Comparison of the Cerumenolytic Activities of New and Currently Used Agents

OBJECTIVES: This study compared the cerumen dissolution activities of 7.5% sodium bicarbonate, 5% potassium hydroxide, 10% lactic acid, 3% salicylic acid, 10% glycolic acid, and distilled water.

METHODS: An in vitro study was conducted with 36 cerumen samples. The cerumenolytic activities of the 6 agents were assessed by recording the degree of cerumen disintegration using digital photography at 15 minutes, 30 minutes, 1 hour, 2 hours, and 12 hours. The undissolved cerumen that remained after 12 hours was removed from the solutions and weighed after drying.

RESULTS: Potassium hydroxide showed the fastest cerumenolytic activity, dissolving a moderate amount of cerumen at 30 minutes, while glycolic acid and salicylic acid caused no visible changes in the cerumen samples. Samples treated with potassium hydroxide and sodium bicarbonate exhibited higher degrees of disintegration compared to samples treated with distilled water (odds ratio and 95% CI: 273.237 [0.203-367 470.4] and 1.129 [0.002-850.341], respectively). The greatest reduction in cerumen weight was associated with the use of sodium bicarbonate; however, this result did not reach statistical significance.

CONCLUSIONS: Among the solutions tested, 5% potassium hydroxide showed the fastest dissolution activity, yielding moderate disintegration within only 30 minutes. In terms of residual cerumen weight within 12 hours, all solutions exhibited equivalent effectiveness in the disintegration of cerumen.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:101

Enthalten in:

Ear, nose, & throat journal - 101(2022), 2_suppl vom: 15. Feb., Seite 31S-36S

Sprache:

Englisch

Beteiligte Personen:

Anh, Nguyen Quynh [VerfasserIn]
Numthavaj, Pawin [VerfasserIn]
Bhongmakapat, Thongchai [VerfasserIn]

Links:

Volltext

Themen:

10041-19-7
8MDF5V39QO
Cerumenolytic Agents
Cerumenolytic agents
Dioctyl Sulfosuccinic Acid
Disintegration
Journal Article
Potassium hydroxide
Sodium Bicarbonate
Sodium bicarbonate

Anmerkungen:

Date Completed 22.03.2022

Date Revised 22.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/0145561320986060

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM32073756X