(Reuters Health) - A sample of emergency departments recorded confirmed US that all that is smaller than stick your elbow in your ear a good way to pierce the eardrum.
About 66 percent of patients with traumatic tympanic perforation were treated badly hit "instruments" in his ears, and nearly half of these cases involved swab.
"In our experience applicators cotton tip (Q-tips and the like) is often the instrument that the patient to clean their ears to" under the direction of Dr. Eric Carnoil, ENT specialist at the University of Toronto, he told Reuters Health by e-mail.
"Our hypothesis is that most of these injuries to patients caused, attempted his own ear wax get on," he said.
Tympanic membrane or eardrum, a structure, the sound transfers from the outer ear to the bone in the ear, and the perforation of the membrane can lead to deafness, Carnoil wrote in the journal JAMA Otolaryngology Head and Neck Surgery.
Otolaryngologists (__gVirt_NP_NNS_NNPS <__ Doctors ear, nose and throat), many patients in the office with drums perforations are most commonly caused by ear infections or trauma to see Carnoil said.
The study focused on traumatic cause of perforated eardrum. Many patients do not realize that often can damage the ear canal, the earwax push more (impact) or even burst eardrums, he said.
The researchers studied five years records to the 100 emergency services nationwide in the United States and found more than 900 inquiries related injuries ears. Representing nearly 5,000 visits to the emergency services of the tympanic perforation nationwide in the same period, the researchers write.
About 60 percent of the patients were men, and most were 18 or younger. "Auditory Canal Instrumentation" was involved in 61 percent of cases and 45 percent of these specially hyssop the cause of the lesion, according to the study.
For children of children up to 5 years, foreign instruments were the cause of 86 percent of the injuries and 6 to 12 years, 66 percent. Among adults 37 to 54, with 53 percent of the perforations are solid foreign objects in the ear causes and in 55 or more years ago, it was 67 percent.
In addition to cotton pads, other items include toys, combs, hair pins, pencils, straws, toothpicks and lollipop sticks.
The water activity such as water skiing and scuba diving, was also one of the leading causes of injuries, especially among adolescents and young people from 19 to 36. years, Carnoil said.
However, he said: "If you took more of this interview and the article is please to clean ears not use cotton swabs."
Carnoil said that many patients come to his office to ask how to clean earwax.
"Earwax is formed in the outer third of the ear canal and is soluble in water. Therefore, after a shower, most people with get away to wipe only a washcloth with the wax off the ear, "he said.
This is a beautiful study of emergency room visits for ear piercing traumatic noted Dr. Hamid Djalilian, Clinical Professor of Otolaryngology at the University of California, Irvine, who were not involved in the research. But the study "not considered for all patients who have had this problem in the United States because they do not include patients who sought in an outpatient setting, the care, such as emergency assistance, family doctor or nose, ear and throat," he said Reuters Health by e-mail.
The ears have a self-cleaning mechanism, Djalilian. "This means that the dead skin of the ear canal and ear wax outwardly gradually moved from the same ear." Thus, a Q-Tip (or others) is rarely needed and almost always pushes the wax deeper into the channel, instead of the wax remove.
"Do a little wax stick to the Q-Tip and the user feel good about yourself something, but the chances are about 5-10 times more wax was pushed into" Djalilian said.
The use of cotton swabs (or other) in the ear canal is also the most common cause of infections of the ear canal, while the skin of the ear canal scratch and bacteria can penetrate the skin, the meatus infection causes (outer ear), he said.
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