Earwax is a useful thing. Some older physicians rubbed into the wounds as balm. Others felt that the taste is to be used as a diagnostic tool: a touch of sweetness, a doctor wrote , was a sign of impending death. Even today, the doctors say it is the most natural soaps, discharged from the audience dead cells and road debris.
But the almost magical properties of wax - wax or as scientists call - not people go to extraordinary measures to stop him get rid of. No tools are required seems to want to keep too much for the people of the ears.
"They call: hairpins, pencils, pens," said Dr. David Young, an otolaryngologist at the Massachusetts Eye and Ear, when asked how they try their patients earwax remove. "I have had some say builders," gently, with nails. I saw and heard everything. "
When cleaning the inside of the ears - slowly or not - a revised set of guidelines of the American Academy of Otolaryngology has advice: No. Even with Q-tips, no matter how they look harmless.
This recommendation is not new. In 1901, monthly medical brief states that "the removal of as little affected as possible earwax instrumentation to be delivered. Many evils often follows the use of probes, clips and hooks in inexperienced hands."
of medical advice for so long been so consistently Some pieces, and now people know that you should put any foreign objects in the ear - as their wax scratch from the timid examples that give young patients towers.
The problem is that they definitely do. The new guidelines cite a study - titled "What - what stuck for health professionals University Hospital Jos in his ears" - in which more than 90 percent of employees is involved in a medical facility has been found to clean their hearing with items such as cotton swabs or parties channels.
"When you sit in your ear and moves, it feels good, is sensual. It is a drug addict, a smoker," said Dr. Vito Forte, professor of psychiatry at the University of Toronto, the OtoSim manages the company, the simulators ear exam makes.
The ear canal is closed at one end by the eardrum tube. Chewing and speaking that will help the wax on the opening move in order not to interfere with the audience. Inserting a screwdriver Q-Tip or actually the motion reversed pushes the wax where you do not want it, sometimes hardened ball to create from wax. Then there is a job for an ENT who could use a tiny suction tip or beak-shaped forceps to remove.
The tools involved may be small, but the effect is not: In 2012, Medicare has paid close to $ 47 million to more than a million balls of wax removal. Not all of these crashes were caused by detergent unscrupulous ear - but his collection and scratching is certainly part of the problem.
Throw things in the ears is not only ineffective - it is dangerous. "Although cotton swabs are soft enough, the canal skin is very sensitive and easy to scratch and abrasive," said Dr. Seth Schwartz, an otolaryngologist Virginia Mason Medical Center in Seattle and first author of the revised guidelines. "It can be very painful, but it can also lead to infection. And could traumatize actual eardrum."
In this case, he said, sometimes the only option is surgery, in which the tympanic membrane is removed and with the members of the patient's tissue patched.
The new guidelines were specifically written to it ignored for non-scientists, in hopes was finally seek a medical opinion for centuries.
However, in order to clean the ear canal is a hard habit to shoot. It may be so innate that use the tool itself. Forte was formerly the Toronto Zoo for treating an orangutan, who seemed to have the ear of evil - and discovered that the monkey was known bundle second rubber to bring verification Tack, then use extract everything I could have been in ears buried.
If only the monkey to read the latest standards.
This article was produced by STAT, a national publication on health, medicine and life sciences. Learn more and sign up for your newsletter free morning in statnews.com . STAT You can also follow Twitter and want to Facebook .
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