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EAR SYRINGING.

EAR SYRINGING. Dr. P.T. Kenny. Polystyrene cup. After the bite…. Preparation…. Prepare the correct equipment. (A 10 or 20 ml syringe and a Jelco catheter is as effective as a large metal ear syringe!)

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EAR SYRINGING.

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  1. EAR SYRINGING. Dr. P.T. Kenny

  2. Polystyrene cup After the bite…

  3. Preparation… • Prepare the correct equipment. (A 10 or 20 ml syringe and a Jelco catheter is as effective as a large metal ear syringe!) • Explain to the patient what is about to happen and what should not happen, e.g. pain / water running down inside the throat. • Check that the plunger of the syringe moves freely in the barrel. • Fill the reservoir jug with luke warm tap water or a temperature of 370C maximum. • Draw water into the barrel of the syringe.

  4. Method… • Drape the patient’s shoulder and neck. • Position the collection dish below the patient’s ear – let the patient hold it in position. • Advance the nozzle into the patient’s external auditory meatus while simultaneously applying traction to the pinna in an upward and backward direction (to straighten the canal). • Advance the plunger aiming the nozzle at the roof of the canal, i.e. in a posterior superior direction. • When the syringe is empty, examine the canal for the persistence of wax / foreign body or damage to the ear canal.

  5. Finally… • Continue this process until the wax or the foreign body has been removed. • Dry / clean the patient. • Should the wax be hard, soften it by pouring a little Johnson’s Baby Shampoo into the ear before attempting the syringing.

  6. Contra-indications for syringing an ear……. Previous middle ear surgery. Perforated TM. Discharge obscuring the TM. Recent insertion of Grommets.

  7. “Grommet” in situ.

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