuan Ke, Nie Linlin, Xiao Ling, Ding Ling
Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Chongqing Medical University, Chongqing, China.
Sci Prog. 2025 Apr-Jun;108(2):368504251345886. doi: 10.1177/00368504251345886. Epub 2025 May 27.
ObjectiveTo analyze the safety and efficacy of manual removal and irrigation in cerumen removal in children.MethodsA case-control study that prospectively collected the data of 6-month to 18-year-old children who underwent cerumen removal in the outpatient Department of Children's Hospital of Chongqing Medical University.ResultsA total of 347 ears were analyzed. The success rates of the manual removal and irrigation groups were 76.8% and 66.4%, respectively, with statistically significant differences. The rates of adverse reactions in both two groups were low and the differences between the two groups were not statistically significant. Meanwhile, differences in the proportion of cerumen obstruction less than 10%, discomfort and satisfaction after removal were statistically significant between the two groups. The manual removal group has a higher success rate for dry, flaky cerumen removal, whereas the irrigation group exhibits a higher success rate for dry, packed cerumen removal. While poor cooperation affects the success of both approaches, a heavy degree of cerumen obstruction affects the success of manual removal.ConclusionsManual removal is quicker and more convenient, whereas irrigation is cleaner and less discomfort. Selection based on ceruminous type achieves high success rate.
分析儿童耵聍取出术中手法取出与冲洗法的安全性及有效性。
采用病例对照研究，前瞻性收集重庆医科大学附属儿童医院门诊6个月至18岁行耵聍取出术患儿的数据。
共分析347耳。手法取出组与冲洗组的成功率分别为76.8%和66.4%，差异有统计学意义。两组不良反应发生率均较低，组间差异无统计学意义。同时，两组耵聍堵塞<10%比例、取出后不适及满意度差异有统计学意义。手法取出组对于干性片状耵聍取出成功率更高，而冲洗组对于干性团块状耵聍取出成功率更高。合作欠佳影响两种方法成功率，耵聍堵塞程度重影响手法取出成功率。
手法取出更快更便捷，冲洗更清洁、不适更少。根据耵聍类型选择可获得较高成功率。
